The sphenoid sinus mucocoele

1981 ◽  
Vol 95 (5) ◽  
pp. 493-502 ◽  
Author(s):  
S. L. Sellars ◽  
J. C. De Villiers
Keyword(s):  
Surgical Treatment ◽  
Sphenoid Sinus ◽  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Radiological Findings ◽  
Early States ◽  
Symptoms And Signs ◽  
Sphenoid Sinuses

SummaryMucocoeles, mucopyocoeles and empyemas of the sphenoid sinus are rare, but potentially dangerous. Their occurrence is accompanied by a multitude of clinical symptoms and signs, which confuse the diagnosis and may lead to its mismanagement. The treatment of this condition is surgical and in its early states essentially simple.At Groote Schuur Hospital over a 6-year period (1972–1977) 6 patients with mucocoeles, mucopyocoeles or abscesses of the sphenoid sinuses have been seen. Their clinical presentation, radiological findings and surgical treatment are described and discussed. Correctly managed this condition should completely resolve; however, there is a mortality associated with delay or misdiagnosis.

A clinico-aetiological and ultrasonographic study of Peyronie's disease

Sexual Health ◽  
2006 ◽  
Vol 3 (2) ◽  
pp. 113 ◽  
Author(s):  
Bhushan Kumar ◽  
Tarun Narang ◽  
Somesh Gupta ◽  
Madhu Gulati
Keyword(s):  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Tunica Albuginea ◽  
Connective Tissue Disorder ◽  
Peyronie’S Disease ◽  
Penile Curvature ◽  
Age Group ◽  
History Of ◽  
Peyronie's Disease ◽  
Symptoms And Signs

Background: Peyronie’s disease is a localised connective tissue disorder that involves the tunica albuginea of the penis. Although long recognised as an important clinical entity of the male genitalia, the aetiology of this disease has remained poorly understood. Methods: The epidemiology and clinical presentation of Peyronie’s disease during a 10-year period was evaluated. Results: Forty-two men with Peyronie’s disease from Chandigarh, India were reviewed retrospectively. The prevalence of Peyronie’s patients was 1.97/1000 patients. Their ages ranged from 23 to 70 years. Most of them presented during the early phase of the disease. The most common presenting complaint was penile curvature in 34 (80.95%) followed by pain on erection in 28 (66.66%). History of penile trauma was revealed by four (9.52%) patients. Among the risk factors, hypercholesterolemia (60%), hypertension (33.3%) and asymptomatic hyperuricemia (28.34%) were the most common. Twenty-two patients with Peyronie’s disease were studied by ultrasonography. Ultrasonogram was more accurate than clinical assessment in delineating the extent of lesions. In one-third of the patients, sonography demonstrated the plaques to be more extensive than had been detected by clinical examination. Conclusions: The clinical symptoms and signs in our study were, in general, similar to those found in the previous studies. Higher incidence of hypertension and diabetes in patients with Peyronie’s disease may also be to an extent due to patients being in an older age group.

scholarly journals Eosinophilic gastroenteritis: a case report and review of the literature

2012 ◽  
Author(s):  
Paolo Biagi ◽  
Luigi Abate ◽  
Carmine Mellone ◽  
Stefania Salvadori ◽  
Andrea Peccetti ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Eosinophilic Gastroenteritis ◽  
Unknown Etiology ◽  
Peripheral Eosinophilia ◽  
Review Of The Literature ◽  
Radiological Findings ◽  
Complex Disorder ◽  
Colonic Involvement ◽  
Histologic Pattern

BackgroundEosinophilic gastroenteritis (EoG) is a rare disease of unknown etiology characterized by patchy or diffuse eosinophilic infiltration of the gastrointestinal tract wall. As clinical presentation and endoscopic/ radiological findings are nonspecific, diagnosis may only be ascertained by histologic findings.Clinical case This article presents a case of EoG with associated colonic involvement but without peripheral eosinophilia. Although no allergy could be demonstrated, the clinical symptoms and histologic pattern of diffuse eosinophilic mucosal infiltration disappeared after steroid therapy, as discovered by a careful endoscopic follow-up.Discussion Current concepts of this complex disorder and a review of the literature are presented.

scholarly journals MANAGEMENT OF GARBHODAKAVRIDDHI W.S.R. TO POLYHYDRAMNIOS THROUGH AYURVEDA - A CASE REPORT

2021 ◽  
Vol 9 (7) ◽  
pp. 1564-1570
Author(s):  
Divya Deepak Patil ◽  
Sonu Sonu ◽  
Vipin Tanwar ◽  
Mukesh Chaudhari
Keyword(s):  
Perinatal Outcome ◽  
Standard Treatment ◽  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Perinatal Morbidity ◽  
Radiological Findings ◽  
Optimal Range ◽  
Significant Correction ◽  
Common Clinical Presentation ◽  
Abdominal Examination

Introduction: Polyhydramnios is a relatively common clinical presentation in pregnancy with a varying incidence of 1-2% of cases. There is yet no data suggestive of improvement in perinatal outcome with antenatal fetal surveil- lance. Since it is associated with significant perinatal morbidity and mortality, fixing up a standard treatment pro- tocol for its management is needed. Case Description: A 28-year-old female patient consulted Prasutitantra and Streeroga OPD, NIA Hospital, Jaipur complaining of difficulty in breathing, palpitations, hyperacidity for 15 days with 8 months of amenorrhea. Diagnosis: Based on abdominal examination and radiological findings, the case was diagnosed with polyhydramnios. On the correlation of symptoms as stated by Acharya Sushruta, Ayurvedic diag- nosis of Garbhavriddhi was made. Intervention: As in the management of garbhavriddhi, practices involving appropriate samshodhana (purifying) and sanshamana (suppressive) yet kshaya-avirodhi karma (not causing loss of dosha or dhatu below optimal range) are prescribed. Hence, an intervention of Ksheerabasti with Punar- navashtaka Kwatha was done along with the oral medication in the present study. Outcome: USG done after 7 days of treatment course showed significant correction in AFI as well relief from clinical symptoms. Conclusion: This case illustrates that Polyhydramnios can be managed effectively and safely with Punarnavashtaka kwatha ksheera basti. Mutrajanana, Srotoshodhana, Kledapachana, and Shothaghna are the main actions essential in its manage- ment. Keywords: Garbhavriddhi, Polyhydramnios, Punarnavashtaka kwatha, Ksheera basti

scholarly journals The Impact of Pneumonia on the Course and Outcome in Patients with Seasonal Influzenza

PRILOZI ◽  
2020 ◽  
Vol 41 (2) ◽  
pp. 63-70
Author(s):  
Marija Cvetanovska ◽  
Zvonko Milenovic ◽  
Krsto Grozdanovski ◽  
Ilir Demiri ◽  
Katerina Spasovska ◽  
...  
Keyword(s):  
Seasonal Influenza ◽  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Fatal Outcome ◽  
Severe Influenza ◽  
General Data ◽  
The University ◽  
The Impact ◽  
Secondary Bacterial Pneumonia ◽  
Symptoms And Signs

AbstractIntroduction: Seasonal influenza, although often presented as a mild, self-limiting disease, is frequently accompanied by complications that lead to the development of a severe clinical presentation and a fatal outcome. The most common are respiratory complications, with secondary bacterial pneumonia being the leading cause.Aim: The aim of this study is to determine the impact of pneumonia on the severity of the clinical presentation and outcome in patients with seasonal influenza.Materials and Methods: This research is comparatively group-based and has been conducted at the University Clinic for Infectious Diseases and Febrile Conditions during a three-year period. The analysis consists of 122 adult patients with clinically and laboratory-confirmed influenza. Based on the severity of the clinical picture, the patients are divided into two groups, severe (n=87) and mild (n=35) forms of the disease. The study included demographic, general data, clinical symptoms, and signs as well as complications.Results: Of 122 patients with seasonal influenza, complications were registered among 108(88.52%), with a significantly more frequent emergence among the group with severe influenza 93.1% vs 77.14% (p=0.012). Pneumonia was the most common 98(80.33%) and had a significant effect on disease severity (p=0.002). Complications from the types of ABI 8(6.56%), ARDS 7(5.74%), sepsis 5(4.1%), DIC 4 (3.28%) and otitis 2(1.64%) were reported only in the group with severe influenza. Acute meningoencephalitis was registered among 5(4.1%), gastroenterocolitis among 3(2.46%), and hepatic damage among 14(11.47%) of patients.Conclusion: Pneumonia as the most common complication among patients with seasonal influenza significantly impacts the clinical course and outcome of the illness.

Metastasis of a Rectal Carcinoid to the Posterior Fossa

Neurosurgery ◽  
1979 ◽  
Vol 5 (4) ◽  
pp. 496-499 ◽  
Author(s):  
Thomas W. Bouldin ◽  
Kate Killebrew ◽  
Stephen C. Boone ◽  
Robert M. Gay
Keyword(s):  
Latent Period ◽  
Posterior Fossa ◽  
Dura Mater ◽  
Endocrine Cell ◽  
Clinical Presentation ◽  
Rectal Tumor ◽  
Rectal Carcinoid ◽  
Radiological Findings ◽  
Symptoms And Signs

Abstract We report the metastasis of a rectal carcinoid to the dura mater of the posterior fossa. The clinical presentation was unusual because of a 10-year latent period between resection of the primary rectal tumor and symptoms and signs of the posterior fossa metastasis; the radiological findings were atypical of a metastasis. Gastrointestinal carcinoids, apudomas, and the concept of the APUD endocrine cell family are reviewed.

Pituitary Apoplexy: A Review

Neurosurgery ◽  
1984 ◽  
Vol 14 (3) ◽  
pp. 363-373 ◽  
Author(s):  
Ramos Cardoso Erico ◽  
Weston Peterson Eric
Keyword(s):  
Differential Diagnosis ◽  
Surgical Treatment ◽  
Natural History ◽  
Pituitary Apoplexy ◽  
Clinical Presentation ◽  
Historical Evolution ◽  
Review Of The Literature ◽  
Radiological Findings ◽  
Hemorrhagic Complications ◽  
Endocrine Alterations

Abstract The authors present a critical review of the literature on the hemorrhagic complications of pituitary adenomas, especially those leading to apoplexy. They emphasize the distinction between pituitary apoplexy, hemorrhages leading to sudden endocrine alterations, and asymptomatic hemorrhages. Moreover, they speculate upon the possible pathophysiology of pituitary apoplexy and its predisposing factors. The clinical presentation, natural history, radiological findings, and differential diagnosis are also discussed. Finally, the historical evolution of the treatment of pituitary apoplexy is reviewed, with emphasis on the surgical treatment.

scholarly journals Chondromas and multiple enchondromatosis

2021 ◽  
Vol 27 (4) ◽  
pp. 441-445
Author(s):  
P. Lascombes ◽  
◽  
L. Mainard-Simard ◽  
◽  
Keyword(s):  
Surgical Treatment ◽  
Bone Tumors ◽  
Benign Tumor ◽  
Clinical Presentation ◽  
Radiological Findings ◽  
Benign Bone Tumors ◽  
Multiple Enchondromatosis ◽  
Pathologic Fractures ◽  
Bone Deformities

Introduction The chondromas are a cartilaginous proliferation of mature appearance and moderate size, reason why these tumors are regarded more like hamartomas than real benign tumor. Chondromas represent 10 to 12 % of benign bone tumors. Any bone of an enchondral ossification may be involved. Several bones can be involved, and the disease is called “chondromatosis”. In the review we describe clinical and radiological findings of this pathology as well as indications for reconstructive surgery. Material and methods The review is dedicated to isolated chondromas, periosteal and extraskeletal chondromas, chondromatosis. Results The aspects of epidemiology, clinical presentation, radiology, MRI, prognosis, indications and methods of surgical treatment have been described in the article for each types of chondroma and enchondromatosis. Conclusion Chondromas are benign bone tumors which may be responsible of pathologic fractures. Their surgical treatment consists in curettage and bone grafting or bone-cement filling with or without osteosynthesis. Multiple enchondromatosis should be considered as an osteochondrodysplasia. Its treatment is not the treatment of the multiple chondromas themselves, but of the bone deformities and length discrepancy induced by the disorder. The transformation of some tumors in chondrosarcomas in adolescence or adulthood needs a strict follow up of these patients.

FEATURES OF SURGICAL TREATMENT OF PATIENTS WITH CSF LEAK FROM THE SPHENOID SINUS

2019 ◽  
Vol 15 (68) ◽  
pp. 048
Author(s):  
D. I. Zabolotny ◽  
D. D. Zabolotna ◽  
E. R. Ismagilov
Keyword(s):  
Surgical Treatment ◽  
Sphenoid Sinus ◽  
Csf Leak

Scoring System for the Diagnosis of COVID-19

2020 ◽  
Vol 13 (1) ◽  
pp. 413-414 ◽  
Author(s):  
Mohamed Farouk Allam
Keyword(s):  
Scoring System ◽  
Clinical Symptoms ◽  
False Negative ◽  
Nasopharyngeal Swab ◽  
Rt Pcr ◽  
Pcr Assay ◽  
Negative Results ◽  
False Negative Results ◽  
Symptoms And Signs

Due to the international spread of COVID-19, the difficulty of collecting nasopharyngeal swab specimen from all suspected patients, the costs of RT-PCR and CT, and the false negative results of RT-PCR assay in 41% of COVID-19 patients, a scoring system is needed to classify the suspected patients in order to determine the need for follow-up, home isolation, quarantine or the conduction of further investigations. A scoring system is proposed as a diagnostic tool for suspected patients. It includes Epidemiological Evidence of Exposure, Clinical Symptoms and Signs, and Investigations (if available). This scoring system is simple, could be calculated in a few minutes, and incorporates the main possible data/findings of any patient.

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