Background and Purpose-A hypoxic-ischemic origin of transient global amnesia (TGA) has been suggested on the basis of the observation of infarctlike diffusion-weighted imaging (DWI) abnormalities in some affected individuals. We tested this hypothesis by comparing vascular risk factors, magnetic resonance imaging (MRI) markers of cerebral small-vessel disease, and other evidence of a cerebrovascular disorder between TGA patients with (DWIϩ) and without (DWIϪ) DWI lesions and normal community-based controls. Methods-We retrospectively identified 86 patients hospitalized for TGA (meanϮSD age, 65.9Ϯ10.9 years; 62% female).Brain MRI at 1.5 T was assessed for DWI lesions exhibiting restricted diffusion (ie, DWIϩ), white-matter hyperintensities, lacunes, and chronic infarcts (median time lag to clinical onset, 66.6Ϯ54.6 hours). Vascular risk factors and findings from duplex sonography, ECG, and echocardiography were recorded. A 1:2 age-and sex-matched sample of 172 elderly subjects (meanϮSD age, 65.6Ϯ9.3 years; 62% female) free of neuropsychiatric disease served for comparison. Results-DWI lesions were observed in 10 patients with TGA (11.5%; meanϮSD age, 68.3Ϯ5.4 years; 8 women). They were all small and located in the mesiotemporal region (9 left hemisphere, 5 right hemisphere). The vascular risk profile of TGA patients and concomitant changes on brain MRI were comparable with those of healthy controls and did not show significant differences between DWIϩ and DWIϪ subjects. A comprehensive diagnostic workup also provided no evidence for a higher rate of cerebrovascular disorder-related abnormalities in either the total group of TGA patients or TGA DWIϩ patients.
Conclusions-These
A variety of traumatic lesions can occur during the neonatal period. Some of those lesions are clearly birth injuries due to delivery and others are caused by necessary procedures during intensive care in critically ill neonates. As usual patient history must be known and knowledge about the typical complications is necessary in order to select the appropriate imaging modality and thus enabling correct interpretation of those investigations by the radiologist. The purpose of this article is to present typical neonatal injuries, describe the underlying pathomechanisms and aetiology as well as the imaging findings.
Radical open nephrectomy is considered the standard treatment for kidney tumors or masses greater than 10 cm. We present a rare case of acute pancreatitis that occurred after right radical transperitoneal nephrectomy, which was treated by nonsurgical conservative interventions.The incidence of acute pancreatitis after renal surgery is not known in the literature.A 56-year-old man developed acute pancreatitis postoperatively after radical transperitoneal nephrectomy. An initial CT scan showed an enlarged pancreas with hypodense, heterogeneous consistency and with peripancreatic, perihepatic, mesenteric, and pelvic fluid collections. This complication was managed conservatively.
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