Abstract:
BACKGROUND:Intraspinal rib head dislocation is an important but under-recognized consequence of dystrophic scoliosis in patients with neurofibromatosis 1 (NF1). OBJECTIVE:To present clinical and imaging findings of intraspinal rib head dislocation in NF1. MATERIALS AND METHODS:We retrospectively reviewed clinical presentation, imaging, operative reports and post-operative courses in four NF1 patients with intraspinal rib head dislocation and dystrophic scoliosis. We also reviewed 17 cases from the English literature. RESULTS:In each of our four cases of intraspinal rib head dislocation, a single rib head was dislocated on the convex apex of the curve, most often in the mid- to lower thoracic region. Cord compression occurred in half of these patients. Analysis of the literature yielded similar findings. Only three cases in the literature demonstrates the MRI appearance of this entity; most employ CT. All of our cases include both MRI and CT; we review the subtle findings on MRI. CONCLUSION:Although intraspinal rib head dislocation is readily apparent on CT, sometimes MRI is the only cross-sectional imaging performed. It is essential that radiologists become familiar with this entity, as subtle findings have significant implications for surgical management.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Ton J,Stein-Wexler R,Yen P,Gupta Mdoi
10.1007/s00247-010-1789-1subject
Has Abstractpub_date
2010-12-01 00:00:00pages
1902-9issue
12eissn
0301-0449issn
1432-1998journal_volume
40pub_type
杂志文章,评审abstract::Paternal uniparental disomy for chromosome 14 (patUPD14) is a rare condition, this being the eighth report. A male infant, born prematurely, was noted to have extremely lax skin and bilateral inguinal hernias. Skin biopsy confirmed the clinical diagnosis of congenital cutis laxa, but this did not explain the limb abno...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-003-0931-8
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abstract:BACKGROUND:Although there is much evidence supporting a relationship between primary varicocoele and venous incompetence of the saphenofemoral junction in adults, there is no evidence for such a relationship during adolescence. Because of the effect of age and future occupation (standing upright for long periods) on th...
journal_title:Pediatric radiology
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journal_title:Pediatric radiology
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abstract:PURPOSE:The purpose of this study was to determine normal resistive index (RI) values for term neonates during the first day of life as part of an ongoing prospective study of RI values in term infants with perinatal asphyxia. MATERIALS AND METHODS:Forty normal term neonates underwent cranial sonography and Doppler du...
journal_title:Pediatric radiology
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journal_title:Pediatric radiology
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journal_title:Pediatric radiology
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更新日期:1992-01-01 00:00:00
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journal_title:Pediatric radiology
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journal_title:Pediatric radiology
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更新日期:2011-10-01 00:00:00
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journal_title:Pediatric radiology
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journal_title:Pediatric radiology
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更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:Urea cycle disorders encompass several enzyme deficiencies that can result in cerebral damage, with a wide clinical spectrum from asymptomatic to severe. OBJECTIVE:The goal of this study was to correlate brain MRI abnormalities in urea cycle disorders with clinical neurological sequelae to evaluate whether ...
journal_title:Pediatric radiology
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更新日期:2012-04-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-005-0032-y
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journal_title:Pediatric radiology
pub_type: 杂志文章,已发布勘误
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更新日期:2013-06-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02010662
更新日期:1989-01-01 00:00:00
abstract::Paediatric post-traumatic cortical defects, although rare, are predominately seen affecting the distal radius following a greenstick or torus fracture. We review the literature and present a further two cases supported by CT and MRI. Images from an acute greenstick fracture are also presented to help understand the pa...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-001-0608-0
更新日期:2002-05-01 00:00:00
abstract::We retrospectively reviewed the imaging and surgical findings in 17 patients with duodenal atresia to determine (a) the frequency of coexistent malrotation in patients with duodenal atresia and (b) the reliability of the upper gastrointestinal barium study (UGI) in differentiating malrotation from postoperative deform...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02012180
更新日期:1994-01-01 00:00:00
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journal_title:Pediatric radiology
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更新日期:1983-01-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s002470050155
更新日期:1997-05-01 00:00:00
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journal_title:Pediatric radiology
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journal_title:Pediatric radiology
pub_type: 杂志文章
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更新日期:2001-05-01 00:00:00
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journal_title:Pediatric radiology
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更新日期:2003-01-01 00:00:00
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journal_title:Pediatric radiology
pub_type: 杂志文章,评审
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更新日期:2011-09-01 00:00:00
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journal_title:Pediatric radiology
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更新日期:2008-12-01 00:00:00
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journal_title:Pediatric radiology
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更新日期:1975-03-20 00:00:00
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更新日期:1998-02-01 00:00:00