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Acta Médica del Centro

ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"
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2015, Number 3

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Acta Med Cent 2015; 9 (3)

Infarto óseo. Presentación de un paciente

Pozo SMC, Martínez-Fortún AM
Full text How to cite this article

Language: Spanish
References: 7
Page: 48-52
PDF size: 138.34 Kb.


Key words:

bone marrow/injuries, artralgia, bone density, magnetic resonance spectroscopy.

ABSTRACT

Bone infarcts are a rare disease, secondary to lack of blood supply, which can lead cell death of bone marrow without involvement of cortical and has great similarities with osteonecrosis; the interruption of blood flow generated, usually multiple, spinal segmental lesions in the long bones. Bone infarcts usually go unnoticed because, in most cases are asymptomatic, but sometimes can cause joint pain. It refers to a male patient of 37 years old, smoker, who presented with left knee pain of mechanical properties of six months duration without previous injury and without other accompanying symptoms. Left knee radiography in which an alteration in bone density was observed, no sharp bone disease was carried out. A computerized tomography showed hyperdense images, serpiginous borders and sclerotic, with involvement of the femor metaphisycal-diaphyseal region with conservation regarding benign cortical bone lesion was requested. He underwent biopsy of the lesion, which yielded result as bone infarction. Radiology may show some signs, but the study by excellence is the magnetic resonance, which shows the internal state of the bone, it values the stage where you are and it is key in controlling evolution.


REFERENCES

  1. Pérez P, Martínez J, Ruiz M, Blázquez JA, del Llano JE. Evaluación de la estenosis de la arteria carótida interna por angiografía RM con contraste: revisión sistemática de la bibliografía. Radiología. 2004;46:20-8.

  2. Santos AL, Ramos M, Delgado F, Cano A, Bravo F. Angio-TC en la evaluación de estenosis de la bifurcación arterial carotídea: comparación con arteriografía por sustracción digital intraarterial. Radiología. 2001;43(6):273-78.

  3. Field TS, Benavente OR. Current status of antiplatelet agents to prevent stroke. Curr Neurol Neurosci Rep. 2011 Feb;11(1):6-14.

  4. Castro-Reyes E, González-García A, en representación del Grupo Español de Neurorradiología Intervencionista (GENI). Tratamiento endovascular de la enfermedad carotídea. Situación actual, aspectos técnicos y capacitación profesional Rev Neurol. 2005;41(12):749-56.

  5. Brott TG, Hobson RW, Howard G, Roubin GS, Clark WM, Brooks W, et al. CREST Investigators. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med. 2010;363(1):11-23.

  6. Alcazar PP, Garcia BE, Fandiño BE. Avances en neurorradiología intervencionista. Radiología. 2010;52(Supl 2):46-55.

  7. Marquardt L, Geraghty OC, Mehta Z, Rothwell PM. Low Risk of Ipsilateral Stroke in Patients With Asymptomatic Carotid Stenosis on Best Medical Treatment. A Prospective, Population-Based Study. Stroke. 2010;41:e11-17.




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Acta Med Cent. 2015;9