Correlation of Clinical Findings in Acute Spinal Injury Patients with Magnetic Resonance Including Diffusion Tensor Imaging and Fiber Tractography.

Introduction: Many types of research are being carried out in the fields of understanding of the pathogenesis, early recognition, and improving the outcomes after spinal cord injury (SCI). Diffusion tensor imaging (DTI) is one of the modalities used in vivo microstructural assessment of SCI. The aim of the present study is to evaluate the role of DTI imaging and fiber tractography in acute spinal injury with clinical profile and neurological outcome.

Cardiac Abscess with Ventricular Aneurysm Secondary to Old Myocardial Infarction.

Myocardial Abscess (MA) is a rare life threatening condition mostly occurring secondary to underlying infective endocarditis. But it can also be found secondary to septicemia with some unknown focus of sepsis in the body. Development of MA as a consequence of left ventricular aneurysm (LVA) secondary to myocardial infarction is very rare.

Computed tomographic-based morphometric study of thoracic spine and its relevance to anaesthetic and spinal surgical procedures.

Background: To collect a baseline computer software aided normative morphometric data of thoracic spine in the Indian population and analyze it to give pre-procedural guidelines to clinicians for safe surgical and anaesthetic procedures in the thoracic spine.

Methods: CT scans of thoracic spine of patients free from spinal disorders were reviewed in a total of 600 vertebrae in 50 patients. Parameters recorded with the help of computer software were pedicle width, length and height, transverse pedicle angles, chord length, canal dimensions, body width and height, spinous process angle and transverse process length.

Incidence and clinical implication of TT virus in patients with hepatitis and its frequency in blood donors in India.

Background: Transfusion Transmitted Virus (TTV), also known as Torque Teno Virus is a new novel viral agent which appears to correlate with some acute and chronic hepatitis cases and may produce liver damage under specific circumstances. Aim of this study was to detect TT virus by real-time PCR, study its clinical implications and effects of its co-infection in HBV and HCV chronic liver diseases.

Methods: The study population comprised 50 acute hepatitis, 50 chronic hepatitis patients and 100 voluntary blood donors.

Evaluation of Traumatic Spine by Magnetic Resonance Imaging and Correlation with Neurological Recovery.

Study Design: Prospective study.

Purpose: To compare magnetic resonance imaging (MRI) findings with clinical profile and neurological status of the patient and to correlate the MRI findings with neurological recovery of the patients and predict the outcome.

Overview Of Literature: Previous studies have reported poor neurological recovery in patients with cord hemorrhage, as compared to cord edema in spine injury patients.

A prospective study of neurological outcome in relation to findings of imaging modalities in acute spinal cord injury.

Aim: The aim was to correlate the clinical profile and neurological outcome with findings of imaging modalities in acute spinal cord injury (SCI) patients.

Subjects And Methods: Imaging (radiographs, computed tomography [CT], and magnetic resonance imaging [MRI]) features of 25 patients of acute SCI were analyzed prospectively and correlated with clinical and neurology outcome at presentation, 3, 6 and 12 months.

Results: Average initial sagittal index, Gardner's index, and regional kyphosis were 8.

External iliac artery thrombus masquerading as sciatic nerve palsy in anterior column fracture of the acetabulum.

We report a case of ischemic neuropathy of the sciatic nerve in a patient with an anterior column fracture of the acetabulum operated by ilioinguinal approach. It resulted from occlusion of the blood supply to the sciatic nerve. There were no signs of a vascular insult until ischemic changes ensued on the 6(th) postoperative day on the lateral part of great toe.

Computed tomographic evaluation of the proximal femur: A predictive classification in displaced femoral neck fracture management.

Background: Femoral neck fracture is truly an enigma due to the high incidence of avascular necrosis and nonunion. Different methods have been described to determine the size of the femoral head fragment, as a small head has been said to be associated with poor outcome and nonunion due to inadequate implant purchase in the proximal fragment. These methods were two dimensional and were affected by radiography techniques, therefore did not determine true head size.

Multi detector computed tomography in the diagnosis of bowel injury.

Bowel Injuries are uncommonly associated with traumatic abdominal injuries. However, they are associated with significant morbidity and mortality and require operative intervention unlike solid organ injuries. Hence, early diagnosis is of paramount importance.

Diaphragmatic hernia mimicking hydropneumothorax: common error in emergency department.

Detection of diaphragmatic hernia in the acute setting is problematic and diagnosing diaphragmatic hernia as hydropneumothorax is not an uncommon mistake. We present a series of four such cases diagnosed over a 7-year period, from December 2004 to January 2011 and analyse them for how this mistake can be avoided. In case of all the patients reported by us the initial radiographs were technically compromised because the patient could not be positioned properly.

Computed Tomography in the Evaluation of Diaphragmatic Hernia following Blunt Trauma.

Diagnosis of traumatic diaphragmatic hernia due to blunt abdominal trauma requires a high index of suspicion. This study was conducted to assess the accuracy of multidetector computed tomogram (MDCT) in the diagnosis of traumatic diaphragmatic hernia. All patients with thoracoabdominal blunt trauma with diaphragmatic hernia diagnosed on radiologic evaluation during a 3-year period (i.

Sonographic measurement of thymic size in preterm infants: prediction model for thymic size in the Indian subcontinent.

Objective: To study the relationship of thymic size in vivo in preterm infants with gestational age (GA), birth-weight (BW) and length of the baby.

Methods: Two hundred consecutive preterm, appropriate for GA, asymptomatic neonates with GA between 26 and 36 wk and BW between 1000 and 2700 g were examined during the first week following delivery. Neonates of mothers with medical complications were excluded from the study.

Computed tomography in blunt chest trauma.

Objective: To assess the role of multidetector spiral CT in patients with blunt chest trauma.

Methods: Forty-two patients (38 males and four females), age range from 6 to 80 years, of blunt chest trauma were evaluated with multidetector computed tomogram (MDCT) after initial radiographs and the results were tabulated.

Results: The most common mode of injury was motor vehicle accidents (64%).

Unusual cause of haemorrhage from surgical wound in a child.

Haemorrhage from a surgical wound can be from many potential sources such as injury to vessel, muscle and bone; bleeding disorders; incomplete haemostasis; pseudoaneurysm; and neovascularisation. We report an unusual cause of haemorrhage from the surgical incision in a 9-year-old child. We emphasize that a high index of suspicion is required for early diagnosis, and pseudoaneurysm and neoangiogenesis should be considered in the differential diagnosis of soft tissue masses resulting from direct, blunt trauma even in children.

Thoracopagus parasites in two sets of twins: evidence for the fusion theory.

We report two sets of parasitic twins attached in the thoracic region. Exomphalos major in the autosite was present in both cases. While in case 1, the autosite could be salvaged after easier dissection, in case 2, the autosite could not be salvaged due to the presence of the life-threatening anomalies.

Reversible white matter abnormalities in a patient with migraine.

A 35-year-old female with migraine without aura, presented with sudden onset of visual aura along with loss of vision on the left side. Following this she had nausea, vomiting and headache. Magnetic Resonance Imaging (MRI) performed at this stage revealed ill-defined lesions hyperintense on Flair images, located in the right temporal and right occipital region.

Aggressive angiomyxoma of the jejunum: a rare cause of obscure gastrointestinal bleeding.

Obscure gastrointestinal bleeding accounts for nearly 5% of all gastrointestinal haemorrhage and is frequently due to a lesion in the small bowel. We report the case of a male patient with obscure overt gastrointestinal bleed in whom repeated upper gastrointestinal endoscopy, colonoscopy, computed tomography scanning and exploratory laparotomy showed no specific pathology. However, on capsule endoscopy done subsequently, a small polyp in the jejunum was located and resected.

Pneumothorax: a rare presentation of pulmonary mycetoma.

Pneumothorax due to mycetoma is extremely rare and has been described only in patients undergoing intensive cytotoxic therapy for hematologic malignancies. A non-immunocompromised subject presenting with pneumothorax due to rupture of the mycetoma into the pleural cavity is being described here.

Impact of azadirachtin, an insecticidal allelochemical from neem on soil microflora, enzyme and respiratory activities.

The effect of 10% azadirachtin granules (alcoholic extract of neem seed kernel mixed with China clay) was studied on the population of bacteria, actinomycetes, fungi, Azotobacter and nitrifying bacteria; soil dehydrogenase, phosphatase and respiratory activities on 0, 15th, 30th, 60th and 90th days after application in sandy loam soil collected from the fields. It was observed that baring the Azotobacter sp., azadirachtin at all the doses exerted a suppressive effect on the rest of the microbial communities and enzyme activities in the initial 15 day period.