Publications (9)5.14 Total impact
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Article: Core needle biopsy of spinal lesions under CT guidance: review of 79 cases.
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ABSTRACT: The authors report the results of a retrospective study about computed tomography (CT)-guided percutaneous vertebral biopsies in 79 cases (44 males and 35 females, aged from 6 to 84 years old). Five biopsies were performed at the cervical level, 31 at the thoracic, 30 at the lumbar, and 13 at the sacrum. A diagnosis was obtained in 75 out of the 79 patients. Diagnostic yield was 95%, and diagnostic accuracy was 97.3%. Core needle biopsy under CT guidance for spinal lesions is a fast, relatively simple, minimally invasive, and low-cost method, with high levels of diagnostic accuracy and few complications. It plays a major role in the correct diagnosis and therapeutic planning. CT guidance allows safe and accurate biopsy of osseous lesions throughout the spine, obviating invasive open biopsy in most cases.Journal of neurological surgery. Part A, Central European neurosurgery. 05/2012; 73(4):199-203. -
Article: Dural lesions mimicking meningiomas: A pictorial essay.
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ABSTRACT: The purpose of this essay was to illustrate the radiological and pathological findings in a wide spectrum of dural lesions mimicking meningiomas. Familiarity with and knowledge of these findings will narrow the differential diagnosis and provide guidance for patient management. In this pictorial review, we describe the following entities: Solitary fibrous tumors, hemangiopericytoma, gliosarcoma, leiomyosarcoma, dural metastases, Hodgkin's disease, plasmocytoma, Rosai-Dorfman disease, neurosarcoidosis, melanocytic neoplasms and plasma cell granuloma.World journal of radiology. 03/2012; 4(3):75-82. -
Article: Transient contrast encephalopathy after carotid angiography mimicking diffuse subarachnoid haemorrhage.
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ABSTRACT: Neurotoxicity caused by intraarterial injection of low-dose low osmolar, iodinated contrast agents during radiologic studies is an extremely rare adverse event. Contrast medium induced disruption of the blood-brain barrier and a direct neurotoxic effect by contrast media have been proposed as a potential mechanism of neurotoxicity. This report describes an unusual case of transient neurotoxicity following diagnostic angiography mimicking clinically and radiologically subarachnoid hemorrhage. The patient recovered without any intervention after 4 days of conservative treatment.Neurological Sciences 09/2011; 33(2):445-8. · 1.32 Impact Factor -
Article: Superficial cortical siderosis.
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ABSTRACT: Cerebrovascular deposition of amyloid (cerebral amyloid angiopathy CAA) is most commonly recognized as a cause of spontaneous lobar intracerebral hemorrhage. On the basis of the noninvasive new MR imaging we would propose superficial cortical hemosiderosis and subarachnoid hemosiderosis as potentially useful new criteria to facilitate the diagnosis of CAA.Acta neurologica Belgica 06/2011; 111(2):162. · 0.54 Impact Factor -
Article: Isolated absence of the cavum septum pellucidum.
Acta neurologica Belgica 03/2011; 111(1):83. · 0.54 Impact Factor -
Article: Intracortical osteosarcoma of the tibia in a 14-year-old girl.
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ABSTRACT: Intracortical osteosarcoma is the rarest form of osteosarcoma. The lesion is histologically characterized as a sclerosing variant of osteosarcoma. In this study, a new case of pathologically proven tibia intracortical osteosarcoma in a 14-year-old girl is presented. Imaging findings on computed tomography and magnetic resonance imaging are discussed. The role of computed tomography-guided biopsy is emphasized.Journal of pediatric orthopaedics. Part B / European Paediatric Orthopaedic Society, Pediatric Orthopaedic Society of North America 02/2011; 20(4):249-51. · 0.66 Impact Factor -
Article: Massive variceal bleeding secondary to splenic vein thrombosis successfully treated with splenic artery embolization: a case report.
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ABSTRACT: Splenic vein thrombosis results in localized portal hypertension called sinistral portal hypertension, which may also lead to massive upper gastrointestinal bleeding. Symptomatic sinistral portal hypertension is usually best treated by splenectomy, but interventional radiological techniques are safe and effective alternatives in the management of a massive hemorrhage, particularly in cases that have a high surgical risk. We describe a 23-year-old Greek man with acute massive gastric variceal bleeding caused by splenic vein thrombosis due to a missing von Leiden factor, which was successfully managed with splenic arterial embolization. Interventional radiological techniques are attractive alternatives for patients with a high surgical risk or in cases when the immediate surgical excision of the spleen is technically difficult. Additionally, surgery is not always successful because of the presence of numerous portal collaterals and adhesion. Splenic artery embolization is now emerging as a safe and effective alternative to surgery in the management of massive hemorrhage from gastric varices due to splenic vein thrombosis, which often occurs in patients with hypercoagulability.Journal of Medical Case Reports 01/2010; 4:139. -
Article: Nasal chondromesenchymal hamartoma in a child.
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ABSTRACT: Nasal chondromesenchymal hamartoma (NCMH) is a benign tumor that was described in 1998. The occurrence of this lesion in the nasal cavity of infants and children is especially rare, with only 21 cases reported in the international literature. We report a 12-month-old boy with respiratory distress due to nasal obstruction. Computed tomographic scan and magnetic resonance imaging examination demonstrated a soft-tissue mass obstructing the left nasal cavity. Digital subtraction angiography and preoperative superselective embolization with microparticles were also performed. The tumor was completely resected surgically. Histopathology and immunohistochemical analyses of the tumor disclosed a NCMH. The imaging characteristics of the tumor are described and the radiology literature is reviewed.CardioVascular and Interventional Radiology 11/2008; 32(3):593-7. · 2.09 Impact Factor -
Article: Anterior chest wall tuberculous abscess: a case report.
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ABSTRACT: The granulomatous inflammation of tuberculosis usually involves the lungs and the hilar lymph nodes. Musculoskeletal tuberculosis (TB) occurs in 1-3% of patients with TB, while TB of the chest wall constitutes 1% to 5% of all cases of musculoskeletal TB. Furthermore, nowadays it is rarer to find extrapulmonary TB in immunocompetent rather that non-immunocompetent patients. The present case reports a fifty-six-year-old immunocompetent man with an anterior chest wall tuberculous abscess. The rarity of the present case relates both to the localization of the tuberculous abscess, and to the fact that the patient was immunocompetent. The diagnosis of musculoskeletal tuberculous infection remains a challenge for clinicians and requires a high index of suspicion. The combination of indolent onset of symptoms, positive tuberculin skin test, and compatible radiographic findings, strongly suggests the diagnosis. TB, however, must be confirmed by positive culture or histologic proof. Prompt diagnosis and treatment are important to prevent serious bone and joint destruction.Journal of Medical Case Reports 02/2007; 1:152.
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2011
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Interbalkan European Medical Center
Thessaloníki, Kentriki Makedonia, Greece
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