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Search Patient Charts: Developmental

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Search Results for => Developmental <= Result Items 1 - 20

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Case ID: 14248 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Developmental Dysplasia of the Hip vs Legg-Perthe-Calve
	History	34 y.o. active duty man presents to MSK sick call with complaint of chronic, left-sided hip pain. He states that he has had this pain for years - but it has gotten steadily worse over the past 3-4 years.
	Findings	Examination: AP view of the pelvis. No similar prior study. FINDINGS: Examination is abnormal. There is marked flattening of both femoral heads, especially on the left side. There is medial migration of the bilateral femoral heads and both hip joints appear more shallow and irregular than generally seen, especially on the left side. No acute fracture or dislocation.
	Differential Dx	In a patient of this age the findings are most likely a sequela of a childhood disease such as Developmental dysplasia of the hip or Legg-Calve-Perthes syndrome (avascular necrosis of the hip)
	Discussion	... (continues ...)
	User Group	n
	Contributor	Christopher M Knaus :: Walter Reed National Military Medical Center -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 13771 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Developmental Dysplasia of the Hip
	History	6 day-old baby girl, born at term with breech presentation. No complications during pregnancy noted. Delivery was vaginal without instrumentation, APGARS 8 and 9. Left hip click noted on Ortolani test during postnatal exam. No other medical conditions.
	Findings	• Nonossified proximal femoral epiphyses bilaterally. • No hip effusion noted. • Left hip alpha angle of 32 degrees and proximal femoral epiphysis 33% covered by the acetabulum; indicative of left hip dysplasia. • Right hip alpha angle of 39 degrees and proximal femoral epiphysis 43% covered by the acetabulum; indicative of right hip dysplasia.
	Differential Dx	• Developmental dysplasia of the hip • Normal neonatal hip laxity • Cerebral palsy • Myelodysplasia • Arthrogryposis • Caudal regression syndrome • Larsen syndrome • Stickler syndrome • Multiple epiphyseal dysplasia • Trevor disease • Spondyloepiphyseal dysplasia • Metatropic dysplasia • Mucopolysaccaridoses
	Discussion	... (continues ...)
	User Group
	Contributor	Nicholas D Romano :: Childrens Hospital of Dayton, OH -
	Reviewer	Dawn E Light :: Childrens Hospital of Dayton, OH - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 13729 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Developmental Venous Anomaly
	History	10-year-old girl with PMH significant for hypothyroidism, high cholesterol, and obesity was watching TV when she had acute onset of numbness and tingling in her left arm and leg. The left UE and LE then began to twitch at 1 Hz, and this continued for 10 minutes. The patient was conscious and conversant throughout the entire incident. Her arm was then immobile for 10 minutes following the twitching, after which all symptoms disappeared. She has never had a history of seizures or focal symptoms before.
	Findings	There is a vascular malformation extending from the right lateral ventricle. This would be consistent with a venous angioma, however there is evidence of prior hemorrhage and encephalomalacia in this region.
	Differential Dx	• Dural sinus thrombosis • Sturge Weber syndrome with leptomeningeal angiomatosis • Demyelination • Developmental Venous Anomaly
	Discussion	... (continues ...)
	User Group
	Contributor	Ashkahn E Golshani :: - Leave Blank - -
	Reviewer	Dawn E Light :: Childrens Hospital of Dayton, OH - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 13461 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Sturge-Weber Syndrome, diffuse cerebral Developmental venous anomalies
	History	11 year old boy with long history of seizures. Previously evaluated at (withheld) Clinic in New York. Developmental delay and multiple skin lesions on face and chest
	Findings	Moderate enhancement of pial surface right hemisphere consistent with leptomeningeal angiomatosis. Diffuse enlargment of medullary and convexity veins over right cerebral hemisphere and left cerebellar hemisphere. Marked enlargement of central venous sinuses. The affected right hemisphere is actually smaller - this is easier to demonstrate by measuring the diameter. Normal arteries on MRA brain
	Differential Dx	• AVM • Sturge-Weber Syndrome • Developmental Venous Anomalies • Venous thrombosis
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 13302 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Developmental Venous Anomaly (Venous Angioma)
	History	80 year old woman who presents with transient resolving symptoms, suggestive of a TIA.
	Findings	• CT reveals calcified lesion left frontal lobe. • CTA has findings consistent with Developmental venous anomaly in the same location
	Differential Dx	• Vascular malformation - Developmental Venous Anomaly • Hematoma • Neoplasm (e.g. oligodendroglioma, ganglioglioma, astrocytoma) • Abscess
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 13159 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	DVA, Developmental Venous Anomaly, venous angioma
	History	20 year old man with migraine headaches. No trauma. He was concerned that he might have a brain tumor. CT scan revealed high density lesion adjacent to medial aspect of right frontal lobe.
	Findings	Linear enhancing lesion in the interhemispheric fissue with branching tributaries consistent with Developmental venous anomaly (DVA, also called "venous angioma".
	Differential Dx	• Developmental Venous Anomaly • Venous Angioma • Venous Malformation • Cerebral Lightning Bolt
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 13121 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Developmental venous anomaly
	History	16 year old boy with syncope. He states that he has an AVM in his brain.
	Findings	CT-Large linear calcification in Right parietal lobe MR- Enhancing linear structure with multiple small tributaries in same location
	Differential Dx	None
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 12944 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Developmental Venous Anomaly (DVA or Venous Angioma)
	History	49 year old man with seizures and movement disorder.
	Findings	Large tubular vascular structure draining from multiple tributary veins in the parietal and temporal lobes. This dominant "transcortical" vein drains into the sphenoparietal sinus on the right. No mass effect or hemorrhage.
	Differential Dx	• AVM • Cavernous angioma • DVA - ("venous angioma")
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 11951 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	DVA, Developmental Venous Anomaly, venous angioma
	History	4 year old boy with headaches
	Findings	Right cerebellum - dilated anomalous veins that converge into an enlarged collecting vein that extends to the right tentorial leaflet.
	Differential Dx	• Developmental Venous Anomaly • Venous Angioma • Dark parasites (just kidding)
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 11520 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Developmental Venous Anomaly (DVA) and Cavernous Malformation
	History	51 year old man with acute onset of headache and ataxia. MRI obtained as follow-up to CT done 3 weeks previously when symptoms first developed.
	Findings	• Left cerebellar subacute hematoma with some mass effect. • 4th ventricle minimally compressed • Hemosiderin ring surrounding hematoma • Linear/tubular enhancement • "Popcorn" lesion medial and inferior to hematoma
	Differential Dx	• Venous angioma and cavernous angioma • Metastatic disease • Primary neoplasm • Amyloid angiopathy • Anticoagulation therapy
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 11241 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Cavernous Angioma and Developmental venous anomaly
	History	58 y.o. woman with sudden onset severe headache followed by loss of consciousness.
	Findings	• April 2007 Midbrain hemorrhage. Finding suspicious for Developmental venous anomaly and possible cavernous angioma. • September 2007 Follow up MRI shows resolution of hematoma with much better demonstration of both the midbrain DVA and associated cavernous angioma.
	Differential Dx	• Hemorrhagic metastatic lesion • AVM or other vascular malformation • Trauma • Herniation ("Duret Hemorrhage"
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 11209 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Intracranial Venous Anomaly or Malformation , Developmental Venous Anomaly
	History	56 y.o. man with sudden onset occipital headache. Brief loss of consciousness
	Findings	• Subacute left cerebellar hematoma on CT and MRI scans • Contrast MRI reveals large Developmental venous anomaly (DVA) just superior to the hematoma.
	Differential Dx	• Traumatic hemorrhage • Metastatic disease • Primary neoplasm hemorrhage (e.g. GBM, Oligo, etc.) • AVM or other vascular malformation • Hypertensive hemorrhage • Amyloid angiopathy
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 11128 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Developmental Dysplasia of the Hip (DDH)
	History	2 week old male with family histor of hip dislocation at birth.
	Findings	The alpha angle, measured between the ilium and the superior ridge of the acetabulum was 58 degrees on the left, just under the normal limit of 60. The femoral head was only about 25% covered in the acetabulum below the normal value of 50%.
	Differential Dx
	Discussion	... (continues ...)
	User Group
	Contributor	Scott L Whitworth :: National Capital Consortium -
	Reviewer	Matthew Monson :: Walter Reed Army Medical Center - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 10255 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Developmental venous anomaly
	History	49 y/o female presented with vague vertigo symptoms and left facial numbness of several months duration.
	Findings	Caput medusae shaped vascular lesion in the left cerebellum with uniform enhancement, representing a large draining vein, without evidence of bleed.
	Differential Dx	Developmental venous anomaly
	Discussion	... (continues ...)
	User Group
	Contributor	Karen Leigh Matthews :: Naval Medical Center Portsmouth -
	Reviewer	Stephanie A Bernard :: Penn State University - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 9675 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Developmental hip dysplasia in a child with cerebral palsy
	History	3 year old female with history of bilateral hip dysplasia
	Findings	Bilateral shallow acetabula with lateral dysplacement of the femoral heads. There is also valgus deformity of the femoral necks.
	Differential Dx	None.
	Discussion	... (continues ...)
	User Group
	Contributor	Jacqueline M Bernard :: Naval Medical Center Portsmouth -
	Reviewer	Stephanie A Bernard :: Penn State University - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 9584 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Developmental venous anomaly
	History	40 yo woman with complaints of occasional hand paresthesias, being evaluated for multiple sclerosis.
	Findings	Axial T1 pre- and post-contrast images reveal a collection of radially arranged thin vessels in the left cerebellar hemisphere with a central, larger draining vein. The structure demonstrates uniform flow-related enhancement. No evidence of gliosis or prior hemorrhage.
	Differential Dx
	Discussion	... (continues ...)
	User Group
	Contributor	Joel McFarland :: National Naval Medical Center Bethesda -
	Reviewer	Fletcher M Munter :: Walter Reed Army Medical Center - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 9266 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	DDH (Developmental Dysplasia of the Hip)
	History	25 yo female with bilateral hip pain
	Findings	Bilateral subluxation of the femoral heads with extensive degenerative changes at the hip joint - to include subchondral sclerosis, joint space narrowing, and geode formation.
	Differential Dx
	Discussion	... (continues ...)
	User Group
	Contributor	Peter Vangeertruyden :: National Capital Consortium -
	Reviewer	Julian Paul Kassner :: National Naval Medical Center Bethesda - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 8569 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Developmental Venous Anomaly (Venous Angioma)
	History	Right facial pain.
	Findings	Large left-sided venous vascular anomaly with the roentgen classic "head of snakes (i.e., Medusa Head)" configuration. There is a minimal amount of surrounding gliosis.
	Differential Dx	Venous Angioma Arteriovenous Malformation
	Discussion	... (continues ...)
	User Group
	Contributor	Erik S Storm :: Uniformed Services University -
	Reviewer	Fletcher M Munter :: Walter Reed Army Medical Center - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 8409 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Developmental Venous Anomaly (Venous Angioma)
	History	38 y.o. male with asymmetric hearing loss.
	Findings	Incidentally noted, adjacent to the trigone of left lateral ventricle are multiple linear hyperintensities on T1 post Gad axial images.
	Differential Dx	None.
	Discussion	... (continues ...)
	User Group
	Contributor	Matthew J Hoffman :: National Capital Consortium -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

Case ID: 8157 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Developmental Venous Anomaly
	History	21 year old man with right upper extremity weakness. "Rule out MS."
	Findings	Enlarged medullary white matter veins converging on dilated collector vein in the right frontal lobe. No associated calcifications or arterial feeding vessels.
	Differential Dx	Developmental venous anomaly Cavernous hemangioma Capillary telangectasia
	Discussion	... (continues ...)
	User Group
	Contributor	James M Grimson :: Naval Medical Center Portsmouth -
	Reviewer	Van Thong Ho :: Naval Medical Center Portsmouth - Case Accepted: 2012-12-04 18:21:29-05 :: Revised: 2012-12-02 19:36:39.009931-05 :: Submitted: 2012-12-02 11:50:28.282841-05

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