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Lomber spinal anjiyolipomlar ilerleyici spinal kord ve/veya sinir kökü bası semptomları ile ortaya çıkan, nadir görülen tümörlerdir. Kendine özgü sinyal özellikleri olması sayesinde manyetik rezonans görüntüleme (MRG) ile kesin tanı konulması mümkündür. Ancak bu tümörlerin çok nadir olmalarına bağlı olarak yanlış tanı konması olasıdır. Bu yazıda 53 yaşında, son 6 ayda bel ve her iki kalçada ağrısı belirgin artan kadın hastada bir lomber spinal anjiyolipom olgusu bildirilmiştir. MRG’ de keskin sınırlı, T1-ağırlıklı görüntülerde beyin omurilik sıvısına göre hiperintens, epidural yağ dokusuna göre hipointens kitle izlendi. Yağ baskılamalı sekanslarda kitlenin sinyalinin baskılandığı ve kontrast verilmesi sonrası kitlede yaygın kontrastlanma olduğu izlendi.

Introduction The aim of our study was to investigate the effect of thyroid dysfunction on tendons and the contribution of Acoustic Radiation Force Impulse (ARFI) elastography to the diagnosis of tendinopathy. Methods Eighty Achilles tendons of 40 patients under levothyroxine treatment, who had previously known hypothyroidism but high serum thyroid stimulating hormone levels, and 80 Achilles tendons of 40 healthy individuals were evaluated with ARFI (Virtual Touch Quantification®). 19 of 40 of the patients with hypotiroidism’ Achilles tendons were re-evaluated after thyroid stimulating hormone levels reached to normal limits following the adjustments in thyroid hormone replacement therapy. The middle portion of the each Achilles tendon was chosen for the examination. Every examination consisted of three to five independent measurements (shear wave velocity- meters per second). The mean shear wave velocity value was calculated for each tendon, and used for statistical analysis. Results The stiffness values of both left and right Achilles tendons, represented as shear wave velocity, were similar in patients with hypothyroidism and control group. There was no significant difference between the Achilles tendon shear wave velocity measurements of 19 of 40 hypothyroidism patients who were re-evaluated after the adjustments in thyroid hormone replacement therapy. Conclusions The lack of significant difference in Achilles tendon stiffness between non-naive hypothyroid patients and the control group may be explained as a positive clinical effect of thyroid hormone replacement therapy.

Superior semcircular canal dehiscence is a radiological diagnosis which is associated with sound-induced hearing loss, vertigo, nystagmus and oscillopsia. The clinical manifestations have been explained by the absence of a bony cover, generating a ‘third window’. In one temporal bone survey the prevelance was reported as 5 cases in 1000 temporal bones, whereas, bilateral involvement was observed in one case. Here we present an otherwise healthy adult patient suffering from bilateral persistent ear pain, in whom bilateral superior semicircular canal dehiscence was the sole pathology. Bilateral canal dehiscence is a very rare entity and ear pain is unlikely in these cases. To our knowledge, there has been no similar cases reported in the literature so far.