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Lymphocutaneous Fistula
Joseph Junewick, MD FACR
over 7 years ago
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Case History


Teenager involved in motor vehicle accident now complaining of right upper extremity paresthesia and weakness.


Case Detail

Anatomy: Brain-Spine
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 7 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: CT MR
Activities:
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Case Images


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Reveal Findings

CT – Right T1 transverse process fracture.

MR – Axial T2 image shows a pseudomeningocele dissecting into the soft tissues of the right shoulder.

Reveal Discussion

Transverse process fractures are mechanistically the result of lateral flexion. Lateral flexion gives rise to simultaneous distraction and impaction ipsilateral and contralateral respectively to the applied force. Impaction is associated with fracture and/or soft tissue injury and distraction is associated with soft tissue injury (often neuropraxia from nerve stretching or pseudomeningocele). The presence of a pseudomeningocele indicates nerve root avulsion.

Reveal Diagnosis

Traumatic Pseudomeningocele

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