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It is with great pleasure and, much interest that I accepted to
write the foreword to this book by Paul Doury, Yves Dirheimer, and
Serge Pattin on the subject of "algodystrophy." First, because I
know the extent of their personal experience, from which they have
selected the best for this book. Second, because it seemed to me
that their detailed analysis of the numerous works on the subject,
works which have been published all over the world and which
provide diverse physiopathologic interpretations, would provide a
comprehensive study meeting a real need. Algodystrophy, to adopt
the term used by the authors, merits rheumatolog ists' careful
attention. It is indeed a frequent condition and, as is now well
known, occurs in the most varied etiologic circumstances; it is not
solely posttraumatic, a notion on which diagnosis had long been
based. This variable etiology suggests the complexity of
algodystrophy's pathogenic mechanism."
These exercises are meant for students and practitioners who wish
to familiarize themselves with the normal and pathologieal
computerized tomographie radioanatomy of the abdomen. The
iconography is suffieiently characteristic to be read without the
help of clinical or biological data. It comprises both normal and
pathologie findings. Analysis of scans is comprised of two steps.
The first part consists of the detailed study of normal scans,
whieh serve as a reference. For this, eight main slice levels have
been considered necessary and sufficient: neces sary since a
certain number of slices are indispensable for the exploration of
the abdomen; sufficient because a larger number of slices would
risk rendering memorization difficult. The second part involves a
study of the pathologie findings, organ by organ. Acknowledgements.
Appreciation is extended to all those who have helped in realizing
this study and, more particularly, to our friends and colleagues,
J. L. DIETEMANN, C. Roy, J. L. BURGUET, M. VOUGE, and J. W.
SOUITER. We would also like to thank Dr. J. WIECZOREK for his
friendly assistance and advice in the planning and presentation of
figures and schemata. 1 Technical Note Computerized tomography of
the abdomen begins with an initial image called "scout view". This
numbered radio graph of the abdomen is an analogous representation
of the information and allows the location of the eight selected
slice levels; these are represented by horizontallines. The slices
are 10 mm thick and are taken at intervals of 2.5 cm.
Like my first book of exercises in radiological diagnosis con-
cerning the vertebrae in adults, the first part of this book
consists of an atlas of images ready for immanent reading. The
images are numbered, each number corresponding to a case. The
second part comprises the corresponding comments, critical
interpretations, and drawings (using the same num- bers as the
corresponding radiographs in the first part). I hope that this
second booklet will be as appreciated as was the first, which was
published in four languages (Radio- diagnosis of the Vertebrae in
Adults. Springer, Berlin Hei- delberg New York 1983). My own
documentation having proved deficient in some fields, I had
recourse to the didactic collections oimy collea- gues, friends,
and students. Special thanks are due to Prof. J. F. Bonneville, and
to Drs. J. L. Dietemann, Y. Dirheimer, J. C. Dosch, and J. Vignaud.
AUGUSTE WACKENHEIM VII Contents Introduction ...1 Part One:
Iconography 5 Part Two: Commentary with Corresponding Schemata. 107
References . . 189 Subject Index 191 IX Introduction The analysis
or the reading of an X-ray picture proceeds from struc- turalistic
rules, such as the immanence, the synchronism, the significa- tion
(signifiant and signifie of a sign), first from the semeiologic and
then from the semantic point of view. In a simpler way, one can say
that it is necessary to distinguish the signifiant, the signiGBPie,
the comment, the interpretation, and the radiobioclinical
confrontation. The signifiant or character is a normal or
pathological "characteris- tic" part of the image.
This volume is the latest in the series Exercises in Radio logical
Diagnosis, launched by the Strasbourg School of Radio logy. Further
volumes on the facial bones, senology, and abdominal tomography are
in preparation. Jean-Louis Dietemann has over a decade's experience
of radiodiagnosis of the skull, and has already proven his talents
as a teacher with his earlier books on the sella turcica and on
carotid angiography. The present volume will assuredly be a great
success and will enhance the series. Professor A. W ACKENHEIM
Hospices Civils de Strasbourg Centre Hospitalier Regional Service
de Radiologie I Strasbourg v Contents Part One: Iconography . . . .
. . . . . . . . .. . . 1 . Part Two: Commentary with Corresponding
Schemata. 85 References . . 165 Subject Index 167 VII Part One
Iconography 1 1 a b 3 2 a b 4 3 4 5 6 6 a b 7 7 8 8 a b 9 9 10 10
11 a b 11 12 13 a b 13 a b 14 b 15 16 17 16 17 20 18 21 a b 19 22 a
b 20 21 24 a b 22 b 23 26 27 24 a 25 26 29 27 31 32 28 33 34 29 35
36 30 37 a b 31 38 39 32 40 41 33 42 43 34 44 a b 35 44 c 45 a 36
45 b ~----~------~~ c 37 46 47 38 48 49 39 50 a b 40 41 52 53 a 42
53 b 54 a 43 54 b 55 44 56
It was with great pleasure that I accepted Professor Wackenheim's
invitation to write the preface of this most interesting monograph.
During the international course on neuroradiology in Obernai,
organized by Professor Wackenheim in 1978, an entire day was
devoted to discussions about various aspects of stenosis of the
lumbar vertebral canal. As Professor Wackenheim and his group, in
particular Dr. E. Babin, had thorough. ly studied this field, it
was an excellent occasion for the exchange of views through
personal contact. Their support of basic views such as attributing
the cause of stenosis to a developmental disturbance of growth of
the neural element - the vertebral arc- and spontaneous agreement
about essentials in classification and nomenclature facili tated
this exchange. Reading the present monograph made me think back to
1949 when I wrote my first publication on stenosis of the lumbar
vertebral canal in a French volume that com memorated my teacher in
neurosurgery, Professor Clovis Vincent. During the following years
it was impossible to publish a more detailed paper on the subject
in international journals since their editorial boards did not
believe in its occurrence. My first English papers were published
in the Journal of Bone and Joint Surgery (1954, 1955), but it was
only during the 1970s that this form of stenosis became more
universally recog nized."
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