1.CT Findings of Cervical Lymphadenopathy: Differential Diagnosis.
Hong Soo KIM ; Ju Whan WEE ; Dong Oh KIRN ; Hyun Soon SO ; Hak Song RHEE
Journal of the Korean Radiological Society 1994;31(2):191-196
PURPOSE: To evaluate the characteristics of CT findings in differential diagnosis of cervical lymphadenopathy. MATERIALS AND METHODS: We evaluated CT findings of histopathologically proved 32 cases of tuberculous lymphadenitis, 12 cases of nodal lymphoma, 29 cases of metastasis from March 1986 to Dec. 1992, retrospectively. We analyzed age and sex distribution, location of lymphadenopathy, internal nodal density, feature of contrast enhancement, extracapsular spread and nodal calcification. RESULTS: Tuberculous lymphadenitis was more preponderant in young female (mean;32) and CT showed internal low density(91%) with irregular thick marginal enhancement(46.9%), predilection for spinal accessory node(71.9%), and nodal calcification(5/32). Nodal lymphoma showed predilection for internal jugular chain (100%) and had conglomerated homogeneous internal node structures(83%). Metastasis showed old male preponderance (mean :52 years), predilected at internal jugular chain(89.7%),internal low density(93.3%) with regular thin marginal enhancement(44.8%), extracapsular spread(41.4%), and nodal calcification(2 cases of nodal metastasis of papillary type thyroid cancer). CONCLUSION: We concluded that CT evaluation of the chracteristics of lymphadenopathy is helpful for differential diagnosis of cervical lymphadenopathy.
Diagnosis, Differential*
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Female
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Humans
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Lymphatic Diseases*
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Lymphoma
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Male
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Neoplasm Metastasis
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Retrospective Studies
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Sex Distribution
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Thyroid Gland
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Tuberculosis, Lymph Node
2.MR Findings of Congenital Craniocerebral Anomaly: Correlation with Seizures and Developmental Delay.
Heoung Keun KANG ; Jeong Jin SEO ; Hyon De CHUNG ; Yun Hyeon KIM ; Seog Wan KO ; Jong Hun YOON ; Hyun Ju KIRN ; Hyeong Kil KIM
Journal of the Korean Radiological Society 1995;33(1):7-14
PURPOSE: To evaluate characteristic MR findings of craniocerebral anomaly and its relationship with neurologic manifestations. MATERIALS AND METHODS: We retrospectively reviewed MR images of 36 patients with craniocerebral anomaly diagnosed by MRI and clinical courses. We correlated the characteristic MR findings in 41 lesions with neurologic manifestastions focusing on seizures and developmental delay. RESULTS: Twenty-three patients with seizures consisted of 14 patients(60%) with neuronal migration disorders and seven(30%) with phakomatosis, among which 18 patients(78%) had generalized type of seizures. Locations of the lesions were the parietal lobes in 11 patients(52%) and the subependymal or periventricular regions in seven(33%). Two patients with tuberous sclerosis had the lesions in both parietal and subependymal areas. Nine patients had the signs of developmental delay that were seen in the four(44%) with schizencephaly, two (22%) with tuberous sclerosis, two(22%) with heterotopia, and one(ll %) with pachygyria. CONCLUSION: Neuronal migration anomaly was relatively common lesion that presented neurologic manifestations such as seizures and developmental delay. Generalized type of seizures was common. We were able to diagnose these anomalies using the MRI that helped establish therapeutic plans.
Humans
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Lissencephaly
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Magnetic Resonance Imaging
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Malformations of Cortical Development
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Neurocutaneous Syndromes
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Neurologic Manifestations
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Neuronal Migration Disorders
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Neurons
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Parietal Lobe
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Rabeprazole
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Retrospective Studies
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Seizures*
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Tuberous Sclerosis