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Aim. The purpose of this study to evaluate retrospectively the incidental abnormalities of nasal structures, paranasal sinuses, and mastoid cells on MRI of the head in adult patients with chronic headache. Methods. We collected the presence of abnormalities of nasal structures, paranasal sinuses, and mastoid cells, diagnosed incidentally, from the existing MRI reports by qualified radiologists in a population of 3200 adult patients examined for the differential diagnosis of chronic headache. Results. There were no significant differences among the study groups with regard to the rates of types of chronic sinusitis, mastoiditis, nasal structural abnormalities, and multiple sinusitis (p>0.05). The rates of nasal septum deviation were significantly higher in patients with chronic maxillary and ethmoid sinusitis (p0.05). Nazal septum deviasyonunun oranı, kronik maksiller ve etmoid sinüzitli hastalarda anlamlı olarak yüksek saptandı (p

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Aim. Carotid ultrasound scanning including carotid intima-media thickness (IMT) and Doppler velocity measurements is commonly used modality to assess carotid artery disease related to atherosclerosis as an important result of obesity. The aim of the present study was to assess the effect of obesity on the carotid ultrasonographic parameters including lumen diameters, IMTs, peak systolic velocities (PSVs), and end-diastolic velocities (EDVs) of common carotid arteries (CCAs) and internal carotid arteries (ICAs) in an asymptomatic population. Methods. The lumen diameters, IMTs, PSVs, and EDVs of CCAs and ICAs were performed in the study participants grouped according to their body mass index (BMI) in an age-adjusted manner: normal group with BMI 18.50-24.99; overweight group with BMI 25.00-24.99; obesity classes I&II group with BMI 30.00-39.99; obesity class III group with BMI ≥40.00. Results. Overall, obesity class I-III increased the lumen diameters of CCAs and ICAs (p

WOS: 000302206300004, PubMed ID: 22020950, Fenestration of the internal jugular vein is a rare malformation. Herein, the authors describe an extreme fenestration of the left internal jugular vein. This anomaly was found incidentally in a 47-year-old male patient undergoing multidetector computed tomography (MDCT) imaging and MDCT angiography evaluation for vertebral artery injury due to cervical trauma. MDCT angiography showed the presence of an extremely large fenestration in the left internal jugular vein.

WOS: 000268223800016, Pseudoaneurysms of the profunda femoris artery (PFA) are uncommon, usually caused by a traumatic or iatrogenic injury. Symptoms usually become manifest by pain of sudden onset and swelling in the upper thigh due to hemorrhage. In the past, the treatment of pseudoaneurysms was surgical repair. Recently, transcatheter embolization has been recognized as an alternative treatment. We report on two male patients who presented with a pulsatile mass in the thigh following a femoral shaft fracture and a penetrating injury, respectively. The diagnosis of pseudoaneurysms was made by Doppler ultrasonography and/or angiography. In one patient, the pseudoaneurysm was 3x3 cm in size and originated from one of the perforating branches of the right PFA. In the other, it measured 1.5x1.5 cm and originated from the ascending branch of the lateral femoral circumflex artery of the left PFA. Both patients were successfully treated by selective arterial embolization with platinum coils.

WOS: 000256246600017, Inguinoscrotal bladder hernia is a rare entity. The bladder may be a component of inguinal hernias in man over the age of 50 years and only a small portion of the bladder is usually involved. Preoperative diagnosis of such hernias is important to avoid injury to the bladder and ureter. Intra-venous pyelography (IVP), retrograde cystography, pelvic ultrasonography (USG) and computed tomography (CT) have been useful in preoperative diagnosis of inguinoscrotal hernia. In this study, radiological findings of two cases with massive inguinoscrotal bladder hernia are presented and the importance of the imaging modalities in preoperative diagnosis is emphasized.

WOS: 000254583000017, Fibrous dysplasia (FD) is characterized by a progressive replacement of normal bone elements by fibrous tissue. Computed tomography (CT) is the study of choice for diagnosis and follow-up because of its superior bony detail and accurate assessment of the extent of the lesion. In addition, CT can also assist by differentiating FD from other osteodystrophies of the skull base, including Paget's disease, osteogenesis imperfecta, otosclerosis, and osteopetrosis. In this report, we present two cases of FD of the temporal bone associated with CT features with relevance to the literature.

WOS: 000243843700016, PubMed ID: 22266622, Advances in perinatal monitoring and early treatment for hyperbilirubinemia in high-risk patients have greatly reduced the incidence of kernicterus. Findings on MRI in patients with kernicterus are characteristic. The most characteristic pattern of neuropathological lesions in kernicterus is symmetric and highly selective involvement of the basal ganglia. In this study, we report the MRI findings in 2 infants with clinical and laboratory evidence of kernicterus.

WOS: 000256795800011, PubMed ID: 17978916, Air embolism is known to be a complicating factor in several clinical settings, including thoracic, cardiovascular and neurosurgical operations, central line placement, penetrating thoracic and cranial trauma and haemodialysis. Computed tomography (CT) is useful for showing cerebral air embolism. However, CT demonstration of massive air in all of the major cerebral arteries is extremely rare. In this report, we present a 45-year-old woman with cerebrovascular pneumoangiogram on postmortem CT examination after an unsuccessful posttraumatic cardiopulmonary resuscitation and discuss the possible mechanisms of pneumoangiogram.

WOS: 000273540500020, PubMed ID: 19910011, Background. The presence of a vermiform appendix in an inguinal hernial sac is termed Amyand's hernia. It may present as a tender inguinal or inguinoscrotal swelling, and it is often misdiagnosed as an incarcerated or strangulated hernia. Methods. Between 1998 and 2006, we have managed 564 patients with acute appendicitis, 1, 090 patients with inguinal hernia, 33 patients with incarcerated. inguinal hernia, and 12 patients with Amyand's hernia on our pediatric surgery service. A retrospective analysis of clinical data of these patients with Amyand's hernia was performed. Results. All patients with Amyand's hernia were boys with a median. age of 40 days (range, 15 days-14 months). One patient's condition was diagnosed pre-operatively. All of them, therefore, underwent emergency operation with a presumptive diagnosis of either incarcerated or strangulated inguinal hernia. Operative findings included 2 normal appendices, 6 inflamed appendices, and 4 appendices with external signs of serosal inflamation of uncertain significance in the inguinal hernial sac. Two patients with a normal appendix had hernia repair without an appendectomy. The other 10 patients with an abnormal appendix underwent an emergency open appendectomy with repair of the inguinal hernia. None of the patients developed recurrent hernia. The median postoperative follow-up period was 2.5 years. Conclusion. In pediatric patients with Amyand's hernia, the inflammatory status of the appendix can be used to determine the type of hernia repair and the operative approach. Incidental appendectomy in the case of a normal appendix is not favored by us. Treatment includes appendectomy (via the hernia sac) and hernia repair in children with an inflamed appendix. (Surgery 2010;147:140-3.)

14th Annual Meeting of the European-Society-of-Musculoskeletal-Radiology -- 2007 -- Izmir, TURKEY, WOS: 000281262200035, Cherubism is a rare hereditary benign lesion of the mandible that appears in childhood as bilateral painless swellings that progress until puberty, and then spontaneously regress. It was first described in 1933 and referred to as familial multilocular cystic disease of the mandible. These lesions are rarely seen and the diagnosis of the lesion requires the integration of the histopathology with history, clinical course of the disease and the radiographic appearance. Plain radiographs and computed tomography (CT) scan are sufficient for radiological diagnosis. Orbital involvement secondary to cherubism is rare. In this article, we describe CT and three-dimensional (3D) imaging features in two cases with extensive orbital involvement of cherubism., European Soc Musculoskeletal Radiol

WOS: 000329598700010, PubMed ID: 24310459, AIM: We encountered no study conducted on the evaluation of prevertebral soft tissue (PVST) thickness by magnetic resonance imaging (MRI) during our literature search. Measuring PVST thickness by MRI in the cervical region of adult cases was aimed in the present retrospective study. MATERIAL and METHODS: For the intended purpose, a total of 136 patients, composed of both males and females, with ages ranging from 20 to 69 years, in whom no pathology in the cervical prevertebral region was revealed by MRI modality implemented for various reasons, were included in the study. RESULTS: The upper limit of normal for PVST thickness was measured in our study to be 10 mm, 7 mm and 20 mm at C1, C2-C3 and C6-C7 vertebral levels, respectively. The least variation in the measurements and standard deviations were obtained at C3-C4 vertebral levels. Upon making a comparison between the measured PVST thicknesses on the basis of gender, the measurements at C2,C4 and C7 were found to display significant difference, whereas that was not the case for the measurements obtained at the other levels. CONCLUSION: Progressively widespread use of MRI for the traumas inflicting the cervical region makes it obligatory to specify normal values for the thickness of PVST measured by MRI.

WOS: 000297741900056, PubMed ID: 22067864, This article presents a case with nevoid basal cell carcinoma syndrome (NBCCS) and an elongated styloid process. Basal cell carcinoma syndrome, also known as Gorlin-Goltz syndrome, is an autosomal dominant inherited syndrome manifested by multiple defects involving the skin, nervous system, eyes, endocrine system, and bones. Elongated styloid process or calcified stylohyoid ligament cause craniofacial or cervical pain. The actual cause of elongation of the styloid process or the calcification of the stylohyoid ligament is unclear. The cause of elongation of styloid process in this case may be the calcification induced by NBCCS. This report is the first case presentation of NBCCS with elongated styloid process. Elongated styloid process might be described as an anomaly of an NBCCS.

WOS: 000254054800023, PubMed ID: 18353069, …

WOS: 000251551700029, PubMed ID: 18022454, Human Echinococcus infection still remains an important health problem in endemic regions. Primary musculoskeletal Echinococcus infection is very rare without involving the thoracic and abdominal organs. There has been no reported case of intermuscular hydatid cyst in the very early ages of childhood. Here we report a case of a 4-year-old girl with a primary intermuscular hydatid cyst in the left thigh. It was localized between the adductor muscles and iliopsoas muscle. It was removed without destroying the cyst wall and there were no complications. Hydatid cyst should be considered especially in the endemic areas when evaluating cystic masses. Hydatid cyst can be treated by operation. (c) 2007 Elsevier Inc. All rights reserved.