ABSTRACT.Purpose: The aim of this prospective study was to assess the ocular hemodynamic changes in patients with Behçet's disease who had involvement of the posterior segment by color Doppler ultrasonography. Methods: The present study was carried out in 32 eyes of 24 patients with ocular Behçet's disease and 42 eyes of 21 persons as a healthy age-matched control group. In order to detect the hemodynamic changes in ocular Behçet's disease, peak systolic and end-diastolic velocities (PSV, EDV; cm/sec), resistive and pulsatile indices (RI, PI), and PSV/EDV ratio of central retinal artery (CRA), short posterior ciliary artery (PCA) and ophthalmic artery (OA) were determined. Results: The mean PSV and EDV (8.1∫2.6 and 2.7∫0.1 cm/sec, respectively) in the CRA were significantly lower in patients with Behçet's disease than in healthy controls (11.5∫2.2 and 3.5∫1.0 cm/sec, respectively, p∞0.001). For the PCA, these values (12.7∫4.2 and 4.3∫1.1 cm/sec, respectively) were significantly lower in the patient group than in the control the group (18.2∫4.2 and 6.1∫2.5 cm/sec, respectively, p∞0.001). In the patient group, a statistically significant decrease compared to the control group was detected in the mean PSV of the OA (31.8∫8.2 and 35.8∫0.6 cm/sec, respectively, p∞0.02). However, no significant difference in the other parameters of these vessels was observed between groups.Conclusions: These results demonstrate the presence of some circulatory changes in the flow velocities of the CRA, PCA and OA in patients with Behçet's disease when compared with control subjects.
A 57-year-old male patient presented with an immobile ellipsoid mass of 6-cm diameter in the right occipitoparietal region. Cranial computed tomography showed the mass with dense contrast enhancement causing bone destruction. After embolization of the mass, total resection was performed. Histological examination showed the mass had a capsule, with no invasion of the dura mater or dermis, and the follicles of various sizes covered with mono-lined thyrocytes were full of colloid. Immunohistochemical examination showed positive staining for thyroglobulin. Postoperatively, levels of thyroid hormones were normal, and thyroid ultrasonography and technetium-99m scintigraphy showed no abnormalities. Fine needle aspiration biopsy performed at various locations of the thyroid gland revealed no atypical thyroid cells. Whole body technetium-99m scintigraphy found no abnormal bone involvement. The histological evidence was suggestive of follicular carcinoma metastasis. Surgical treatment was planned for the thyroid gland, but the patient did not consent. Two years later, the patient presented with the pain and sensitivity in the sacrum, the right iliac wing, and the right caput femoris. Computed tomography revealed lytic lesions in these areas. Bone metastases were identified. Whole body scintigraphy showed increased activity in these regions, but the cranium and all other tissues were normal. The patient underwent total thyroidectomy under a diagnosis of follicular carcinoma. The present case of a lytic skull lesion associated with normal thyroid tissue on admission but finally treated as follicular thyroid cancer emphasizes the difficulty in histological discrimination of follicular carcinoma from normal thyroid tissue.
We report CT and MRI findings in two patients with ameloblastoma. One case had a multilocular mixed lesion and the other had a unilocular solid pattern. The second case is probably one of the youngest reported. CT and MRI can be used to delineate and show the extent of the tumour.
nthe60%ofpa ti entswithup perab do mi nalpa inordis com fort,es tablish mentofacli ni caldi ag no siswhichco uldexp la inthesymptomsis notpos sib leevenwithin va si vedi ag nos ticpro ce du res,andthisen tityis TurkiyeKlinikleriJMedSci2010;30(3) 1061 ComparisonofGastricWallThicknesses withHydrogastricSonography inFunctionalDyspepsiaPatients ABS TRACTObjective:Be ca u setheeti o logyandpat hoph ysi o logyofthefunc ti o naldyspep si are mainsunc le ar,theop ti malma na ge mentisstillcon tro ver si al.Thisstudywasai medtode ter mi nethe ac tu algas tricwallthick nes sesinthesub gro upsoffunc ti o naldyspep si apa ti ents,andtoin ves ti ga te whetherthe rewasanycor re la ti onwiththesymptoms.MaterialandMet hods:Func ti o naldyspepsi apa ti ents(n=136)we redi vi dedin tosixgro upsinre gardtothepre do mi nantsymptom;asgro up 2:epi gas tricdis com fort;gro up3:epi gas tricpa in;gro up4:na u se a;gro up5:vo mi ting;gro up6:blo a tingandgro up7:earlysa ti ety.Con trolgro upwasse lec tedfromthepa ti entswhoun der wentul traso nog rap hicexa mi na ti onforgyne co lo gicoruri naryre a sonsandhadnogas tro in tes ti nalsymptoms (gro up1).Thepa ti entswe rein ves ti ga tedbyhydrogastricsonographyfol lo wingcon ven ti o naltran sab do mi nalso nog raphy.Sa mein de pen dentra di o lo gistblindtothesymptoms,me a su redthethicknes sesofan te ri orandpos te ri orgas tricwallsinfun dus,cor pusandan trum.Re sults:An te ri orand pos te ri orfun duswallswe rede tec tedassig ni fi cantlythic ke nedingro ups2and7(p<0.05).Boththe an te ri orandthepos te ri orwallsofthecor pusandan trumwe refo undsig ni fi cantlythic kerthan theot hergro upsinthegro up3(p<0.05).Conc lu si on:Thisstudydo cu men tedsig ni fi cantgas tricwall thick nessdif fe ren cesbet we enthesub gro upsofthefunc ti o naldyspep si apa ti ents.KeyWords:Dyspep si a;gas tro in tes ti naldi se a ses;ul tra so nog raphy;sto machdi se a ses ÖZETAmaç:Fonk si yo neldis pep si nineti yo lo ji sivepa to fiz yo lo ji siaçıkol ma dı ğın danop ti malte davi sideha lentar tış ma lı dır.Buça lış ma dafonk si yo neldis pep si lihas ta la rınaltgrup la rın dami deduvarka lın lı ğı nıntes pitedi le reksemp to magö refark lı lıkolupol ma dı ğı nınaraş tı rıl ma sıamaç lan mış tır. GereçveYöntemler:Fonk si yo neldis pep sihas ta la rı(n=136)bas kınolansemp to magö realtıgru ba ay rıl dı;grup2:epi gas trikra hat sız lık;grup3:epi gas trikağ rı;grup4:bu lan tı;grup5:kus ma;grup6: şiş kin likvegrup7:er kendoy ma.Kon trolgru buiseji ne ko lo jikve yaüri nerne den ler leul tra so nogra fikin ce le mege rek ti renvehiç birgas tro in tes ti nalsemp to muol ma yanhas ta lar danoluş tu rul du (grup1).Has ta larkon van si yo nelab do mi nalul tra so nog ra fi yita ki benhidrosonografiilede ğer lendi ril di.Semp tom lar danha ber sizbirrad yo logta ra fın danfun dus,kor pusvean trum dami deönvear -kadu varka lın lık la rıöl çül dü.Bul gu lar:Grup2ve7'defun du sunhemönhemdear kadu va rıdi ğer grup lar agörean lam lıde re ce deka lın laş mışidi(p<0.05).Fun dusdu varka lın lı ğıbuikigrupara sın -daiseben...
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