Iconocerf: Clinical case

Cas 1292

French version

Speciality : Neurology

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Clinical case : man : 40 years

History : @ 40 year old patient presenting a left neuralgia cervico-brachial in the territory of the C8 root.

Diagnosis : @ neurilemmoma OUT OF SAND GLASS INSERTED ON THE LEFT roots C8.

Consult the links (ADM, EdiCerf, ...)

Diagnosis comments : @ In the absence of IRM, tomodensitometry advantage of coupled with the injection under-arachnoid product of contrast to appreciate the assessment of the tumours will intra and also extra-rachidian.

MeSH keys :

Authors :



imageInfos

Comments :
@ CERVICAL RACHIS of face and profile: important and total packing of the vertebral body of C7. Of face, shift of the thorny apophyses towards the left of C7. Opacity filling the left pulmonary apex, round in contact with the side edge of the rachis.

Compression mode : GROSS

Picture's date or number : 03/07/96

Comments :
@ CERVICAL myelography by under-occipital puncture: progressive repression of the spinal cord towards the line. The image is that of a extra-medullary process intra-dural: aspect cupuliforme of the image of stop of the product of contrast subjacent progressive passage moulding the lower edge of the lesion.

Compression mode : GROSS

Picture's date or number : 03/07/96

Comments :
@ MYELO SCANNER: bulky tumour out of sand glass occupying the area of the pulmonary apex outwards, destroying the left transverse apophysis of C7. The portion intra-dural is hypodense. Repression major of marrow towards the line, visible in the form of a mean hypodensity in the product of contrast.

Compression mode : GROSS

Picture's date or number : 03/07/96

Comments :
@ MYELO SCANNER, subjacent cut: in the sleeve dural, one distinguishes the round hypodensity of the marrow, shifted towards the line and the hypodensity of the tumoral process in the center corresponding to the lower pole of the neurinomist in his portion intra-dural.

Compression mode : GROSS

Picture's date or number : 03/07/96

Comments :
@ MYELO SCANNER, cut passing 7 milli meters below the preceding cut: confirmation of the limits of the extra-rachidian part of the tumour. In the sleeve dural, good visibility of the spinal cord, gauge and topography returning gradually to the normal.

Compression mode : GROSS

Picture's date or number : 03/07/96


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