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Breast trophischen Geschwüren Diclofenac Thrombophlebitis
This review is based on a presentation given by David Yousem and adapted for the Radiology Assistant by Robin Smithuis. He is also the editor of the book 'Neuroradiology: In this article a systematic approach to orbital pathology is presented based on division of the orbit into the following compartments: The first thing you do when you see a Differentialdiagnose von Venenthrombosen Orbit in the orbit, is to decide whether it is an ocular lesion or a non-ocular lesion, i.
If it is a non-ocular lesion, the next question is whether the lesion is located within the intraconal space, i. We will first describe the anatomic spaces of the orbit and summarize the pathology within these Differentialdiagnose von Venenthrombosen Orbit, Breast trophischen Geschwüren, even if some of these pathologies are not visible radiologically. Then we will discuss the radiological findings in certain orbital diseases.
Breast trophischen Geschwüren we move from anterior to posterior the first area is the anterior chamber. It is bounded by the cornea anteriorly and the lens and iris posteriorly. This is a very small area posterior to the iris, which we cannot discern on imaging. Specific pathologies in this area just click for source glaucoma, Breast trophischen Geschwüren, uveitis and Breast trophischen Geschwüren melanoma.
The vitreous body is surrounded by the membranes of the retina, the choroid and the sclera. The ocular muscles within the orbit form a muscle-cone. These ocular muscles are connected via the annulus of Breast trophischen Geschwüren, which is a fibrous connective tissue sheet and together they form the Differentialdiagnose von Venenthrombosen Orbit space.
It separates the intraconal from the extraconal space. Intra-orbital pathology which is non-ocular is either in the intraconal, conal or extraconal space.
The conal space is formed by the ocular muscles and an envelope of fascia. The lacrimal gland is located superolaterally in the orbit. Diseases of the lacrimal gland can be divided into granulomatous, glandular and developmental Differentialdiagnose von Venenthrombosen Orbit Table.
Secretions go medially across the globe and Differentialdiagnose von Venenthrombosen Orbit collected in the punctum and then go into the lacrimal sac. From the lacrimal sac secretions travel Breast trophischen Geschwüren to the nasal lacrimal duct, which drains under the inferior terminate into the nose.
In children congenital obstructions of the valves in the lacrimal duct can lead to cystic areas medially in the orbit also known as dacryocystoceles. In adults obstruction is more often due to strictures from ethmoid sinusitis or stones blocking the nasolacrimal duct.
This will Breast trophischen Geschwüren in epiphera or increased tearing. Drainage can be improved with balloon dilatation.
In adults the most common intraorbital calcifications occur at the tendinous Differentialdiagnose von Venenthrombosen Orbit of the ocular muscles. Other common calcifications are at the optic nerve head within the eye, also called 'optic disc drusen'. These are usually asymptomatic, but when the ophtomologist inspects the eye, there is the impression of papilledema, i. In children calcifications in the globe means retinoblastoma until proven otherwise Krampfadern bei schwangeren Frauen in der Leiste if it is bilateral.
As you can see in the table on the left, retinoblastoma is a one of the more common tumor in the first year of life. The other tumors in this age group are neuroblastoma, Wilm's tumor, leukemia and teratoma. All bilateral cases are hereditary and result from a deficient tumor suppression gene on chromosome The Breast trophischen Geschwüren that are listed in the differential diagnosis are all uncommon.
On the left images are of a 13 month old female with bilateral lesions as a result of bilateral retinoblastoma, Breast trophischen Geschwüren. Differentialdiagnose von Venenthrombosen Orbit retinoblastomas are treated with different kinds of therapy cryoablation, laser photocoagulation, chemothermotherapy, brachytherapy, plaque radiotherapy in order to save the eye and avoid enucleation. These patients are also at risk for pineal tumors and parasellar PNETs.
The pineal gland Differentialdiagnose von Venenthrombosen Orbit considered as the third eye and the third testicle. Meaning, you can develop retinoblastoma in the pineal gland, i. Always examine the brain in these patients and remember that at the age of years, which is the peak age for retinoblastoma, the pineal gland does not calcify, Breast trophischen Geschwüren, so any calcification in this region is suspicious of retinoblastoma.
On the left images are of another patient with retinoblastoma. This tumor presents as a large calcification. When a retinoblastoma occupies more than half of the globe, as in this case, the eye has to be enucleated. Usually, when a light shines through the iris, the retina appears red to the observer. In leukocoria white pupil the retina abnormally appears white. Retinablastoma is usually detected through leukocoria as it occurs in two third of patients with Differentialdiagnose von Venenthrombosen Orbit.
These children are usually too young to present with visual complaints. There are many causes of leukocoria as listed in the table on the left, Breast trophischen Geschwüren. On the left images of an adult with an ocular mass. The most common intraocular lesion in an adult is melanoma as in this case. Number two is metastases and others like hemangioma, leiomyoma and osteoma are uncommon.
On the left another Thrombophlebitis auf einem GliedBreast trophischen Geschwüren leukocoria. This is persistent hyperplastic primary vitrous PHPV. There is a persistent hyaloid canal when the hyaloid artery does not integrate. On Breast trophischen Geschwüren images we see a persistent canal that goes from the optic nerve to the lens. PHPV is the second most common cause of leukocoria.
These patients also develop glaucoma and cataract. Coats' disease is a rare eye disorder of unknown cause, leading to full or partial blindness, characterized by abnormal development of blood vessels behind the retina. On the left images of a patient visit web page presented in the ER with post-traumatic orbital swelling. This patient has globe rupture and specifically rupture of the anterior chamber, Breast trophischen Geschwüren.
As radiologists we are used to looking at the vitreous body if we think of globe rupture, but that is not enough. Notice that the depth of Differentialdiagnose von Venenthrombosen Orbit anterior chamber is decreased. There is increased density anteriorly as a result of hyphema blood in the anterior chamber. Also notice that Breast trophischen Geschwüren lens on the right side is blurred and slightly less Breast trophischen Geschwüren. This is called a traumatic cataract.
Maybe you would have Differentialdiagnose von Venenthrombosen Orbit the lens to be link dense, but that is usually not the case, Breast trophischen Geschwüren. On the left CT images of a patient who had a left eye trauma. Study the images for 5 findings and then continue reading. Retinal detachment can be distinguished from choroidal detachment, because the retinal epithelium ends at Differentialdiagnose von Venenthrombosen Orbit ora serrata figure.
Evidently a retinal detachment will not go beneath this point, Breast trophischen Geschwüren. Retinal detachment with haemorrhage is seen mostly in adults with diabetes mellitus and hypertension. In young infants it can be seen as part of a shaken baby syndrome, Breast trophischen Geschwüren. In choroidal detachment recent intraocular surgery is the most common association followed by trauma. On the far left a CT of a choroidal detachment going beyond Breast trophischen Geschwüren and two o'clock with Ulcus cruris Salbe lens at twlve o'clock and evidently more anteriorly to the ora serrata.
It looks as if the detachment ends at the optic nerve but, if you look carefully, the choroidal detachment actually crosses the optic nerve. That would be very unusual for a retinal detachment, but is sometimes seen in choroidal detachment. On the right a T1WI of a retinal detachment. It ends at the optic nerve and at the ora serrata. Coloboma is a congenital malformation in which part of the eye does not form due to failure of fusion of an embryonic structure called the intraocular fissure, Breast trophischen Geschwüren.
Often there is microphtalmia and the eye protrudes inferiorly. The patient on the Omsa Krampfadern had a coloboma Differentialdiagnose von Venenthrombosen Orbit also source of the corpus callosum with an Breast trophischen Geschwüren midline lipoma. Devic's syndrome is also known neuromyelitis optica. Let's first look Differentialdiagnose von Venenthrombosen Orbit the images and then discuss it in more detail.
On the left image there is a normal optic nerve on the right side. Notice that the optic nerve is white matter tract. Wie viel Salbe von Krampfadern has the same signal intensity as the white matter in the brain.
On the contralateral side there is high signal intensity in the optic nerve, Breast trophischen Geschwüren. This is therefore extra-ocular intraconal disease and we will be thinking of neoplastic versus demyelinating diseases. Continue with the next image. Notice the abnormal signal intensity and the fact that the optic nerve is not enlarged, which argues against the possibility of a tumor, Breast trophischen Geschwüren.
Images of the cervical spinal cord show a long segment of non-space occupying disease. Based on these images the differential diagnosis is MS and Devic's syndrome also caled neuromyelitis optica. Since MS is far more common, this would be the most likely diagnosis, but this Differentialdiagnose von Venenthrombosen Orbit to be Devic's syndrome.
On the left images of a different patient, Breast trophischen Geschwüren, Differentialdiagnose von Venenthrombosen Orbit also has optic neuritis. There is high signal in the optic nerve and in the brain there are multiple lesions as a result of MS. These lesions did not occur at Differentialdiagnose von Venenthrombosen Orbit same time, so there is dissemination in time and in place, which is specific for MS.
On the left images of another patient with extra-ocular intraconal disease. First look at the images, describe them and come up with a differential diagnosis for a moment disregard Breast trophischen Geschwüren fact that the title of this paragraph is meningioma. The optic nerves are normal, but there is abnormal Breast trophischen Geschwüren enhancement of the optic nerve sheath Breast trophischen Geschwüren the left.
So Breast trophischen Geschwüren is probably a neoplasm and of the neoplasms meningioma is by far the most common optic nerve sheath tumor. Meningiomas present with visual disturbances early in the course of the disease as a result of ischemic neuropathy due to venous obstruction.