1/4. facial paralysis at the age of 2 months as a first clinical sign of van Buchem disease (endosteal hyperostosis).In this paper we report a 7.5-year-old physically normal boy with van Buchem disease (endosteal hyperostosis). Vague complaints of headache were the indication for X-ray examination. At the age of 2 months a left-side peripheral facial nerve palsy suddenly occurred in this boy. skull x-rays gave normal results at that age, suggesting that encroachment of the cranial nerves in van Buchem disease may occur as early as in the postnatal period, even before sclerosis of the skull has become radiologically visible.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/4. MRI findings in Caffey's disease.A patient with infantile cortical hyperostosis (ICH) is presented. Common features in all reported patients include: onset in the early part of the 1st year, tender swellings in more than one site and multiple scattered hyperostoses shown by radiography, but no previous study has determined the cause or origin of ICH. biopsy of bony lesions only reveals hyperplasia of the lamellar cortical bone, without inflammation or subperiosteal haemorrhage. Although MRI resulted in excellent images for differentiation between bony and soft tissue structures and for evaluation of the extent of soft tissue involvement, it had no additional value in the management of the patient. Only in questionable cases can MRI provide additional information about the presence of a subperiosteal haemorrhage. Radiographic examination, in addition to clinical history and physical examination, is considered sufficient with regard to differential diagnosis and follow up of ICH.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/4. Right mandible swelling of unknown origin.Infantile cortical hyperostosis (ICH), or Caffey's disease, has a low prevalence, is not easily recognized clinically, and is seldom reported in the primary care literature. A case of infantile cortical hyperostosis of the right mandible of a newborn is reported. Multiple radiographic tests, as well as bone biopsy, were necessary to establish a definitive diagnosis. The most striking features of this disease are presented, including the clinical and physical presentation, radiographic characteristics, and pathology.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
4/4. A 2-month-old infant with acute swelling of the extremities and mandible.The following case is presented to illustrate the roentgenographic and clinical findings of a condition of interest to the orthopedic surgeon. The initial history, physical findings, and roentgenographic examinations are found on the first two pages. The clinical and roentgenographic diagnoses are presented on the following pages.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |