Case of the month: a heart problem?
Explore the source record for details and available documents.
Adult↗
Biomedical subjects
A T Carty
Publications and source records attributed to A T Carty.
Persistent hypophyseal (craniopharyngeal) canal.
Two cases with a broad persistent hypophyseal canal connecting pituitary fossa and nasopharynx are presented. Both had nasopharyngeal surgery in early childhood and presented later with hypopituitarism. Coronal CT demonstrated the defects with no visible pituitary tissue. The spectrum of basal skull defects is discussed. Children with midline nasal polyps should have CT or MRI of the skull base prior to surgery to prevent inadvertent hypophysectomy.
Adult↗
New connections between medical knowledge and patient care. Human condition is full of decisions that aren't simple yes/no decisions.
Explore the source record for details and available documents.
Decision Making, Computer-Assisted↗
Intraosseous lipomas.
Intraosseous lipomas are considered to be rare tumours. We describe four cases and discuss their appearances and diagnosis. It is likely with the increasing frequency of computed tomography and magnetic resonance examinations of the lumbar spine that many more asymptomatic lesions will present to the radiologist and that these tumours are not as rare as the literature would suggest.
Adult↗
Inferior vena caval compression by hepatic cysts: an unusual complication of adult polycystic kidney disease.
A case of inferior vena caval compression by hepatic cysts as a complication of adult polycystic kidney disease is presented and its management is discussed.
Cysts↗
Myositis ossificans non-progressiva--reversible muscle calcification in polymyositis.
We report a case of muscle calcification, a rare complication of polymyositis, documented on muscle biopsy and computerized tomography scanning. As the calcification resolved radiologically, marked hypercalcaemia developed requiring forced diuresis.
Adult↗
Venous aortography--a forgotten technique.
A simple technique of venous aortography is described. Eleven patients were examined, 10 with suspected aortic aneurysms. The diagnosis was confirmed in six cases and the relationship of the aneurysm to the renal arteries shown in five of them. Three patients were shown to have a normal aorta. One patient with a suspected saddle embolus was shown to have a normal aorta and iliac arteries. There was one failure but there were no serious complications. The technique is a reliable and simple method of visualising arotic aneurysms, especially if subtraction prints are made.
Aorta, Abdominal↗
The diagnosis of renal pseudotumours.
The radiological features of 13 cases of renal pseudotumour due to infolding of the columns of Bertin are presented. 5 of these patients (38%) had partial duplication of the renal pelvis. Pseudotumours show as space-occupying lesions at urography. At angiography they show a clearly defined nephrogram but no abnormal vessels, no pooling of contrast medium and no early venous filling. Radio-isotope scans on 4 cases of pseudotumour showed uptake at the site of the pseudotumour in contrast to cysts and carcinomas which are known to show diminished uptake.
Adult↗
Comparsion of antihypertensive agents.
Explore the source record for details and available documents.
Antihypertensive Agents↗
Clinical observations on the use of debrisoquine sulphate (Declinas) in the treatment of hypertension.
Explore the source record for details and available documents.
Adult↗
Pregnancy in a patient with a mitral-valve prosthesis.
Explore the source record for details and available documents.
Adult↗
Malignant involvement of the iliopsoas muscle: CT appearances.
Computed tomography has led to an increase in recognition of psoas pathology in general and malignant involvement in particular. A series of 25 cases of malignant involvement of the iliopsoas is presented. The wide spectrum of malignant tumours which can invade the psoas and the diversity of CT appearances are described. In particular, it is shown that involvement is frequently extensive, a feature which has not been previously emphasised.
Humans↗