An unusual presentation of an encephalocele to the otolaryngologist

1999 ◽  
Vol 113 (4) ◽  
pp. 369-372
Author(s):  
C. K. Hari ◽  
D. G. Roblin ◽  
M. J. K. M. Brown ◽  
I. Thompson
Keyword(s):  
Skull Base ◽  
Histological Examination ◽  
Unusual Case ◽  
Upper Airway ◽  
Large Mass ◽  
Unusual Presentation ◽  
Base Of The Skull

AbstractAn unusual case of encephalocele causing obstruction of the upper airway in a neonate is described. The patient presented with a large mass in the neck, which extended from the base of the skull to the level of the larynx. Although there was no evidence of a defect of the skull base, subsequent excision and histological examination confirmed an encephalocele.

Stridor: an unusual presentation of lateral medullary syndrome

2007 ◽  
Vol 121 (7) ◽  
pp. 1-2 ◽  
Author(s):  
S Vaidyanathan ◽  
R Capper ◽  
D Chadha
Keyword(s):  
Airway Obstruction ◽  
Unusual Case ◽  
Upper Airway ◽  
High Index ◽  
Upper Airway Obstruction ◽  
Unusual Presentation ◽  
Angioneurotic Oedema ◽  
Lateral Medullary Syndrome ◽  
High Index Of Suspicion

We report an unusual case of lateral medullary syndrome which presented with symptoms of acute upper airway obstruction mimicking angioneurotic oedema. Although dysphonia and dysphagia are common symptoms of lateral medullary syndrome, we have found no other reports of this condition presenting as stridor. This case highlights the importance of maintaining a high index of suspicion for central causes of common otolaryngological symptoms in the absence of local signs.

scholarly journals Unusual presentation of a cutaneous leiomyoma of the neck simulating a goiter

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Kouame Kanga ◽  
Komenan Kassi ◽  
Kouame Kouassi ◽  
Ildevert Patrice Gbery ◽  
Jean-Marie Kanga
Keyword(s):  
Computed Tomography ◽  
Surgical Treatment ◽  
Ct Scan ◽  
Histological Examination ◽  
Unusual Case ◽  
Anterior Part ◽  
Skin Tumor ◽  
Unusual Presentation ◽  
Cervical Tumor ◽  
Thoracic Muscles

<p>We report an unusual case of a large cutaneous leiomyoma. Dermal leiomyomas are rare and benign skin tumors derived from the smooth erector muscles of the hair. The patient was a 12-year-old child who came in for a consultation on a big cervical tumor of the anterior part of the neck which simulated goiter. The lesion evolved since the patient was five years old; it was consistently firm and was associated with skin ulceration and significant deep suppurations. Computed tomography (CT) scan revealed that this tumor was limited to the soft and cutaneous tissues without invading the thoracic muscles. Surgical treatment allowed the excision of the gelatinous and well vascularized skin tumor measuring about 15 cm in diameter. Final histological examination confirmed the diagnosis of dermal leiomyoma.</p>

scholarly journals Insidious onset of headache, diplopia and Horner’s syndrome: a rare case of petrous bone osteomyelitis

2019 ◽  
Vol 12 (9) ◽  
pp. e231062
Author(s):  
Simon Biart ◽  
Janki Panicker
Keyword(s):  
Skull Base ◽  
Inflammatory Markers ◽  
Unusual Case ◽  
Petrous Bone ◽  
Skull Base Osteomyelitis ◽  
Unilateral Headache ◽  
Gradual Onset ◽  
Insidious Onset ◽  
Signal Change ◽  
Sixth Nerve

We present an unusual case of skull base osteomyelitis in an 88-year-old woman. She presented with gradual onset unilateral headache and diplopia. On examination, there was evidence of a left-sided Horner’s and ipsilateral sixth nerve palsy. In addition to persistent raised inflammatory markers, an MRI neck identified signal change in the petrous bone confirming a diagnosis of skull base osteomyelitis. Skull base osteomyelitis should be considered in presentations of subacute raised inflammatory markers in the context of ipsilateral cranial nerve signs.

scholarly journals An unusual presentation of Gossypiboma associated with secondary infertility: a case report

2021 ◽  
Vol 10 (8) ◽  
pp. 3236
Author(s):  
Eshwarya J. Kaur ◽  
Ganesh Saravagi
Keyword(s):  
Case Report ◽  
Unusual Case ◽  
Adnexal Mass ◽  
Perioperative Period ◽  
Definitive Diagnosis ◽  
Unusual Presentation ◽  
Morbidity And Mortality ◽  
Surgical Morbidity ◽  
Secondary Infertility ◽  
Abdominal Complications

Gossypibomas are a rare cause of surgical morbidity and mortality. When unrecognised in the perioperative period, they can present later with a myriad of abdominal complications. We present an unusual case of gossypiboma that was discovered as a cause of secondary infertility, misdiagnosed as a complex adnexal mass. After a definitive diagnosis was made, the removal of gossypiboma restored fertility in the patient successfully.

scholarly journals An Unusual Case of Aneurysmal Bone Cyst Involving Both Middle and Posterior Fossa Skull Base

2016 ◽  
Vol 05 (02) ◽  
pp. 114-116
Author(s):  
Hrushikesh Kharosekar ◽  
Vernon Velho ◽  
Shonali Valsangkar
Keyword(s):  
Skull Base ◽  
Posterior Fossa ◽  
Aneurysmal Bone Cyst ◽  
Unusual Case ◽  
Bone Cyst

Bilateral Laryngoceles

1993 ◽  
Vol 72 (12) ◽  
pp. 819-821 ◽  
Author(s):  
D. M. Thomas ◽  
G. J. Madden
Keyword(s):  
Airway Obstruction ◽  
Unusual Case ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Controlled Conditions ◽  
Airway Function

The authors present an unusual case of upper airway obstruction due to the presence of bilateral communicating laryngoceles. The use of aspiration techniques on the larger of the laryngoceles resulted in a significant improvement in upper airway function. This improvement avoided the need for a tracheostomy or intubation under potentially hazardous circumstances and allowed the eventual surgery to take place in more controlled conditions.

scholarly journals 1272 Control of Sleep-Associated Respiratory Distress with a Mandibular Advancement Oral Appliance in an Unusual Case of a Patient with a Mild Rather Persistent Nocturnal Baseline Hypoventilation/Hypoxia

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A483-A484
Author(s):  
I Manetta ◽  
A Almeida ◽  
D Schwartz ◽  
M Meira e Cruz
Keyword(s):  
Unusual Case ◽  
Upper Airway ◽  
Oral Appliance ◽  
Interesting Case ◽  
Normal Weight ◽  
Mandibular Advancement ◽  
Therapeutic Success ◽  
Sleep Related Breathing Disorders ◽  
Respiratory Parameters ◽  
Obstructive Sleep

Abstract Introduction Normal respiratory function is crucial for adequate sleep. Sleep Related Breathing Disorders, namely Obstructive Sleep Apnea (OSA) are frequent conditions among a large spectrum of obstructive events in the upper airway which are often linked to significant sleep related oxyhemoglobin dessaturation levels compared to those observed in baseline PSG-oximetry recorded. On the other hand, low baseline oxygen saturation (LBOS) is commonly linked to symptomatic cardiorespiratory disturbances which may adversely impact respiratory outcomes either awake or during sleep. Therefore it is relevant to be aware of the baseline ventilatory status in order to optimize the therapeutic care. Report of Case We present an unusual case of a patient with moderate OSA which was successfully controlled with a Mandibular Advancement Oral Appliance (OAm). Despite the control with the OAm, the patient still maintained a nocturnal pattern of hypoventilation/hypoxia. The 53 yo female patient with normal weight/height ratio (BMI=25,2) complaining of non restorative sleep, tiredness, impaired memory, excessive diurnal sleepiness (Epworth Sleepiness Scale - ESS=10 and bruxism with a PSG diagnosis of moderate OSA (BaselineO2Sat=94%; IAH=17,4 ev/h; ODI=32,9 ev/h; T90=34,7% of TST) was referred for treatment with a OAm. A PM Type 1 positioner was inserted and titrated until 12 mm of advancement (80% of maximal measured protrusion). Within 6 months follow up and after clinical titration, there was a clear symptomatic and objective improvement with resolution of all major complaints including sleepiness (ESS=5). Titration PSG showed a normalization in all parameters (IAH=1,4 ev/h;ODI=4 ev/h;T90=0,1% of TST). Baseline O2 Sat however remained low (93%) in the titration PSG even though no symptoms or signs of a disorder existed even after discounting for Ph related metabolic changes (normal levels of HCO3) Conclusion This is an interesting case of an unusual patient who presented with a LBOS level in the diagnostic PSG. Despite the therapeutic success of the OAm in controlling the sleep related respiratory condition, measured by all otherwise normalized PSG based sleep and respiratory parameters, maintained a LBOS in the titration PSG without any signs or symptoms of disease.

An Unusual Presentation of Verrucous Carcinoma of the Foot with Bone Invasion

2016 ◽  
Vol 106 (6) ◽  
pp. 427-429 ◽  
Author(s):  
Ho Min Lee ◽  
Young Sung Kim ◽  
Jong Pil Kim ◽  
Jong Im Lee ◽  
Kyeong Soo Uhm
Keyword(s):  
Unusual Case ◽  
Verrucous Carcinoma ◽  
Accurate Diagnosis ◽  
Unusual Presentation ◽  
Bone Invasion ◽  
Appropriate Treatment ◽  
Fifth Toe ◽  
Proper Diagnosis ◽  
Rare Malignancy ◽  
Ray Amputation

Verrucous carcinoma of the foot is a rare malignancy, and proper diagnosis can be delayed. Furthermore, misdiagnosis often results in delayed appropriate treatment. Herein, we present an unusual case of verrucous carcinoma of the fifth toe with bone invasion in a 63-year-old woman that was mistaken for a plantar wart for 3 years. The condition was treated by ray amputation. We emphasize the need for appropriate biopsy to achieve an accurate diagnosis.

An unusual case of intermittent upper airway obstruction

1993 ◽  
Vol 11 (2) ◽  
pp. 157-160 ◽  
Author(s):  
Desmond Peter Colohan ◽  
Mark Hillborn
Keyword(s):  
Airway Obstruction ◽  
Unusual Case ◽  
Upper Airway ◽  
Upper Airway Obstruction

scholarly journals Asymptomatic Thymic Cyst Appearing in the Neck on Valsalva: Unusual Presentation of a Rare Disease

2012 ◽  
Vol 2 ◽  
pp. 11 ◽  
Author(s):  
Kishor V. Hegde ◽  
P. Suneetha ◽  
P. V. Pradeep ◽  
Panil Kumar
Keyword(s):  
Rare Disease ◽  
Unusual Case ◽  
Clinical Presentation ◽  
Valsalva Maneuver ◽  
Unusual Presentation ◽  
Differential Diagnoses ◽  
Thymic Cyst ◽  
Radiological Evaluation ◽  
Thymic Cysts

Thymic cysts are usually diagnosed accidentally during radiological evaluation of the chest for unrelated conditions. Symptoms appear late when the mass compresses on adjoining tissues. We report an unusual case of asymptomatic mediastinal thymic cyst which was seen in the neck whenever the patient was asked to perform Valsalva maneuver. This case is being reported for the unusual clinical presentation of a rare disease. The role of imaging in the diagnosis and common differential diagnoses are also discussed.

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