Gradenigo's syndrome in a four-year-old patient: a rare diagnosis in the modern antibiotic era

2019 ◽  
Vol 133 (06) ◽  
pp. 535-537 ◽  
Author(s):  
N Rossi ◽  
M L Swonke ◽  
L Reichert ◽  
D Young
Keyword(s):  
Rare Case ◽  
Failure To Thrive ◽  
Abducens Nerve ◽  
Tube Placement ◽  
Gradenigo’S Syndrome ◽  
The Right ◽  
Petrous Apicitis ◽  
Rare Diagnosis ◽  
Tomography Scan ◽  
Intact Canal Wall Mastoidectomy

AbstractObjectiveThis study gives details of a rare case of petrous apicitis that presented as Gradenigo's syndrome and was managed surgically.MethodThis study presents a case report and review of the literature.ResultsA four-year-old female was admitted for failure to thrive following recent sinusitis. Physical examination was positive for right sided facial pain, photophobia and right abducens nerve palsy. Subsequent magnetic resonance imaging revealed a 1.3 × 1.7 × 1.4 cm abscess encompassing the right Meckel's cave. A computed tomography scan showed petrous apicitis and otomastoiditis, confirming Gradenigo's syndrome. The patient was taken to the operating theatre for right intact canal wall mastoidectomy with myringotomy and tube placement. She was discharged on six weeks of ceftriaxone administered by a peripherally inserted central catheter line. At a two-week post-operative visit, she showed notable improvement in neuropathic symptoms.ConclusionThis study presents a rare case of petrous apicitis managed surgically without the need for a craniotomy or transcochlear procedure.

scholarly journals Benign cemento-ossifying fibroma: a rare case report

2018 ◽  
Vol 4 (2) ◽  
pp. 585
Author(s):  
Gurbax Singh ◽  
Jasmine Kaur ◽  
Jai Lal Davessar ◽  
Latika Kansal ◽  
Ajay Singh
Keyword(s):  
Sphenoid Sinus ◽  
Rare Case ◽  
Surgical Excision ◽  
Ossifying Fibroma ◽  
Computed Tomography Scan ◽  
Rare Case Report ◽  
History Of ◽  
The Right ◽  
Slow Growing ◽  
Tomography Scan

<p>Cemento-ossifying fibroma (COF) is a benign fibro-osseous lesion commonly seen in the head and neck regions. It is considered as a benign, locally aggressive neoplasm that requires surgical excision. COF has traditionally been considered to be slow growing. We report a case of 11 year-old girl who presented to the ENT Department of our hospital with 7 months history of nasal obstruction, proptosis and headache. Computed Tomography scan images showed a mass in the right nasal cavity. This case is notable because involvement of the sphenoid sinus is rare. </p>

Bilateral nasolabial cysts associated with recurrent dacryocystitis

2005 ◽  
Vol 119 (5) ◽  
pp. 412-414 ◽  
Author(s):  
Dionysios E Kyrmizakis ◽  
Vassilios A Lachanas ◽  
Antonios A Benakis ◽  
George A Velegrakis ◽  
Ioannis M Aslanides
Keyword(s):  
Rare Case ◽  
Computed Tomography Scan ◽  
Visible Scar ◽  
Chronic Dacryocystitis ◽  
External Dacryocystorhinostomy ◽  
The Right ◽  
Sublabial Approach ◽  
Tomography Scan ◽  
Alar Region ◽  
Nasolacrimal Ducts

Objective: Nasolabial cysts are rare, nonodontogenic, soft-tissue, developmental cysts occurring inferior to the nasal alar region. They are thought to arise from remnants of the nasolacrimal ducts and they are frequently asymptomatic. We report a rare case of bilateral nasolabial cysts accompanied by bilateral chronic dacryocystitis.Case report: A 48-year-old woman suffering from bilateral chronic dacryocystitis was referred to our department for endonasal dacryocystorhinostomy. She had undergone external dacryocystorhinostomy on the left side a few years earlier. Physical examination and computed tomography scan revealed nasolabial cysts bilaterally inferior to the nasal alar region. The cysts were removed via a sublabial approach and endoscopic dacryocystorhinostomy was performed on the right side. Ten months after surgery, the patient was asymptomatic.Conclusion: There may be a correlation, due to embryological reasons, between the presence of nasolabial cysts and the presence of chronic dacryocystitis. Both can be corrected surgically, under the same anaesthesia, without visible scar formation.

scholarly journals Supernumerary Nostril in a 15-Year-Old Girl

2018 ◽  
Vol 32 (2) ◽  
pp. 51-54 ◽  
Author(s):  
Ann Christie P. Lluisma
Keyword(s):  
Rare Case ◽  
Government Hospital ◽  
Computed Tomography Scan ◽  
Surgical Interventions ◽  
Blind Ending ◽  
Nasal Ala ◽  
Supernumerary Nostril ◽  
Design Case ◽  
The Right ◽  
Tomography Scan

Objective: To describe a rare case of a supernumerary nostril and its management, and to discuss the different theories pertaining to this type of deformity. Methods:             Design:           Case Report             Setting:           Tertiary Government Hospital             Patient:           One Results: A 15-year-old girl was born with one extra nasal opening. Nasal endoscopy after 15 years revealed a mucosa-lined cavity that ended blindly. Computed tomography scan showed a small opening lateral to the right nasal ala which did not communicate with the right nasal cavity. A crescent incision was made along the inner circumference of the supernumerary nostril and the blind ending nasal tract was excised. A portion of the ala was removed and a Z-plasty repair was performed. Conclusion: Treatment has to be tailored as to the presentation of a supernumerary nostril and any other associated deformity. Though various surgical interventions exist, the goal of repair is to create a functioning and normal-appearing nose. Keywords: Supernumerary Nostril, Accessory Nostril

scholarly journals A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum

2019 ◽  
Vol 32 (6) ◽  
pp. 466
Author(s):  
Joaquim Cruz Teixeira ◽  
Diogo Cardoso Simão ◽  
José Pimentel ◽  
Sérgio Livraghi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Fibrous Dysplasia ◽  
Rare Case ◽  
Low Back ◽  
Rare Entity ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Medullary Bone ◽  
The Right ◽  
Tomography Scan

Fibrous dysplasia is a bone disease characterized by an osteoblastic dysfunction resulting in a fibrous replacement of the normal medullary bone. We describe the case of a 33-year-old who presented with low back pain irradiating to her right leg. Both the computed tomography scan and magnetic resonance imaging showed an osteolytic, multicystic lesion of the right hemi-sacrum with invasion of the right S1 foramen. She underwent foraminotomy and curettage of the lesion. Histological diagnosis was fibrous dysplasia, without features of malignant transformation. Three years after surgery the patient is asymptomatic and imaging is stable. This is the fifth known case of monostotic fibrous dysplasia involving the sacrum, a rare entity that must be considered in the differential diagnosis when approaching patients with sacral lesions.

scholarly journals Renal lymphangiectasia presenting with hypertension and polycythemia

2014 ◽  
Vol 8 (3-4) ◽  
pp. 163 ◽  
Author(s):  
Mathieu Blanc ◽  
Gérard Schmutz ◽  
François Belzile ◽  
Robert Sabbagh
Keyword(s):  
Computed Tomography ◽  
Blood Pressure ◽  
Rare Case ◽  
Lymphatic System ◽  
Family Doctor ◽  
Hemoglobin Level ◽  
Computed Tomography Scan ◽  
Normal Range ◽  
The Right ◽  
Tomography Scan

We report a very rare case of renal lymphangiectasia, an accumulation of lymph in the renal lymphatic system secondary to obstruction. Our patient presented to his family doctor for an annual check-up which resulted with high blood pressure and polycythemia. An ultrasound was performed and revealed a large right perirenal collection. A year later, a controlled abdominal computed tomography scan showed a progression and compression of perirenal collection on the right kidney, as well as apparition of a left perirenal collection. Percutaneous drainage of both collections was unsuccessful. Laparoscopy-guided marsupialisation was performed and successful. Blood pressure lowered to normal range without medication. The patient’s hemoglobin level decreased within normal range after 3 additional phlebotomies postoperatively.

Popliteal nodal metastasis from squamous cell cancer of the foot. Case report and literature review

2019 ◽  
pp. 1-2
Keyword(s):  
Case Report ◽  
Lymph Node ◽  
Literature Review ◽  
Squamous Cell ◽  
Rare Case ◽  
Squamous Cell Cancer ◽  
Cell Cancer ◽  
Nodal Metastasis ◽  
Regional Disease ◽  
The Right

We report a very rare case of squamous cell cancer of the right foot which had metastasize to the ipsilateral popliteal lymph node after initial diagnosis and treatment for the loco-regional disease.

The Esophageal Detector Device: Accuracy and Reliability in Difficult Airway Settings

1996 ◽  
Vol 11 (1) ◽  
pp. 60-62 ◽  
Author(s):  
Christopher E. Kapsner ◽  
David C. Seaberg ◽  
Charles Stengel ◽  
Kaveh Ilkhanipour ◽  
James Menegazzi
Keyword(s):  
Emergency Medicine ◽  
Pulmonary Edema ◽  
Difficult Airway ◽  
Laboratory Investigation ◽  
Respiratory Arrest ◽  
Tube Placement ◽  
Mainstem Bronchus ◽  
Anatomic Location ◽  
The Right ◽  
Attending Physician

AbstractIntroduction:The esophageal detector device (EDD) recently has been found to assess endotracheal (ET) tube placement accurately. This study describes the reliability of the EDD in determining the position of the ET tube in clinical airway situations that are difficult.Methods:This was a prospective, randomized, single-blinded, controlled laboratory investigation. Two airway managers (an emergency-medicine attending physician and a resident) determined ET-tube placement using the EDD in five swine in respiratory arrest. The ET tube was placed in the following clinical airway situations: 1) esophagus; 2) esophagus with 1 liter of air instilled; 3) trachea; 4) trachea with 5 ml/kg water instilled; and 5) right mainstem bronchus. Anatomic location of the tube was verified by thoracotomy of the left side of the chest.Results:There was 100% correlation between the resident and attending physician's use of the EDD. The EDD was 100% accurate in determining tube placement in the esophagus, in the esophagus with 1 liter of air instilled, in the trachea, and in the right mainstem bronchus. The airway managers were only 80% accurate in detecting tracheal intubations when fluid was present.Conclusions:The EDD is an accurate and reliable device for detecting ET-tube placement in most clinical situations. Tube placement in fluid-filled trachea, lungs, or both, which occurs in pulmonary edema and drowning, may not be detected using this device.

scholarly journals Retroauricular Emphysema as a Late Complication After Bonebridge Implantation: Case Report

2021 ◽  
pp. 014556132110002
Author(s):  
Soňa Šikolová ◽  
Dagmar Hošnová ◽  
Klára Perceová ◽  
Michal Bartoš ◽  
Vít Kruntorád ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Postoperative Complications ◽  
Rare Case ◽  
Late Complication ◽  
Bone Conduction ◽  
Computed Tomography Scan ◽  
Artificial Opening ◽  
Low Incidence ◽  
Tomography Scan

Bonebridge (BB) is the first active implantation system for bone conduction that is placed fully under the skin. Experience suggests that BB is characterized by low incidence of postoperative complications. This case report presents a rare case of a 16-year-old girl with incidence of emphysema occurring over the implant 1 year after operation. We performed a computed tomography scan that showed pockets of gas above the floating mass transducer so we provided the revision surgery and sealed the artificial opening with fat from the earlobe and fibrin glue. Since that time, no air has collected in the retroauricular area and the implant has been fully functional.

scholarly journals A Rare Case of Adult Aortopulmonary Window Combined with Anomalous Origin of the Right Pulmonary Artery from the Aorta Leading to Eisenmenger Syndrome

2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098465
Author(s):  
Mingyue Cui ◽  
Binfeng Xia ◽  
Heru Wang ◽  
Haihui Liu ◽  
Xia Yin
Keyword(s):  
Pulmonary Artery ◽  
Rare Case ◽  
Congenital Heart ◽  
Respiratory Tract Infections ◽  
Anomalous Origin ◽  
Aortopulmonary Window ◽  
Eisenmenger Syndrome ◽  
Right Pulmonary Artery ◽  
The Right ◽  
Tract Infections

Aortopulmonary window is a rare congenital heart disease that can increase pulmonary vascular resistance, exacerbate left-to-right shunt and lead to heart failure and respiratory tract infections. Most patients die during childhood. We report a 53-year-old male patient with a large aortopulmonary window combined with anomalous origin of the right pulmonary artery from the aorta, with Eisenmenger syndrome and without surgery.

A Rare Case of Intramedullary Lipoma of the Thigh Bone.

1965 ◽  
Vol 51 (6) ◽  
pp. 457-459 ◽  
Author(s):  
Leandro Gennari ◽  
Federico Bozzetti
Keyword(s):  
Rare Case ◽  
Femoral Bone ◽  
Thigh Bone ◽  
The Right

Intramedullary diaphyso-epiphysary lipomas of the thigh bone are extremely rare in the literature (8 cases described). A case in a 58 years old woman is reported. The tumor was localized in the right femoral bone. The same patient had previously presented a similar tumor in the subcutis of the hip and in the parotid area.

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