Ester L. Verhovsek, R. Byington, S. Q. Deshkulkarni
Poor interprofessional communication has been linked to decreased quality of patient care and increased numbers of medical errors. Increased occupational stress due to lack of effective interprofessional communication can lead to poor job satisfaction and burnout. The purpose of this study was to identify barriers to interprofessional communication as perceived by radiologic technologists. In particular, how did demographic data influence these perceptions? The research was conducted during June of 2009. The population for this survey consisted of registered radiologic technologists employed at hospitals in Northeast Tennessee. A locally developed survey questionnaire covering the subject of interprofessional communication was distributed to a cluster sample directly involved in patient care. Participants indicated that interprofessional communication effects their occupational stress and job satisfaction in addition to the quality of patient care. This analysis revealed that radiographers experienced the most difficulty communicating with nurses.
{"title":"Perceptions Of Interprofessional Communication: Impact On Patient Care, Occupational Stress, And Job Satisfaction","authors":"Ester L. Verhovsek, R. Byington, S. Q. Deshkulkarni","doi":"10.5580/74c","DOIUrl":"https://doi.org/10.5580/74c","url":null,"abstract":"Poor interprofessional communication has been linked to decreased quality of patient care and increased numbers of medical errors. Increased occupational stress due to lack of effective interprofessional communication can lead to poor job satisfaction and burnout. The purpose of this study was to identify barriers to interprofessional communication as perceived by radiologic technologists. In particular, how did demographic data influence these perceptions? The research was conducted during June of 2009. The population for this survey consisted of registered radiologic technologists employed at hospitals in Northeast Tennessee. A locally developed survey questionnaire covering the subject of interprofessional communication was distributed to a cluster sample directly involved in patient care. Participants indicated that interprofessional communication effects their occupational stress and job satisfaction in addition to the quality of patient care. This analysis revealed that radiographers experienced the most difficulty communicating with nurses.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"60 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91494192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Low back pain is the most common pain syndrome and a global health burden. The etiology in most cases is multifactorial and the facet joints can be a source of low back pain. Radiofrequency denervation showed efficacy in open as well as in placebocontrolled trials and could be a treatment option in carefully selected patients. In this review the anatomy of the facet joints, the pathophysiology and diagnosis of facet joint syndrome in chronic low back pain and results of radiofrequency denevervation are discussed, with emphasize on the recently published literature.
{"title":"Radiofrequency denervation of the facet joints in chronic low back pain-a short review","authors":"Johannes Gossner","doi":"10.5580/fcd","DOIUrl":"https://doi.org/10.5580/fcd","url":null,"abstract":"Low back pain is the most common pain syndrome and a global health burden. The etiology in most cases is multifactorial and the facet joints can be a source of low back pain. Radiofrequency denervation showed efficacy in open as well as in placebocontrolled trials and could be a treatment option in carefully selected patients. In this review the anatomy of the facet joints, the pathophysiology and diagnosis of facet joint syndrome in chronic low back pain and results of radiofrequency denevervation are discussed, with emphasize on the recently published literature.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90380422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nitin A. Wadhwa, Marlow B. Hernandez, D. Steinkohl, A. Bhasin, A. Perez, Christine A. Bailey
Background: In the United States, there are on average, 200,000 cases of breast cancer diagnosed each year. Research studies conducted by the National Cancer Institute have estimated that one out of every eight women in the United States (12.5%) will develop breast cancer during her lifetime, with the highest percentage of women diagnosed between ages 40 and 50. Due to the good prognosis of early detection, much research has recently surfaced on the efficacy of diagnostic testing of cancerous breast tissue. However, research has shown that up to 4% of breast cancers are missed, and a major factor is the lack of comparison mammogram. Methods: A one page anonymous survey was sent to licensed Florida Radiologists using randomization provided by Medical Marketing Services, Inc (MMS). The number of radiologists registered within the MMS database in the state of Florida is 98. A number of surveys were also sent to radiologists working within the Memorial Healthcare System of Broward County, FL. The total number of responses collected was 22. Results: According to the collected data, forty-one percent of Florida radiologists review mammograms in their practice. Twenty-three percent of radiologists review mammograms more than half the time, while eighteen percent review mammograms less than half the time. Of the Florida radiologists who review mammograms, ninety-five percent believe that comparing past mammograms is very important in making a correct diagnosis. However, twenty-two percent of those radiologists never compare past films. Twenty-four percent of Florida radiologists reading mammograms have been sued for malpractice at least one time. There is a strong inverse relationship between comparing mammograms and likelihood to be sued. Florida radiologists who think comparing mammograms is “very important” were less likely to be sued for malpractice (R = 0.99, p < 0.0001). Conclusions: The objective of the study was to establish a relationship between mammogram comparison and misdiagnosis rates of breast cancer. The results show a strong inverse relationship, in that an increase of mammogram comparison will likely decrease the failure to diagnose breast cancer. Since radiologists agree that comparing mammograms is essential, comparison must be emphasized in continuing educational courses and must be made part of routine procedure. Moreover, primary care physicians must educate their patients as to the importance of having past mammograms in their possession so that present and future mammograms can be compared.
背景:在美国，平均每年有20万例乳腺癌确诊病例。美国国家癌症研究所(National Cancer Institute)进行的研究估计，美国每8名女性中就有1名(12.5%)会在一生中患上乳腺癌，其中年龄在40至50岁之间的女性患乳腺癌的比例最高。由于早期发现的预后良好，最近对癌性乳腺组织的诊断测试的有效性进行了大量研究。然而，研究表明，高达4%的乳腺癌被遗漏，其中一个主要因素是缺乏对比乳房x光检查。方法:采用医学营销服务公司(MMS)提供的随机化方法，将一份一页的匿名调查发给有执照的佛罗里达放射科医生。在佛罗里达州MMS数据库中注册的放射科医生有98人。一些调查也被发送给在佛罗里达州布劳沃德县纪念医疗保健系统工作的放射科医生。收集到的回复总数为22。结果:根据收集到的数据，41%的佛罗里达放射科医生在他们的实践中审查乳房x光检查。23%的放射科医生检查乳房x光片的时间超过一半，而18%的医生检查乳房x光片的时间不到一半。在检查乳房x光片的佛罗里达放射科医生中，95%的人认为比较过去的乳房x光片对于做出正确的诊断非常重要。然而，22%的放射科医生从不比较过去的片子。在佛罗里达州，24%阅读乳房x光片的放射科医生至少一次因玩忽职守而被起诉。比较乳房x线照片与被起诉的可能性之间存在很强的反比关系。认为比较乳房x光片“非常重要”的佛罗里达州放射科医生不太可能因医疗事故而被起诉(R = 0.99, p < 0.0001)。结论:本研究的目的是建立乳房x光片比较与乳腺癌误诊率之间的关系。结果显示出强烈的反比关系，因为乳房x光片比较的增加可能会减少乳腺癌的诊断失败率。由于放射科医生同意比较乳房x光片是必要的，所以在继续教育课程中必须强调比较，并且必须使比较成为常规程序的一部分。此外，初级保健医生必须教育他们的病人了解掌握过去乳房x光片的重要性，以便对现在和将来的乳房x光片进行比较。
{"title":"Use of Comparison Films for Breast Cancer Screening and Diagnosis Among Florida Radiologists","authors":"Nitin A. Wadhwa, Marlow B. Hernandez, D. Steinkohl, A. Bhasin, A. Perez, Christine A. Bailey","doi":"10.5580/6a9","DOIUrl":"https://doi.org/10.5580/6a9","url":null,"abstract":"Background: In the United States, there are on average, 200,000 cases of breast cancer diagnosed each year. Research studies conducted by the National Cancer Institute have estimated that one out of every eight women in the United States (12.5%) will develop breast cancer during her lifetime, with the highest percentage of women diagnosed between ages 40 and 50. Due to the good prognosis of early detection, much research has recently surfaced on the efficacy of diagnostic testing of cancerous breast tissue. However, research has shown that up to 4% of breast cancers are missed, and a major factor is the lack of comparison mammogram. Methods: A one page anonymous survey was sent to licensed Florida Radiologists using randomization provided by Medical Marketing Services, Inc (MMS). The number of radiologists registered within the MMS database in the state of Florida is 98. A number of surveys were also sent to radiologists working within the Memorial Healthcare System of Broward County, FL. The total number of responses collected was 22. Results: According to the collected data, forty-one percent of Florida radiologists review mammograms in their practice. Twenty-three percent of radiologists review mammograms more than half the time, while eighteen percent review mammograms less than half the time. Of the Florida radiologists who review mammograms, ninety-five percent believe that comparing past mammograms is very important in making a correct diagnosis. However, twenty-two percent of those radiologists never compare past films. Twenty-four percent of Florida radiologists reading mammograms have been sued for malpractice at least one time. There is a strong inverse relationship between comparing mammograms and likelihood to be sued. Florida radiologists who think comparing mammograms is “very important” were less likely to be sued for malpractice (R = 0.99, p < 0.0001). Conclusions: The objective of the study was to establish a relationship between mammogram comparison and misdiagnosis rates of breast cancer. The results show a strong inverse relationship, in that an increase of mammogram comparison will likely decrease the failure to diagnose breast cancer. Since radiologists agree that comparing mammograms is essential, comparison must be emphasized in continuing educational courses and must be made part of routine procedure. Moreover, primary care physicians must educate their patients as to the importance of having past mammograms in their possession so that present and future mammograms can be compared.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"7 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79394287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: We describe the application of fundamental quality improvement methods to medical handoffs in order to improve resident learning and clinical training.Methods: We retrospectively reviewed 226 non-traumatic SAH patients admitted to our institution from January 1, 2007 to June 1, 2009. Imaging data were abstracted from medical charts.Results: Of the 226 SAH patients, 45 (19.9%) had no aneurysm on initial angiography. Of these angiogram-negative SAH patients, 12 (26.7%) were perimesencephalic SAH and 33 (73.3%) were NPAN-SAH. An average of 3.2 non-invasive studies was performed on each patient. In these 142 additional non-invasive studies, there was no additional diagnostic yield in finding the source of SAH.Conclusions: Though non-perimesencephalic angiogram-negative SAH had a worse prognosis compared to perimesencephalic SAH, additional non-invasive neuroimaging provided no diagnostic yield in either patient population.
{"title":"Low Diagnostic Yield of Non-Invasive Imaging In Angiogram-Negative Subarachnoid Hemorrhage","authors":"J. Joshi, S. Prabhakaran, Sayona John","doi":"10.5580/1516","DOIUrl":"https://doi.org/10.5580/1516","url":null,"abstract":"Objectives: We describe the application of fundamental quality improvement methods to medical handoffs in order to improve resident learning and clinical training.Methods: We retrospectively reviewed 226 non-traumatic SAH patients admitted to our institution from January 1, 2007 to June 1, 2009. Imaging data were abstracted from medical charts.Results: Of the 226 SAH patients, 45 (19.9%) had no aneurysm on initial angiography. Of these angiogram-negative SAH patients, 12 (26.7%) were perimesencephalic SAH and 33 (73.3%) were NPAN-SAH. An average of 3.2 non-invasive studies was performed on each patient. In these 142 additional non-invasive studies, there was no additional diagnostic yield in finding the source of SAH.Conclusions: Though non-perimesencephalic angiogram-negative SAH had a worse prognosis compared to perimesencephalic SAH, additional non-invasive neuroimaging provided no diagnostic yield in either patient population.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"53 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85361061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Osmotic demyelination syndrome (ODS) is often both a difficult clinical and radiological diagnosis. This article documents classic imaging features of OSD with magnetic resonance imaging examination. Features of diffusion weighted imaging in our case of OSD is also presented.
{"title":"MRI in Osmotic Demyelination: The “Mexican Hat” Sign","authors":"O. Islam, G. Dhillon","doi":"10.5580/168a","DOIUrl":"https://doi.org/10.5580/168a","url":null,"abstract":"Osmotic demyelination syndrome (ODS) is often both a difficult clinical and radiological diagnosis. This article documents classic imaging features of OSD with magnetic resonance imaging examination. Features of diffusion weighted imaging in our case of OSD is also presented.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90910626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Akinkunmi, S. Vijayvargiya, C. Prakash, Michael Kayode, G. O. Awosanya
We report two cases of Pellegrini-Stieda Syndrome (PSS) following trauma to the knee. One of the two cases had computed tomography (CT) scan and magnetic resonance imaging (MRI), in addition to the x-ray examinations of the knee. We suggest further imaging evaluation of soft tissue calcifications in the region of the medial femoral epicondyle with MRI, especially if pain and some limitation of movement are observed. We report these two cases because of the rarity of the condition, and to highlight the importance of MRI in the anatomical delineation of the lesion, even in a developing country.
{"title":"Pellegrini-Stieda Syndrome: Report Of Two Cases","authors":"M. Akinkunmi, S. Vijayvargiya, C. Prakash, Michael Kayode, G. O. Awosanya","doi":"10.5580/614","DOIUrl":"https://doi.org/10.5580/614","url":null,"abstract":"We report two cases of Pellegrini-Stieda Syndrome (PSS) following trauma to the knee. One of the two cases had computed tomography (CT) scan and magnetic resonance imaging (MRI), in addition to the x-ray examinations of the knee. We suggest further imaging evaluation of soft tissue calcifications in the region of the medial femoral epicondyle with MRI, especially if pain and some limitation of movement are observed. We report these two cases because of the rarity of the condition, and to highlight the importance of MRI in the anatomical delineation of the lesion, even in a developing country.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87293062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
High-resolution sonography is a simple, widely available, inexpensive and non-irradiating, noninvasive, practicable, repeatable, enables rapid evaluation and is widely accepted as the method of choice for screening and diagnosis of spectrum of scrotal pathologies. When color Doppler and power Doppler imaging are added, testicular perfusion can be assessed, [1] which provides valuable information in assessment of the acute painful scrotum in addition to scrotal masses and male infertility. This pictorial essay reviews a spectrum of appearance of common and rare cases scrotal pathologies.
{"title":"Pictorial Essay Of High Resolution And Colour Doppler Sonography Of Scrotal Pathologies.","authors":"M. Bhaskar, Pramod Setty","doi":"10.5580/28ef","DOIUrl":"https://doi.org/10.5580/28ef","url":null,"abstract":"High-resolution sonography is a simple, widely available, inexpensive and non-irradiating, noninvasive, practicable, repeatable, enables rapid evaluation and is widely accepted as the method of choice for screening and diagnosis of spectrum of scrotal pathologies. When color Doppler and power Doppler imaging are added, testicular perfusion can be assessed, [1] which provides valuable information in assessment of the acute painful scrotum in addition to scrotal masses and male infertility. This pictorial essay reviews a spectrum of appearance of common and rare cases scrotal pathologies.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79544105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We present a case of Polycythemia secondary to a congenital cardiac anomaly presenting with acute neurological complications showing hyperdense venous sinuses and cerebral vasculature in association with a cerebral abscess. INTRODUCTION Neurological conditions associated with Polycythemia may warrant an emergency non contrast CT scan of the head. The unique findings associated with Polycythemia have not been well characterized in literature. We present a case of Polycythemia associated with hyperdense dural venous sinuses and cerebral vasculature hence simulating the appearance of a contrast enhanced CT on Plain CT films. CASE REPORT A 27 year old male patient presented to our emergency with history of fever and headache for the past 4 days with altered sensorium for 2 days and a brief episode of loss of consciousness two days back. Patient had a history of breathlessness on and off since three years of age. He was diagnosed as a case of heart disease but financial constraints prevented timely treatment. Examination revealed central cyanosis , rt hemiparesis and a pansystolic murmur over the epicardium. NCCT findings were suggestive of a left temporoparietal cerebral abscess associated with hyperdensity of all cerebral venous sinuses and cerebral vasculature. (patient had not been given any intravenous contrast agents ). Figure 1
{"title":"Unique Features Of Polycythemia Observed On Plain Non Contrast Ct Head","authors":"S. Gayathri, A. Prasad, S. Aggarwal, B. P. Baruah","doi":"10.5580/169b","DOIUrl":"https://doi.org/10.5580/169b","url":null,"abstract":"We present a case of Polycythemia secondary to a congenital cardiac anomaly presenting with acute neurological complications showing hyperdense venous sinuses and cerebral vasculature in association with a cerebral abscess. INTRODUCTION Neurological conditions associated with Polycythemia may warrant an emergency non contrast CT scan of the head. The unique findings associated with Polycythemia have not been well characterized in literature. We present a case of Polycythemia associated with hyperdense dural venous sinuses and cerebral vasculature hence simulating the appearance of a contrast enhanced CT on Plain CT films. CASE REPORT A 27 year old male patient presented to our emergency with history of fever and headache for the past 4 days with altered sensorium for 2 days and a brief episode of loss of consciousness two days back. Patient had a history of breathlessness on and off since three years of age. He was diagnosed as a case of heart disease but financial constraints prevented timely treatment. Examination revealed central cyanosis , rt hemiparesis and a pansystolic murmur over the epicardium. NCCT findings were suggestive of a left temporoparietal cerebral abscess associated with hyperdensity of all cerebral venous sinuses and cerebral vasculature. (patient had not been given any intravenous contrast agents ). Figure 1","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85071221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Spontaneous regression of a herniated nucleus pulposus (HNP) occurs where intervertebral disc herniation loses its volume partly or totally without surgical interventions. In 1985, Teplick and Haskin first documented the spontaneous resolution of lumbar disc by computerized tomography and they reported that 9 out of their 55 patients harboring lumbar disc herniation showed spontaneous regression. The gold standard modality for visualizing the herniated disc is MRI these days. The following case reports the MRI documentation of spontaneous disappearance of acute lumbar disc extrusion in a patient treated conservatively.
{"title":"MRI documentation of Spontaneous Regression of lumbar disc herniation- A case report.","authors":"Kamini Gupta, S. Kaur, P. Sandhu, P. Mittal","doi":"10.5580/80","DOIUrl":"https://doi.org/10.5580/80","url":null,"abstract":"Spontaneous regression of a herniated nucleus pulposus (HNP) occurs where intervertebral disc herniation loses its volume partly or totally without surgical interventions. In 1985, Teplick and Haskin first documented the spontaneous resolution of lumbar disc by computerized tomography and they reported that 9 out of their 55 patients harboring lumbar disc herniation showed spontaneous regression. The gold standard modality for visualizing the herniated disc is MRI these days. The following case reports the MRI documentation of spontaneous disappearance of acute lumbar disc extrusion in a patient treated conservatively.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76745180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Akinkunmi, E. Okoturo, M. Emmanuel, O. Ogunbanjo
Maxillomandibular Ameloblastoma (A) is a slow growing but locally aggressive odontogenic tumour with a high recurrence rate, which can cause severe facial disfigurement and functional impairment. We report a case of histologically confirmed giant multicystic maxillomandibular A with intracranial extension in a 35-yearold woman of the Yoruba ethnic group in Nigeria, which measured 24 x 19 x 15 cm in diameter. Intracranial extension of the multicystic subtype of A is extremely rare. This to the best of our knowledge is probably the sixth recorded intracranial extension of a multicystic A. She had a recurrence after a year of mandibulectomy. She delayed to seek medical attention for five years after the recurrence, during which the A grew to an enormous size with the complaints of pain, severe headache and loss of vision in the right eye. The radiologist plays a crucial role in the diagnosis and treatment of A. We advocate early radical surgery from the onset to prevent recurrence in multicystic A, and long term follow-up for early detection of possible relapses.
上颌下颌成釉细胞瘤(A)是一种生长缓慢但局部侵袭性的牙源性肿瘤，复发率高，可导致严重的面部毁容和功能损害。我们报告一例组织学证实的巨大多囊上颌下颌骨a伴颅内延伸的病例，患者为尼日利亚约鲁巴族的35岁女性，直径为24 x 19 x 15 cm。A型多囊亚型颅内扩张极为罕见。据我们所知，这可能是第六次记录的多囊a颅内延伸，她在下颌骨切除术一年后复发。复发后，她延迟了5年才去就医，在此期间，A变得很大，并主诉疼痛、严重头痛和右眼失明。放射科医生在a的诊断和治疗中起着至关重要的作用。我们主张多囊性a从发病开始就进行根治性手术，防止复发，并长期随访，早期发现可能的复发。
{"title":"Intracranial Extension Of Giant Multicystic Maxillomandibular Ameloblastoma: A Case Report","authors":"M. Akinkunmi, E. Okoturo, M. Emmanuel, O. Ogunbanjo","doi":"10.5580/1e98","DOIUrl":"https://doi.org/10.5580/1e98","url":null,"abstract":"Maxillomandibular Ameloblastoma (A) is a slow growing but locally aggressive odontogenic tumour with a high recurrence rate, which can cause severe facial disfigurement and functional impairment. We report a case of histologically confirmed giant multicystic maxillomandibular A with intracranial extension in a 35-yearold woman of the Yoruba ethnic group in Nigeria, which measured 24 x 19 x 15 cm in diameter. Intracranial extension of the multicystic subtype of A is extremely rare. This to the best of our knowledge is probably the sixth recorded intracranial extension of a multicystic A. She had a recurrence after a year of mandibulectomy. She delayed to seek medical attention for five years after the recurrence, during which the A grew to an enormous size with the complaints of pain, severe headache and loss of vision in the right eye. The radiologist plays a crucial role in the diagnosis and treatment of A. We advocate early radical surgery from the onset to prevent recurrence in multicystic A, and long term follow-up for early detection of possible relapses.","PeriodicalId":22526,"journal":{"name":"The Internet Journal of Radiology","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74508248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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