scholarly journals A Radiographic Technique for Assessment of Morphologic Variations of the Equine Caudal Cervical Spine

Animals ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 667
Author(s):  
Christine Gee ◽  
Alison Small ◽  
Kathleen Shorter ◽  
Wendy Y. Brown

Equine Caudal Cervical Morphologic Variation (ECCMV) is a congenital malformation of the caudal cervical spine distinct from the more commonly recognized Cervical Vertebral Stenotic Myelopathy (CVSM). The most common presentation of ECCMV is recognized on the sixth cervical vertebra (C6). In “normal” presentations, the transverse processes on the left and right sides have a caudal lamina projecting ventrally below the caudal vertebral body in a heel shape. With ECCMV, variations occur to the structure of the caudal ventral lamina on one or both sides of C6 and may include the seventh cervical (C7) and first thoracic (T1) vertebrae and ribs, in varying configurations. Whereas the prevalence of ECCMV is not known, it has been recognized for many years and has been reported to occur with relatively high frequency within multiple populations of domesticated horses. To date, there is no documented link between the occurrence of ECCMV and clinical signs. However, based on retrospective studies, multiple authors have recognized the potential impact on performance that this condition may have. Establishing a reliable radiographic protocol for the consistent diagnosis of ECCMV would allow quantitative, scientific evaluation of the problem and support clinicians working in this field. We present a radiographic technique, which has been illustrated by diagnosis of ECCMV in three horses and confirmation of the diagnoses in two cases via postmortem examination.

2020 ◽  
Vol 72 (3) ◽  
pp. 799-806
Author(s):  
K.G. Beltrán ◽  
J.P.E. Pascon ◽  
M.L.A. Mistieri

ABSTRACT The purpose of this study was to verify the applicability of the compressive radiographic technique (pressures of 5, 10, 15 and 20mmHg) in the diagnosis of tracheal collapse in small breed dogs, in lateral cervicothoracic radiography. Out of the 50 dogs evaluated, 25 presented tracheal collapse (TG group), 23 did not present tracheal collapse (CG) and two were excluded because they did not tolerate a pressure of 20 mmHg. The TG group presented a smaller internal diameter of the trachea in the region of the fourth cervical vertebra (D4) and at the entrance of the thorax (TDE) compared to the CG group, in all the radiographic projections performed, as well as within the TG group where the compressive technique differed from conventional. Furthermore, there was a correlation between the clinical sign of coughing during cervical collar use and the presence of radiographic tracheal collapse at a pressure of 20 mmHg. It was concluded that the compressive radiographic technique was feasible and efficient in confirming the diagnosis of tracheal collapse in dogs, especially in the pressure of 20 mmHg, where it was associated with clinical signs, and can be used in isolation or complementary to the conventional technique.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Pierre Bourgeois ◽  
E. Peters ◽  
A. Van Mieghem ◽  
A. Vrancken ◽  
G. Giacalone ◽  
...  

AbstractFacial edemas not secondary to surgery and/or radiotherapy for head and neck cancer are relatively uncommon. Our aim is to report a retrospective analysis of the lymphoscintigraphic and SPECT-CT investigations obtained in patients with such facial edema. Retrospective review of exams (planar imagings in all and with SPECT-CT in 5) obtained after the subcutaneous injection of 99mTc HSA Nanosized colloids between the eyebrows in five men and seven women. Four main lymphatic pathways were identified on sequential planar imagings: para-nasal left and right and supra- ocular left and right. For eleven patients, the absence of visualization of lymphatic drainage and/or their delayed appearance correlated well with the localisation of the edematous areas. In two patients with post-traumatic and post- surgical edemas, SPECT-CT showed one deep left sided cervical lymph node (LN) in front of the first cervical vertebra. This lymphoscintigraphic approach represents a simple and valuable way to assess the lymphatic drainage pathways of the face and to establish the diagnosis of facial lymphedema.


2020 ◽  
Vol 14 (4) ◽  
pp. 502-506
Author(s):  
Van Tri Truong ◽  
Fidaa Al-Shakfa ◽  
Ghassan Boubez ◽  
Daniel Shedid ◽  
Sung-Joo Yuh ◽  
...  

Study Design: A retrospective, matched cohort study of a prospective database.Purpose: To evaluate the efficacy and safety of the Cervision system (Spinologics, Montreal, Canada), a new shoulder traction device that improves the fluoroscopic visualization of the lower cervical spine using caudal traction of the shoulders out of the radiographic field.Overview of Literature: Operating at a wrong level is a common error that may be committed by nearly 50% of surgeons during their career. Intraoperative fluoroscopy of the cervical vertebrae is an extremely important step in cervical spine surgery. Optimal lateral cervical radiography of the C1–T1 vertebrae is not always possible due to overlap of the shoulders.Methods: In this study, a group of patients (n=33, device group) underwent surgery with the new device used to apply caudal traction to both shoulders, and another group of patients (n=33, matched control group) had surgery with the tape traction. Data about the lowest vertebra visible on lateral fluoroscopic view, installation time, skin irritation under the traction area, and postoperative brachial palsy were recorded, and these parameters were analyzed using the <i>t</i>-test.Results: The mean numbers of visible cervical vertebra were 6.3±0.41 in the device group and 5.6±0.32 in the matched control group (<i>p</i> <0.01, unpaired <i>t</i>-test). The mean installation times were 83.9±5.15 minutes in the device group and 73.7±6.32 minutes in the matched control group (<i>p</i> <0.02). Seven patients from the matched control group presented with skin irritation. However, none of the patients from the device group had the condition (p =0.005, Pearson chi-square test). Postoperative brachial palsy was not observed in both groups.Conclusions: The Cervision system is more effective and superior to tape traction in pulling the shoulders down to improve the visualization of the cervical vertebra on lateral fluoroscopic view during cervical spine surgery.


Sports ◽  
2018 ◽  
Vol 6 (3) ◽  
pp. 94 ◽  
Author(s):  
Gabriel Sanders ◽  
Brian Boos ◽  
Frank Shipley ◽  
Corey Peacock

The purpose of the study was to assess glycogen content of the rectus femoris (RF) muscles utilizing high-frequency ultrasound throughout an intensive, nine-day preseason training period in NCAA division I volleyball athletes. In the morning prior to the beginning of practice, athletes (n = 13) left and right RF muscles were assessed via ultrasound to quantify muscle fuel ratings (0–100 score range). The recommended location of the RF ultrasound scans were based on manufacturer guidelines, and the same technician recorded the daily measurements. To assess daily training load, session ratings of perceived exertion (s-RPE) were utilized. A paired t-test revealed a large significant difference between left (51.7 ± 17.9) and right (32.8 ± 17.4) RF muscle fuel ratings (p < 0.001). There was also a major effect of time on s-RPE (p < 0.001) and left (dominant) RF fuel rating (p = 0.001). s-RPE decreased from the beginning to the end of the training camp. However, left RF fuel ratings increased from the first to the second day, then remained elevated all throughout the preseason. In conclusion, all athletes were left-leg dominant and had a 57.6% bilateral asymmetry between their left and right RF muscle fuel ratings despite changes in training load. High-frequency ultrasounds are a noninvasive assessment tool that can determine glycogen replenishment asymmetries in the RF.


PEDIATRICS ◽  
1970 ◽  
Vol 45 (5) ◽  
pp. 746-752
Author(s):  
Robin I. Davidson ◽  
John Shillito

Eosinophilic granuloma of the cervical spine is recorded in six children, two of whom had neurological deficits. A flaccid monoparesis occurred in one child with a C5 arch lesion. Pyramidal tract signs were present in a patient with a defect at the atlanto-occipital joint. Cervical pain, restricted range of movement, torticollis, and tenderness were other presenting signs and symptoms and occurred in all except one patient. A lytic defect in the arch or centrum of a cervical vertebra was associated with this presentation. Treatment following biopsy consisted of immobilization and radiotherapy in a range of 450 to 750 rads. Cure was effected in all instances.


2009 ◽  
Vol 72 (2) ◽  
pp. 102-110 ◽  
Author(s):  
Rupesh Kotecha ◽  
Jing Xiang ◽  
Yingying Wang ◽  
Xiaolin Huo ◽  
Nat Hemasilpin ◽  
...  

1961 ◽  
Vol 16 (2) ◽  
pp. 300-304 ◽  
Author(s):  
Cesar A. Caceres ◽  
George A. Kelser ◽  
Juan Calatayud

Left and right atrial intracavitary and conventional surface leads were used to study electrocardiographic activity during the PR interval. Electronic filters were employed for analysis of wave frequency and harmonic content from 1.7 to 1700 cps. Amplifiers permitting standardization sensitivity to 500 mm/mv were used to obtain oscilloscopic tracings recorded at a paper speed of 75 mm/sec. Frequency analysis of the electrical potential recorded during P wave inscription demonstrated the presence of high-frequency content that is excluded by conventional electrocardiographic amplifiers. The high-frequency components are associated with the time of inscription of the electrocardiographic intrinsic deflection and have a relationship to the characteristics of the pressure-pulse curve. These relationships suggest that intracavitary high frequencies and the electrocardiographic intrinsic deflection originate from electrical discharges associated with initiation of contractile events. Submitted on June 6, 1960


Cephalalgia ◽  
2003 ◽  
Vol 23 (8) ◽  
pp. 842-845 ◽  
Author(s):  
O Coskun ◽  
S Ucler ◽  
B Karakurum ◽  
HT Atasoy ◽  
T Yildirim ◽  
...  

Cervicogenic headache (CH) is a syndrome which is postulated to originate from nociceptive structures in the neck or head. The anatomical neck or head structures that are responsible for the pain in CH have not been clearly identified, but the pain in these patients probably originates from the structures of the cervical spine. In this study, cervical MRI were studied in 22 patients with cervicogenic headache and 20 control patients who did not have any disease which may effect the bone and muscle structures of cervical region. MRI imaging of cervical vertebra showed a disc bulging in 10 (45.4%) out of 22 patients with CH and in 9 (45.0%) of 20 controls ( P > 0.05). The distribution of pathological lesions in patients and controls were not significantly different ( P > 0.05). As a result, MRI may not be an adequate method to detect pathological findings underlying the aetiology of CH such as nerve roots, intervertebral joints and periosteum.


2014 ◽  
Vol 50 (5) ◽  
pp. 338-344 ◽  
Author(s):  
Jessica C. Pritchard ◽  
Adam J. Birkenheuer ◽  
Rita M. Hanel ◽  
Michael W. Wood

Copperhead envenomation is common within the US, and no studies exist describing the clinical course of copperhead envenomation in dogs. Almost all treatment decisions regarding those bites are extrapolated from retrospective studies evaluating the clinical course of rattlesnake bites. Because copperheads and rattlesnakes produce venom with different potency, assumptions that treatment of the different envenomations should be similar may be incorrect. The purpose of this retrospective study was to evaluate the clinical course of copperhead envenomation in dogs and administered treatments. Medical records of 52 dogs treated for copperhead envenomation were reviewed, and owners were contacted regarding outcome. The most common clinical signs associated with copperhead envenomation included swelling, pain, and ecchymosis. Clinicopathological abnormalities (e.g., thrombocytopenia, elevated clotting times, leukocytosis) were mild, and red blood cell morphology changes and coagulopathies were rare. Most dogs were treated with antimicrobials, analgesics, and fluid therapy. No dogs in this study required the use of antivenin and all survived to discharge. This study found that the clinical course after copperhead envenomation is generally limited to local rather than systemic illness. Copperhead envenomation in dogs is largely self-limiting and responsive to supportive care with hospitalization for monitoring.


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