Articles

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More than 200 results
Article

Primary renal neoplasia

Primary renal neoplasia as a whole was reviewed and updated by the Genitourinary Pathology Society (GUPS) in 2019 3. Recent advances in the histological and molecular evaluation of tumors has shed light on pathogenesis and distinctions between tumors, some of which are now more accurately unders...
Article

Neuromyelitis optica spectrum disorder

Neuromyelitis optica spectrum disorder (NMOSD) is a severe demyelinating diseases, which in seropositive cases, is caused by an autoantibody to the aquaporin-4 (AQP4) water channel. The classic presentation of NMOSD is with the triad of bilateral optic neuritis, longitudinally extensive myelitis...
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Spontaneous intracranial hypotension

Intracranial hypotension, also known as craniospinal hypotension is a clinical entity that results from a cerebrospinal fluid (CSF) leak that almost without exception occurs from the spine, either into the epidural space or directly into veins in the setting of CSF-venous fistulas. It usually, b...
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CSF-lymphatic fistula

CSF-lymphatic fistulas are a very rare, and possibly underdiagnosed, cause of spontaneous intracranial hypotension. They describe a direct communication between the spinal subarachnoid space and lymphatic vessels, allowing for the loss of cerebrospinal fluid (CSF) directly into the lymphatic sys...
Article

Ptosis

Ptosis, or blepharoptosis, describes a drooping or falling of the upper eyelid. Generally, complete ptosis is due to complete oculomotor nerve palsy, causing levator palpebrae superioris muscle weakness, while partial ptosis is due to a dysfunction of the sympathetic pathway leading to weakness ...
Article

Leber hereditary optic neuropathy

Leber hereditary optic neuropathy (LHON) is a mitochondrial genetic disorder characterized by bilateral, progressive, central vision loss secondary to loss of the retinal ganglionic cell layer 1,2. It is considered the most common mitochondrial disorder caused by mutation to mitochondrial DNA (m...
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Traumatic posterior fossa subdural hematoma in neonates

Traumatic posterior fossa subdural hematoma (TPFSH) in neonates is a traumatic complication at birth. It is extremely rare. Although traumatic posterior fossa subdural hematoma is a very rare condition, it is clinically critical as it may compress the ventricular system or the brainstem and can ...
Article

Shepherd crook deformity

A shepherd crook deformity refers to a coxa varus angulation of the proximal femur, classically seen in femoral involvement by fibrous dysplasia, although may be seen in other disorders such as Paget disease of bone and osteogenesis imperfecta. History and etymology The shape of the proximal f...
Article

Meckel diverticulum

Meckel diverticulum is a congenital intestinal diverticulum due to fibrous degeneration of the umbilical end of the omphalomesenteric (vitelline) duct that occurs around the distal ileum. It is considered the most common structural congenital anomaly of the gastrointestinal tract. Some of the fe...
Article

Haglund syndrome

Haglund syndrome refers to the triad (Haglund triad) of: insertional Achilles tendinopathy retrocalcaneal bursitis Haglund deformity (i.e. posterosuperior calcaneal exostosis) Terminology Haglund syndrome is a painful condition of the heel and its diagnosis requires a combination of clinica...
Article

Acrania anencephaly sequence

Acrania anencephaly sequence or acrania–exencephaly–anencephaly sequence is the progression from a relatively normal-appearing exposed brain due to an absent cranium (acrania) to an amorphous brain mass (exencephaly) to no recognisable brain tissue (anencephaly) 1. Epidemiology The acrania ane...
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Posterior cranial fossa

The posterior cranial fossa is the most posterior aspect of the skull base, housing the brainstem and cerebellum. It is also the largest and deepest of the three cranial fossae 1. Gross anatomy The following structures are present from anterior to posterior: internal acoustic meatus foramen ...
Article

POEMS syndrome

POEMS syndrome is the acronymic name for a rare multisystem paraneoplastic disorder including the following features: P: polyneuropathy O: organomegaly E: endocrinopathy M: monoclonal gammopathy S: skin changes Clinical presentation The clinical presentation may be broader than just what ...
Article

Diffuse tenosynovial giant cell tumor

Diffuse tenosynovial giant cell tumor, previously known as pigmented villonodular synovitis (PVNS), is an uncommon benign condition. It is most commonly monoarticular (~70% in the knee joint), but can occasionally be polyarticular.  Please see the overview article tenosynovial giant cell tumor ...
Article

Pectus excavatum

Pectus excavatum, also known as funnel chest or trichterbrust 13, is a congenital chest wall deformity characterized by concave depression of the sternum, resulting in cosmetic and radiographic alterations. Epidemiology It accounts for 90% of chest wall deformities, occurring in up to 1 in 300...
Article

Anterior labroligamentous periosteal sleeve avulsion lesion

An anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesion is similar to a Bankart lesion, in that it too is usually due to anterior shoulder dislocation and involves the anterior inferior labrum.  Epidemiology It is often the result of chronic injury rather than acute dislocation;...
Article

Cystic lesions around vagina and female urethra

There are numerous cystic lesions that occur around the vagina and female urethra. Differential diagnosis urethral diverticulum Gartner duct cyst: at or above the level of the pubic symphysis anterior to the vaginal wall Bartholin gland cyst: posterolateral to distal vaginal wall inferior to...
Article

Ecchordosis physaliphora

Ecchordosis physaliphora is a congenital benign hamartomatous lesion derived from notochord remnants, usually located in the retroclival prepontine region, but can be found anywhere from the skull base to the sacrum.  Terminology There has been some controversy as to whether intradural chordom...
Article

Clear cell renal cell carcinoma

Clear cell renal cell carcinoma is the most common type of renal cell carcinoma.  Epidemiology The average age of onset of sporadic clear cell renal carcinoma is 61 years. In cases associated with von Hippel-Lindau disease, the average age of onset is 37 years 1. Clinical presentation Patien...
Article

Metastases to the thyroid

Metastases to the thyroid are an uncommon cause of thyroid malignancy.  Epidemiology Metastases to the thyroid represent 1.4-3% of all malignancies 5. In autopsy series, the incidence is ~10% (range 2-24%) 1,5.  Pathology The most common sites of primary malignancy include (note these will v...
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