[The year 2000 problem in radiology].
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Biomedical subjects
Publications and source records attributed to W Scheidt.
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A 32-year-old primigravida showed signs of pre-eclampsia before delivery of a healthy boy at term. The CSF-space was accidentally punctured during epidural anaesthesia in labour. One day later hypertension was noted and the patient had a single generalized fit. For the next three weeks she had postural headaches, fluctuating hypertension, intermittent hearing loss and double-vision. On the 22nd day of postpartum, the patient had the first of a series of partial and later generalized seizures, followed by hemiparesis, alteration of consciousness, and finally slow recovery with corticosteroid therapy. Bilateral subdural effusions and generalized meningeal thickening were found on MR scans. Repeated MRI excluded sinus thrombosis and documented the response to treatment.
In a retrospective study, 108 thoracic CT-scans of 18 patients aged 5-25 who had received cytotoxic treatment for solid tumors were evaluated. The thymic size decreased in 15/17 patients during treatment and increased in 14/15 after the end of therapy. In 5/5 patients, the change could also be detected with relapse therapy. These changes have to be considered in the evaluation of a mediastinal mass suspected of metastasis during and following cytotoxic therapy.
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The authors report on three cases of spondylitis brucellosa, and their course over a period of more than two years. The clinical and radiological characteristics of spondylitis brucellosa are described, as well as possible ways of distinguishing it diagnostically from tubercular and other non-tubercular types of spondylitis. In the main, confirmation of diagnosis will be provided by immunologic investigations, and these should be routine in any differential diagnostic identification of spondylitis.