1,721,014 research outputs found

    Unusual antefemoral dissecting cyst.

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    Cystic collections in the popliteal space (Baker's cysts) are frequently observed in inflammatory joint diseases. The causal mechanism is generally regarded as entrapment of synovial fluid from the articular space in the gastrocnemio-semimembranosus bursa (Doppman, 1965; Freiberger & Kay, 1979; Wilson et al, 1938); back flow is prevented by a valve effect at the level of their connection. These cysts can remain localised in the popliteal space or can give rise to dissections and/or rupture. This usually occurs between the calf muscles but occasionally the cyst may extend into the thigh In comparison with these posterior dissecting cysts, the finding of an anterior dissecting cyst originating from the suprapatellar pouch is very rare

    Myocardial Crypt in an Asymptomatic Young Athlete: How to Interpret?

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    Myocardial crypts are extensions of blood signal penetrating the compact myocardium and are considered in literature as either a distinctive cardiac magnetic resonance (CMR) imaging marker for hypertrophic cardiomyopathy or as benign congenital malformations. What if CMR reveals a myocardial crypt in the presence of an altered ECG in an asymptomatic, enlarged young athlete's heart? The illustrated case demonstrates that new insights in CMR can also require further diagnostic interventions, which might have deleterious consequences for the individual athlete due to the uncertain interpretation of some findings in the demanding new world of a rapidly developing diagnostic imaging technique

    Alström Syndrome: Cardiac Magnetic Resonance findings.

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    BACKGROUND: Alström Syndrome (ALMS) is an extremely rare multiorgan disease caused by mutations in ALMS1. Dilated cardiomyopathy (DCM) is a common finding but only one series has been investigated by Cardiac Magnetic Resonance (CMR). METHODS: Eight genetically proven ALMS patients (ages 11-41) underwent CMR performed by standard cine steady state, T1, T2 and late gadolinium enhancement (LGE) sequences. Ejection fraction (EF), Diastolic Volume (EDV) and Systolic Volume normalized for body surface area (ESV), and mass indices were determined, as well as EDV/Mass ratio, an index expressing the adequacy of cardiac mass to heart volume. Regional fibrosis was assessed by LGE; diffuse fibrosis was measured by a TI scout sequence acquired at 5, 10 and 15min after gadolinium by comparing inversion time values (TI) at null time in ALMS and control group. RESULTS: In one patient severe DCM was present with diffuse LGE. There were seven cases without clinical DCM. In these patients, EF was at lower normal limits or slightly reduced and ESV index increased; six patients had decreased mass index and EDV/Mass ratio. Mild regional non ischemic fibrosis was detected by LGE in three cases; diffuse fibrosis was observed in all cases, as demonstrated by shorter TI values in ALMS in comparison with controls (5min: 152±12 vs 186±16, p 0.0002; 10min: 175±8 vs 204±18, p 0.0012; 15min: 193±9 vs 224±16, p 0.0002). CONCLUSIONS: Cardiac involvement in ALMS is characterized by progressive DCM, associated with systolic dysfunction, myocardial fibrosis and reduced myocardial mass
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