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“We describe here the case of a 16-year-old boy successfully treated at our hospital for intramuscular cavernous hemangioma in the left soleus muscle. The patient was diagnosed using magnetic resonance imaging and open biopsy after attempted/failed surgery at another institution. We performed lower leg phlebography in order to identify all the feeding and draining veins of the cavernous

hemangioma. Our surgical approach of ligation of the feeding and draining veins of the intramuscular cavernous hemangioma with subsequent thrombosis of the hemangioma proved successful, resulting in cure with no operative or postoperative complications, a minimal hospital stay and a good functional and cosmetic outcome. (c) 2011 Published by European Association for Cardio-Thoracic Surgery.

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“Objective: To evaluate the reliability of magnetic resonance imaging performed after intratympanic gadolinium administration in evidencing endolymphatic hydrops in patients with Meniere’s disease (MD).

Patients: A total of 26 patients (18 male and 8 female subjects, aged 25-78 yr; median age, 56 yr) with definite MD and 12 subjects (8 male and 4 female subjects, aged 31-75 yr; median age, 51 yr) with various unilateral non-MD disorders of the inner ear were examined.

Intervention: A 0.6-ml solution Savolitinib inhibitor of gadobutrol (1 mmol/ml), diluted 1: 7 in saline, was injected in the affected ear through the inferior-posterior quadrant of the tympanic membrane, using a 22-gauge spinal needle. In 9 MD patients, the contralateral ear also was injected. The patient was kept with the head rotated 45 degrees contralaterally for 30 minutes after each injection. Twenty-four hours later, a 3-dimensional fluid-attenuated inversion recovery magnetic resonance imaging using a 3 Tesla unit was performed.

Main Outcome Measure: Perilymphatic enhancement was evaluated in Stem Cell Compound Library different portions of the labyrinth in MD ears and compared with the outcomes obtained in the non-MD ears.

Results: All MD ears showed impaired perilymphatic

enhancement of variable degrees. No enhancement defects could be observed in all examined contralateral unaffected ear of the patients with MD, as well as in 11 of the 12 ears of the subjects with various unilateral non-MD disorders.

Conclusion: Perilymphatic enhancement defect of variable degrees is observed in the pathologic ear of every patient with MD. The consistency of this phenomenon in MD ears and the complete enhancement in most of the ears without MD safely enable to attribute these findings to endolymphatic hydrops. It is likely in the near future that imaging may be used to achieve a certain diagnosis of MD in life.”
“Simple and reliable tools for identifying patients at high risk for melanoma with preventive measures have important public health implications. An individual risk score for cutaneous melanoma was constructed and externally validated.