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Aim: This study aims to determine the frequency of cervicogenic dizziness in patients suffering from neck pain and observe the efficacy of cervicogenic dizziness (CGD) rehabilitation. Materials and Methods: It was a retrospective study. The patients aged between 18 and 65 who attended the physical medicine and rehabilitation outpatient clinic and suffered from neck pain were included in the study. Pregnant patients with a history of cervical surgery, missing data, or attending the rehabilitation program irregularly were excluded. Demographic data, treatment protocols, laboratory and radiology results, and Dizziness Handicap Inventory Scores in the 1st and 3rd month after rehabilitation were obtained from the health database. The frequency and reasons for cervicogenic dizziness and the efficacy of the rehabilitation program were observed. P<0.05 was considered statistically significant. Results: Totally, 443 patients were analyzed. 288 patients were female, and 155 were male. The mean age was 50.31 ± 14.06. Cervical disc herniation was determined in 40% (n = 178) of the patients, cervical spondylosis was observed in 11.5% (n = 51) of patients, 45.5% (n = 202) of patients had myofascial pain syndrome and 1.5% (n = 6) of patients defined trauma. Neck pain was associated with dizziness in 8.57% (n = 38). Cervicogenic dizziness was determined in 8.1% of the patients, and the most common reasons were myofascial trigger points and cervical disc hernia. Patients who accepted the cervicogenic rehabilitation program had a better Dizziness Handicap Inventory Score in the 1st and 3 rd month controls. Conclusion: Cervicogenic dizziness was determined in 8.1% of patients suffering from neck pain. It was detected that the most common reason was cervical pathologies, and the patients benefited from rehabilitation program. [ABSTRACT FROM AUTHOR]

Aim: To describe the most common findings in orbital trauma and to support radiologic decision making by comparing them in 7 pathology regions. Material and Methods: A total of 190 patients (119 males and 71 females) participated in the study. Orbital injury pathologies were documented and compared in seven regions. The most typical results of orbital tomography were determined. Binominal regression analysis was also performed for each trauma region. Results: 190 orbital CT scans showed 13.7% orbital bone fractures (n=26), 7.9% bulbus pathology (n=15), 2.6% vitreous pathology (n=5), 2.1% extraocular muscle pathology (n=4), and 6.3% (n=13) retrobulbar pathology. The most common globe pathologies were lens displacement and globe rupture. Retrobulbar fat plane changes (4.2% n=8) were the most common pathology in the region. Periorbital edema was the most common periorbital disease in 86.3% of cases (n=164). When evaluated using cross-tabulations between the seven pathologic regions, the relationship between bone pathology and retrobulbar area and between globe and vitreous was statistically significant (p<0.05). In binominal regression analyses, 5 trauma models were significant and showed more than 80 percent success in predicting trauma location (p<0.05). Conclusion: Orbital fractures and pathologies of the retrobulbar space, globe and vitreous are interrelated. Radiologists should be familiar with orbital fracture patterns, potential soft tissue injuries and ocular anomalies and should be able to evaluate the relationship between pathologies. [ABSTRACT FROM AUTHOR]

Background: Previous studies have shown that high altitude may have a protective effect on cardiovascular diseases. However, the effects of high altitude on carotid atherosclerosis have been less evidenced. Purpose: To compare the effect of altitude on atherosclerosis by using carotid artery ultrasonography (CAU) findings. Material and Methods: A total of 180 patients aged >60 years, who had proper recorded data of ultrasonography and blood tests, and who resided in the same city for at least five years were included. Patients with anemia, hyperlipidemia, diabetes mellitus, hypertension, and those who did not meet the inclusion criteria were excluded. Patients were divided into two groups: high altitude group (HAG) and sea level group (SLG). CAU findings of each patient—including common carotid artery intima-media thickness (CIMT) ≥1 mm and < 1 mm, internal carotid artery (ICA) stenosis rate, and plaque types—were recorded and compared between the two groups. Blood test parameters and lipid profiles were additionally recorded. Results: Prevalence of patients with CIMT ≥1 mm was significantly higher in the SLG (SLG: 50%, HAG: 15.6%; P < 0.001). Carotid stenosis was found to be significantly different in both groups (HAG: 9.96% ± 23.27%, SLG: 29.83% ± 23.30%; P < 0.001). RBC, HGB, HDL values, and HDL/LDL ratio were found to be significantly higher in the HAG (P < 0.001) whereas LDL, TG, and TC values were significantly higher in the SLG (P < 0.001). Conclusions: People who reside at high altitudes have significantly lower rate of carotid stenosis, lower CIMT values, and less atherogenic lipid profile values, all of which indicate protective effect of high altitude on atherosclerosis. [ABSTRACT FROM AUTHOR]

Background:  Coccydynia is one of the most overlooked symptoms in clinical practice. The diagnosis and radiologic findings of traumatic coccyx can be more easily detected unless it is delayed and postponed. For idiopathic coccydynia, which accounts for one third of cases, patients present with long-standing pain and multiple physician visits., Method:  The keywords coccyx, coccydynia, coccygodynia were searched in PubMed, Embase, Scopus databases in the last 5 years. Research articles, reviews and case reports were analyzed. The studies conducted in the last 5 years were presented under the headings of etiology, radiologic assessment, interventional and surgical treatments., Results and Conclusion:  The first step is dynamic X-ray of the coccyx in standing and sitting position. In this way, morphologic parameters and hypermobility causing idiopathic coccydynia can be evaluated. Morphologic and morphometric features of the coccyx described in previous CT and MR studies have explained the relationship with coccydynia. The key features are as follows: Type II coccyx morphology, subluxation of the intercoccygeal joint, presence of bony spicules. Knowledge of these definitions as well as the differential diagnosis in this anatomical region will help in reaching the correct diagnosis. The treatment of coccydynia is stepwise like the diagnosis. Conservative treatments are initiated first. Manipulations, ganglion impar block, injections, radiofrequency and shock treatments and finally coccygectomy are treatment methods reported. Radiologists should not overlook this region and should be familiar with the coccyx's morphologic appearance and the sacrococcygeal region's differential diagnosis., Key Points:   · The etiology of coccydynia usually includes trauma, obesity and female sex, special coccyx morphology, and coccygeal hypermobility.. · Coccyx fractures are defined into three groups as flexion type 1, compression type 2, and extension type 3.. · When evaluating coccydynia, the first step is a dynamic X-ray examination of the coccyx in standing and sitting position.. · Hypermobility is defined as more than 25 % posterior subluxation while sitting or more than 25° flexion while sitting.. · More than 35° posterior subluxation is considered significant hypermobility.., Citation Format: · Sukun A, Cankurtaran T, Agildere M et al. Imaging findings and treatment in coccydynia - update of the recent study findings. Fortschr Röntgenstr 2024; 196: 560 - 572., Competing Interests: The authors declare that they have no conflict of interest., (Thieme. All rights reserved.)

Competing Interests: Die Autorinnen/Autoren geben an, dass kein Interessenkonflikt besteht.

Aim: To compare endovascular and surgical treatment methods for cerebral aneurysms focusing on mortality., Material and Methods: The study included 187 patients who had undergone aneurysm treatment. The patients were divided into four groups according to their treatment modality and subarachnoid hemorrhage status: patients with endovascular treatment and bleeding aneurysms (EVG-b), patients with endovascular treatment and non-bleeding aneurysms (EVG-nb), patients with surgical clipping and bleeding aneurysms (SCG-b), and patients with surgical clipping and non-bleeding aneurysms (SCG-nb). The Hunt?Hess scores, Fisher grade, aneurysm morphology, and length of stay (LOS) were compared between groups., Results: There was no significant difference in the mortality rate between EVG-b and SCG-b at the end of the first year (23.5% and 39.7%, respectively; p > 0.05). A significantly shorter LOS was observed in EVG-b than in SCG-b (11.5 days and 15 days, respectively; p=0.027). Fusiform aneurysms were associated with higher patient mortality, whereas saccular aneurysms were associated with a 1.9-fold higher survival (p=0.037; 95% confidence interval: 0.83?4.74). The rate of closure of non-bleeding aneurysms was 93.4%. Complete embolization was verified in all bleeding aneurysms. In EVG-nb, the morbidity rate was 5%, the mortality rate was 3%, and the mean LOS was 2.86 days., Conclusion: Both treatment methods showed similar mortality rates, but hospital stays were shorter after endovascular treatment.