RESUMEN
A young adult sustained a traumatic atlantooccipital dislocation together with fracture-dislocation at C.4/5 level and had total neurologic deficit below C4 segment. He retained full consciousness but required respiratory support. He developed a stress ulcer with hemorrhage and evidence of "shock lung." He responded to intensive care. Surgery on the 11th day secured reduction and internal fixation at both levels. Death due to respiratory and cardiac arrest followed on the 14th day. Postmortem examination revealed edema of the brain and brainstem.
Asunto(s)
Articulación Atlantooccipital/lesiones , Vértebras Cervicales/lesiones , Fracturas Óseas/diagnóstico por imagen , Luxaciones Articulares/diagnóstico por imagen , Adulto , Articulación Atlantooccipital/diagnóstico por imagen , Vértebras Cervicales/diagnóstico por imagen , Buceo/efectos adversos , Fracturas Óseas/etiología , Humanos , Luxaciones Articulares/etiología , Masculino , Cuadriplejía/etiología , Tomografía Computarizada por Rayos XRESUMEN
Congenital bifurcation of the femur in association with aplasia of the tibia has been reported in only about 20 cases. One case is reported, the physical findings in this case and in others are described, and the important prognostic features are outlined. Amputation at knee joint level is a common outcome.
Asunto(s)
Fémur/anomalías , Tibia/anomalías , Femenino , Humanos , LactanteRESUMEN
A group of 24 patients (12 male and 12 female) with skeletal lesions of malignant lymphoma, histiocytic type, had a 5-year survival rate of 50%. Two patients with primary skeletal lesions were alive after 6,5 and 15,5 years. Radiotherapy is the treatment of choice, and chemotherapy may be of value for patients with disseminated lesions.