By J. D. Pickard, Concezio Di Rocco, V. V. Dolenc, R. Fahlbusch, N. De Tribolet
Provides a suite of papers representing fields of neurosurgery and similar components during which very important contemporary advances were made. Discusses problems of cognizance, medical overview and surgical concepts in temporal lobe epilepsy, and extra. backed via the ecu organization of Neurosurgical Societies.
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Additional info for Advanced Imaging of the Abdomen
Dilation, at times multiple, is required for dysphasia induced by these webs. Dilation in one patient led to an intramural dissection extending from the cervical esophagus to the esophagogastric junction (93). Schatzki’s Ring Occasionally a web-like narrowing is detected at the distant end of the esophagus. Also called lower esophageal ring or mucosal ring, this narrowing contains not only mucosa but also other esophageal wall layers; it does not represent the squamocolumnar-mucosal junction. These rings, at most several millimeters in thickness, are believed by some to be secondary to reﬂux esophagitis, although their precise etiology is unknown.
Metastatic thyroid carcinoma presenting as an expansile intraluminal esophageal mass. ) C Granular Cell Tumors Most granular cell tumors originate as a solitary painless nodule in the skin, tongue, or larynx. Also known as Abrikossoff ’s tumors and granular cell myoblastoma, they are rare in the gastrointestinal tract, with the esophagus being most often involved. Even rarer are multifocal granular cell tumors. These tumors are not believed to originate from muscle cells and thus are not of myoblastic cell origin and the term granular cell myoblastoma appears inappropriate.
Pathologically, patients with achalasia have few or no ganglion cells, but show myenteric inﬂammation, neural ﬁbrosis, and often a ganglionitis (101); the number of remaining ganglion cells is inversely related to degree of myenteric ﬁbrosis. Advanced achalasia exhibits marked myenteric ganglion cell depletion, extensive neural destruction, and chronic inﬂammation. Mean duration of symptoms with newly diagnosed achalasia is generally years. A delay in diagnosis is common. 38 ADVANCED IMAGING OF THE ABDOMEN Vigorous Achalasia Some patients with achalasia have prominent but uncoordinated contractions in the body of the esophagus, a condition termed vigorous achalasia.
Advanced Imaging of the Abdomen by J. D. Pickard, Concezio Di Rocco, V. V. Dolenc, R. Fahlbusch, N. De Tribolet