Dystrophic soft tissue calcification
Brain stones
revisited—between a rock and a hard place. Dystrophic calcification in a 73-year-old female with a prior history of intracranial bleed who presented with loss of consciousness. The NCECT scan (a), close-up view (b) and 3D reconstruction (c) showed “brain stones” (black arrows) in the middle of the pathological brain regions. There is also an intraventricular drain present (white arrows). The subsequent appearance of calcifications in known post-traumatic or post-ischaemic areas of the brain is largely attributed to dystrophic calcification
Dystrophic
soft tissue calcification • Dystrophic calcification - Ganzer Fall bei Radiopaedia
Dystrophic soft tissue calcification is a type of soft-tissue calcification, which occurs in damaged or necrotic tissue, while the serum level of calcium and phosphorus are normal. It may progress to ossification, in which case a cortical and trabecular bone pattern is visible.
An often cited approach to developing a differential diagnosis is using the mnemonic VINDICATE, a form of surgical sieve:
- vascular
- venous insufficiency
- Mönckeberg arteriosclerosis
- infection
- granulomatous infection
- parasitic infestation
- cysticercosis
- dracunculiasis
- Armillifer armillatus
- neoplasm
- primary bone-forming tumors: osteosarcoma
- other sarcomas: specially synovial sarcoma
- osteoma
- tumor necrosis
- sarcoidosis
- drugs
- autoimmune
- dermatomyositis
- scleroderma and CREST syndrome
- systemic lupus erythematosus
- trauma
- heterotopic ossification
- injection granuloma
See also
Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu dystrophic calcification:
intrakranielle
Verkalkungen in einem Parenchymschaden