Trans-oral approach for occipital condyle biopsy: Case report and review of literature

2021 ◽  
pp. 197140092110447
Author(s):  
Riccardo Russo ◽  
Giovanni Morana ◽  
Francesco Mistretta ◽  
Andrea Gambino ◽  
Diego Garbossa ◽  
...  
Keyword(s):  
Open Surgery ◽  
Hypoglossal Nerve ◽  
Clinical Presentation ◽  
Oral Route ◽  
Occipital Condyle ◽  
Review Of Literature ◽  
Surgical Biopsy ◽  
Oral Approach ◽  
Occipital Headache ◽  
Safe Access

Isolated occipital condyle lesions are commonly treated with empirical radiation, with the sole aim of relieving symptoms. Patients rarely undergo surgical biopsy, considering the morbidity associated with open surgery approaches and the importance of surrounding structures limiting the application of computed tomography (CT) scan or fluoroscopic percutaneous needle biopsies. We describe the case of a 66-year-old woman who was admitted on an emergency basis. Her clinical presentation included unilateral occipital headache and ipsilateral hypoglossal nerve palsy. Imaging revealed findings consistent with an isolated right occipital condyle lesion. In order to pursue a tissue diagnosis, essential to dictate medical management accurately, a minimally invasive biopsy of the occipital condyle through the trans-oral route was performed. Combined fluoroscopy, cone-bean CT and angiography allowed safe access to the lesion.

scholarly journals Temporal gliosarcoma: case report and review of literature

2015 ◽  
Vol 22 (1) ◽  
pp. 112-116
Author(s):  
Amit Agrawal ◽  
Vissa Shanthi ◽  
Baddukonda Appala Ramakrishna ◽  
Kuppili Venkata Murali Mohan
Keyword(s):  
Case Report ◽  
Median Survival ◽  
Glial Cells ◽  
Primary Tumor ◽  
Clinical Presentation ◽  
Spindle Cell ◽  
Review Of Literature ◽  
Future Studies ◽  
Aggressive Tumor ◽  
The Brain

Abstract First characterized by Stroebe, the gliosarcomas are highly malignant and rare primary tumor of the brain composed of neoplastic glial cells in association with spindle cell sarcomatous elements (biphasic tissue patterns). In spite of being recognized as two different pathologies studies have not shown any significant differences between gliosarcoma and glioblastoma with regard to age, sex, size, clinical presentation, and median survival. In summary, gliosarcoma is an aggressive tumor with a propensity to recur and re-grow with poor outcome. Future studies are needed to understand the true pathology of these biphasic tumors.

Novel treatment for glance necrosis due to priapism; presentation and review of literature

2021 ◽  
pp. 039156032110382
Author(s):  
Abbas Soleimani ◽  
Mohammad Javad Nazarpour ◽  
Hamed Akhavizadegan
Keyword(s):  
Treatment Outcome ◽  
Normal Saline ◽  
Open Surgery ◽  
Necrotic Area ◽  
Case Description ◽  
Review Of Literature ◽  
Novel Treatment ◽  
Heparinized Saline ◽  
Appropriate Treatment

Introduction: Glans necrosis in association with priapism is very rare and its appropriate treatment is not known. There is a secondary cause in most cases. Case description: We treated a 65-year-old man with priapism and glans necrosis using a closed shunt (Winter), continuous penile irrigation with normal saline, and heparin for 48 h and waited for the necrotic area to resolve spontaneously. The treatment outcome was much better compared to previous cases in whom open surgery, irrigation with pure normal saline, and/or resection of the necrotic area were performed. Conclusion: In cases with priapism and glans ischemia, we recommend treating the condition with continuous covernose irrigation with heparinized saline and avoiding open surgery.

Lung carcinoma representing initially with subacute bilateral isolated hypoglossal nerve palsy: A case of atypical occipital condyle syndrome

2018 ◽  
Vol 7 (1) ◽  
pp. 37-39
Author(s):  
Zenshi Miyake ◽  
Kiyotaka Nakamagoe ◽  
Yasuhiro Ogawa ◽  
Masashi Matsuyama ◽  
Noriyuki Nakano ◽  
...  
Keyword(s):  
Lung Carcinoma ◽  
Nerve Palsy ◽  
Hypoglossal Nerve ◽  
Occipital Condyle ◽  
Hypoglossal Nerve Palsy

Haematogenous osteomyelitis: clinical presentation and outcome in three dogs

2011 ◽  
Vol 24 (02) ◽  
pp. 146-150 ◽  
Author(s):  
M. Rabillard ◽  
L. Souchu ◽  
G. W. Niebauer ◽  
O. Gauthier
Keyword(s):  
Clinical Presentation ◽  
Clinical Signs ◽  
Pelvic Abscess ◽  
Sensitivity Testing ◽  
Diagnostic Investigation ◽  
Pathological Fractures ◽  
Surgical Biopsy ◽  
Biopsy Specimens ◽  
Haematogenous Osteomyelitis

SummaryHaematogenous osteomyelitis is a rare form of bone infection in adult dogs. Most commonly the infection is iatrogenic or traumatic in origin. The authors report three different presentations of haematogenous osteomyelitis: a focal pelvic localisation in a growing dog, a vertebral lesion in an adult dog with associated neurological signs and a multifocal affection in another adult dog with concomitant pathological fractures.Clinical signs included pyrexia of undetermined origin, focal pain and lameness. Diagnostic investigation included radiographic imaging, bone scintigraphy, magnetic resonance imaging, surgical biopsy, and bacteriological culture with sensitivity testing of biopsy specimens as well as of peripheral blood samples. Treatment consisted of long-term antimicrobial therapy and surgical debridement with curettage of the pelvic abscess of the young dog and decompressive hemilaminectomy of the second dog, with excellent recovery. The dog affected by polyostotic bone involvement and suffering pathological fractures was euthanatized.Haematogenous osteomyelitis may be a diagnostic and therapeutic challenge and may present as a devastating skeletal condition, even in adult dogs, and should be considered amongst the differential diagnoses early on to allow effective treatment.

Open Surgery for Extraction of an Embolized Pellet in the Middle Cerebral Artery From a Shotgun Injury

2018 ◽  
Vol 17 (3) ◽  
pp. E119-E123 ◽  
Author(s):  
Michael Monterey ◽  
Keith Kerr ◽  
Mark Dannenbaum ◽  
Peng Roc Chen ◽  
Spiros Blackburn
Keyword(s):  
Computed Tomography ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Open Surgery ◽  
Clinical Presentation ◽  
Left Middle Cerebral Artery ◽  
Peripheral Vasculature ◽  
Cerebral Angiogram ◽  
Surgical Extraction ◽  
Close Range

AbstractBACKGROUND AND IMPORTANCEEmbolization of shotgun pellet from the peripheral vasculature to the cerebral vessels has been a known phenomenon that has been reported previously in the literature. However, there is no consensus on clinical indications for intervention, best modality of intervention or management upon leaving the hospital. We describe a case of a shotgun pellet in the neck that embolized to the middle cerebral artery that was treated with open surgery. Discussed is the initial management on presentation, timing of intervention from surgery and detailed surgical technique.CLINICAL PRESENTATIONA 20-yr-old man presented after being shot at close range with a shotgun. He was neurologically intact on exam. Initial screening computed tomography (CT) of the brain noted a shotgun pellet in the region of the sylvian fissure without intracranial hemorrhage. Computed tomography angiography again displayed pellet in the vicinity of the left middle cerebral artery. He was emergently taken for an awake cerebral angiogram and subsequent surgical extraction of the shotgun pellet.CONCLUSIONMissile embolization of a bullet fragment to the intracranial vasculature is rare and requires difficult decisions regarding management. Critical factors that are to be considered prior to treatment include neurological clinical presentation, timing of the trauma, and anatomic location of injury. Patients who are without neurological deficit that display compromised blood flow require immediate cerebral angiogram followed by surgical intervention depending on location.

scholarly journals Eosinophilic Granulomatosis Polyangiitis (EGPA) Masquerading as a Mycotic Aneurysm of the Abdominal Aorta: Case Report and Review of Literature

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Pooja Kumari ◽  
Debendra Pattanaik ◽  
Claire Williamson
Keyword(s):  
Abdominal Aorta ◽  
Mycotic Aneurysm ◽  
Review Of Literature ◽  
C Reactive Protein ◽  
Surgical Biopsy ◽  
Axillofemoral Bypass ◽  
Case Presentation ◽  
Reactive Protein ◽  
Eosinophilic Granulomatosis ◽  
Infrarenal Abdominal Aorta

Introduction. Aortic involvement leading to aortitis in eosinophilic granulomatosis polyangiitis (EGPA) is infrequent, and only 2 cases have been reported so far in the literature. Even more so, aortic aneurysm, secondary to EGPA, has never been reported and remains a diagnostic and therapeutic challenge. Case Presentation. We present a 63-year-old Caucasian male patient with a prior diagnosis of EGPA presenting with abdominal pain, nausea, and loose stools to the emergency department. Physical examination showed periumbilical tenderness. He had no peripheral eosinophilia but had high C-reactive protein and procalcitonin levels. CT abdomen revealed a mycotic aneurysm involving the infrarenal abdominal aorta. The patient declined surgical repair initially and was treated with IV antibiotics only. Unfortunately, 24 hours later, the aneurysm ruptured, leading to emergent axillofemoral bypass surgery. Surgical biopsy showed aortitis, periaortitis, and active necrotizing vasculitis. Conclusion. Abdominal aneurysms should be considered a complication of EGPA, and earlier immunosuppressive therapy should be considered to prevent further complications.

Quadricuspid aortic valve: a case report and review of literature

2021 ◽  
Author(s):  
Usman Ghani Piracha ◽  
Gurukripa N. Kowlgi ◽  
Walter Paulsen ◽  
Mohammad Khalid Mojadidi ◽  
Nimesh Patel
Keyword(s):  
Case Report ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Functional Status ◽  
Aortic Regurgitation ◽  
Valve Replacement ◽  
Clinical Presentation ◽  
Quadricuspid Aortic Valve ◽  
Review Of Literature ◽  
Cardiac Defect

Quadricuspid aortic valve, a rare congenital cardiac defect, manifests most commonly as aortic regurgitation. Clinical presentation mainly depends on the functional status of the aortic valve, myocardium and associated cardiovascular abnormalities. Aortic valve replacement or repair is usually warranted in the 5th or 6th decade.

scholarly journals Characteristics and Clinical Outcomes of Open Surgery for Trigger Digits in Diabetes

2018 ◽  
Vol 11 (02) ◽  
pp. 080-083
Author(s):  
Sean Wei Loong Ho ◽  
Ching Yee Chia ◽  
Vaikunthan Rajaratnam
Keyword(s):  
Clinical Outcomes ◽  
Open Surgery ◽  
Clinical Presentation ◽  
Clinical Severity ◽  
High Rate ◽  
Dominant Hand ◽  
Diabetes Group ◽  
Initial Surgery ◽  
Patient Reported ◽  
Surgical Release

Abstract Introduction Trigger digit is a common condition of the hand. Diabetes has a known association with the development of trigger digit. It is thought to influence the clinical presentation and efficacy of open surgical release. This study aimed to assess the differential characteristics of trigger digits and the clinical outcomes of open surgery for trigger digits in diabetics. Materials and Methods This was a retrospective study of all patients who underwent open surgical release of trigger digits in a single institution from 2012 to 2013. Patients were divided into two groups with group 1 consisting of all patients with a history of diabetes. Group 2 consisted of all patients without diabetes. Demographics and clinical presentation were reviewed. All patients were reviewed via a telephone questionnaire at least 2 years after the initial surgery and were assessed for patient-reported outcomes. Results There were 201 patients who met the inclusion criteria, of which 191 patients were recruited. This included 87 (45.5%) males and 104 (54.5%) females. A total of 260 open releases were performed. Sixty-one (31.9%) patients were diabetic, and 130 (68.1%) patients were nondiabetic. The diabetic group was significantly older than the nondiabetic group (p = 0.002). The dominant hand was not significantly more affected than the nondominant hand (p = 0.51). The middle finger was most commonly involved (43.5%), and the little finger was the least commonly involved (1.2%). There was no significant increase in multiple-digit presentation in the diabetic population when compared with the nondiabetic population (p = 0.52). There was a low complication rate and a high rate of postoperative satisfaction after open surgery in both groups. Conclusion Diabetes does not predispose patients to increased rates of multiple trigger digit presentation or increased clinical severity on presentation. Open surgery for trigger digit is an effective and safe treatment modality for diabetics.

scholarly journals AGGRESSIVE MESENTRIC FIBROMATOSIS: A RARE CASE REPORT AND REVIEW OF LITERATURE

2013 ◽  
Vol 03 (01) ◽  
pp. 79-82
Author(s):  
Rohan Shetty ◽  
Shubha Bhat ◽  
Rajesh Ballal ◽  
Pramod Makannavar ◽  
Anil Kumar K. N.
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Rare Case ◽  
Clinical Presentation ◽  
Aggressive Fibromatosis ◽  
Definitive Diagnosis ◽  
Review Of Literature ◽  
Therapeutic Challenge ◽  
Rare Case Report ◽  
Small Intestinal

AbstractMesentric fibromatosis is a proliferative fibroblastic neoplasm of the small intestinal mesentery with varied clinical presentation. Giant mesentric fibromatosis is uncommon and its rarity poses a diagnostic and therapeutic challenge. This paper presents a recurrent aggressive fibromatosis in a 38 year old male patient, who had initially undergone a laparotomy outside for mass abdomen but only pus was evacuated and definitive diagnosis was not made.

Ultrasound-guided transoral drainage of a paediatric parapharyngeal abscess

2014 ◽  
Vol 128 (12) ◽  
pp. 1120-1122 ◽  
Author(s):  
A Delides ◽  
E Manoli ◽  
M Papadopoulos ◽  
T Nikolopoulos
Keyword(s):  
Case Report ◽  
Parapharyngeal Space ◽  
Oral Route ◽  
Retropharyngeal Abscess ◽  
Abscess Drainage ◽  
Neck Ultrasound ◽  
Guided Surgery ◽  
Parapharyngeal Abscess ◽  
First Case ◽  
Oral Approach

AbstractObjective:To report and discuss the surgical use of ultrasonography for draining a parapharyngeal space infection in a child.Case report:The use of image-guided surgery for draining a parapharyngeal abscess has been previously reported, with computed tomography for an intra-oral approach and ultrasound for an external approach. We present the first case report of a four-year-old child with a retropharyngeal abscess and a deep parapharyngeal abscess in whom neck ultrasound was used to assist intra-oral drainage.Conclusion:Neck ultrasound may be used in paediatric patients to visualise access to the parapharyngeal space through the intra-oral route for abscess drainage.

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