The Potential of Computed Tomography Volumetry for the Surgical Treatment in Bilateral Macronodular Adrenal Hyperplasia: A Case Report

Eagle Syndrome is the sensation of presence of a foreign body along with pain in the oropharynx and face that is exacerbated by swallowing, chewing and yawning due to the elongation of the styloid process. Its aetiology is usually tonsillectomy or throat injury. The associated pathological feature is the compression of neurovascular structures surrounding the styloid process due to its lengthening. In this report, a case of 37-year-old female presenting with Eagle syndrome treated surgically by intraoral approach is presented. Computed tomography showed hyperdense bilateral areas in the regions of styloid processes suggestive of elongated styloid processes. The patient underwent general anaesthesia due to the possibility of airway obstruction during the procedure and the proximity of important neurovascular structures. In the region of the tonsillar pillars, electrocautery and tissue dissection was performed and the styloid processes were accessed. The electrocautery incisions were placed in the region of the tonsillar pillars, surrounding tissues were dissected to expose the styloid processes in oral cavity. With Kelly forceps, the styloid processes were fractured and removed. The surgical treatment with intraoral approach provided definitive treatment of the Eagle syndrome quickly, without causing obvious scarring and favouring the patient’s recovery.

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A case report on the importance of imaging in the diagnosis of Lipofibromatous Hamartoma of the median nerve

Iberoamerican Journal of Medicine ◽

10.53986/ibjm.2020.0021 ◽

2020 ◽

Vol 2 (2) ◽

pp. 127-130

Author(s):

Luis Adiel Medrano-Danes ◽

◽

Francisco Rafael Espinosa-Leal ◽

Roberto Ceniceros-Marrufo ◽

Edelmiro Pérez-Rodríguez ◽

...

Keyword(s):

Computed Tomography ◽

Case Report ◽

Surgical Treatment ◽

Magnetic Resonance ◽

Median Nerve ◽

Plain Film ◽

Surgical Biopsy ◽

Plain Film Radiography ◽

Lipofibromatous Hamartoma ◽

Low Incidence

This case report presents a lipofibromatous hamartoma of the median nerve in a 31-year-old man who presents local deformity and a sensory deficit in the nerve territory. The tumor was evaluated with magnetic resonance, computed tomography, and plain film radiography, studying the pathognomonic findings of this tumor. The patient did not want surgical treatment because of prior surgical sequelae. A prior surgical biopsy was reported as a peripheral nerve with normal axonal fascicles surrounded by abundant fibroadipose tissue. This tumor has a low incidence with less than 180 cases reported in the literature.

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Hypertrophy of the mandibular coronoid process and structural alterations of the condyles associated with limited buccal opening: case report

Brazilian Dental Journal ◽

10.1590/s0103-64402007000200017 ◽

2007 ◽

Vol 18 (2) ◽

pp. 171-174 ◽

Cited By ~ 6

Author(s):

Marcelo Oliveira Mazzetto ◽

Takami Hirono Hotta

Keyword(s):

Computed Tomography ◽

Case Report ◽

Surgical Treatment ◽

Ct Scan ◽

Phase Analysis ◽

Clinical Examination ◽

Panoramic Radiograph ◽

Coronoid Process ◽

Structural Alterations ◽

Temporomandibular Joints

This paper reports the case of a patient who presented limited buccal opening, though, without apparent symptomatology. The patient was partially toothless and exodontia of the remaining teeth was indicated. Clinical examination and clinical interview were performed as well as panoramic radiograph, transcranial radiograph of the temporomandibular joints (TMJ) and, later, computed tomography (CT), emphasizing the importance of complementary exams in the diagnostic phase. Analysis of the CT scan confirmed the structural alteration in the condylar and coronoid processes of the jaw, explaining the limited buccal opening. The remaining teeth were extracted and complete upper and lower dentures were fabricated, reestablishing the occlusal relationship and the patient's stomatognathic functions. Surgical treatment of the coronoid process was discarded.

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A spontaneous pregnancy and live birth in a woman with primary infertility following the excision of an ovarian adrenal rest tumor: A rare case

Clinical and Experimental Reproductive Medicine ◽

10.5653/cerm.2020.03692 ◽

2020 ◽

Vol 47 (4) ◽

pp. 319-322

Author(s):

Hacer Uyanıkoglu ◽

Gonul Ozer ◽

Semra Kahraman

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Congenital Adrenal Hyperplasia ◽

Rare Case ◽

Adrenal Hyperplasia ◽

Adrenal Rest Tumor ◽

Main Complaint ◽

Spontaneous Pregnancy ◽

Male Patients ◽

Adrenal Rest

Adrenal rest tumors are a rare extra-adrenal complication of congenital adrenal hyperplasia (CAH) in women although they are more commonly found in the testes of male patients with CAH. An ovarian adrenal rest tumor (OART) may coexist with CAH or imitate its symptoms without CAH. In this case report, we present the case of a woman with OART without CAH, whose main complaint was infertility and who had a baby after successful surgical treatment.

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Symptomatic Parietal Intradiploic Encephalocele—A Case Report and Literature Review

Journal of Neurological Surgery Reports ◽

10.1055/s-0037-1599799 ◽

2017 ◽

Vol 78 (01) ◽

pp. e40-e45 ◽

Cited By ~ 5

Author(s):

Chen Shi ◽

Bruno Flores ◽

Stephen Fisher ◽

Samuel Barnett

Keyword(s):

Magnetic Resonance Imaging ◽

Computed Tomography ◽

Case Report ◽

Surgical Treatment ◽

Literature Review ◽

Rare Condition ◽

Resonance Imaging ◽

Traumatic Head Injury ◽

Traumatic Head

AbstractEncephalocele is a rare condition that consists of herniation of cerebral matter through openings of dura and skull. A majority of encephaloceles are congenital and manifest in childhood. We present a case of a 45-year-old man presenting with contralateral hemiparesis and found to have an extremely rare phenomenon of a symptomatic posttraumatic parietal intradiploic encephalocele (IE) manifesting 36 years following pediatric traumatic head injury. Computed tomography and magnetic resonance imaging confirmed herniation of brain tissue into the intradiploic space. Surgical treatment with reduction of the encephalocele achieved near resolution of preoperative hemiparesis on follow-up. The pathogenesis and a literature review of IE are discussed.

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The Role of Navigation and Ultrasound Piezosurgery in the Surgical Treatment of Hypertelorism: A Case Report

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0034-1384180 ◽

2014 ◽

Vol 75 (S 02) ◽

Author(s):

S. Heredero ◽

J. Solivera ◽

A. Romance ◽

A. Dean ◽

J. Lozano

Keyword(s):

Case Report ◽

Surgical Treatment

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Transient Prealbumin- Associated Hyperthyroxinemia in TSH-Producing Pituitary Adenoma

Nuklearmedizin ◽

10.1055/s-0038-1629511 ◽

1990 ◽

Vol 29 (01) ◽

pp. 40-43 ◽

Cited By ~ 3

Author(s):

W. Langsteger ◽

P. Költringer ◽

P. Wakonig ◽

B. Eber ◽

M. Mokry ◽

...

Keyword(s):

Computed Tomography ◽

Case Report ◽

Pituitary Adenoma ◽

Thyroid Hormones ◽

Protein Binding ◽

Alpha Subunit ◽

Normal Range ◽

Thyroxine Binding Globulin ◽

Free Thyroid Hormones ◽

Transmission Computed Tomography

This case report describes a 38-year-old male who was hospitalized for further clarification of clinically mild hyperthyroidism. His increased total hormone levels, the elevated free thyroid hormones and the elevated basal TSH with blunted response to TRH strongly suggested a pituitary adenoma with inappropriate TSH incretion. Transmission computed tomography showed an intrasellar expansion, 16 mm in diameter. The neoplastic TSH production was confirmed by an elevated alpha-subunit and a raised molar alpha-sub/ATSH ratio. However, T4 distribution on prealbumin (PA, TTR), albumin (A) and thyroxine binding globulin (TBG) showed a clearly increased binding to PA (39%), indicating additional prealbumin-associated hyperthyroxinemia. The absolute values of PA, A and TBG were within the normal range. After removal of the TSH-producing adenoma, basal TSH, the free thyroid hormones and T4 binding to prealbumin returned to normal. Therefore, the prealbumin-associated hyperthyroxinemia had to be interpreted as a transitory phenomenon related to secondary hyperthyroidism (T4 shift from thyroxine binding globulin to prealbumin) rather than a genetically conditioned anomaly of protein binding.

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Computed tomography of sclerosing hemangioma of the lung: A case report

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1990.26.3.525 ◽

1990 ◽

Vol 26 (3) ◽

pp. 525

Author(s):

O J Suh ◽

J S Kim ◽

S K Zeon ◽

S J Suh

Keyword(s):

Computed Tomography ◽

Case Report ◽

Sclerosing Hemangioma

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Hemangiomatosis of the greater omentum – a case report

Perspectives in Surgery ◽

10.33699/pis.2019.98.4.178-180 ◽

2019 ◽

Vol 98 (4) ◽

pp. 178-180

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Histological Examination ◽

Case Reports ◽

Greater Omentum ◽

Surgical Removal ◽

Consumption Coagulopathy ◽

Cavernous Hemangiomas ◽

Mesodermal Origin ◽

Benign Tumours

Cavernous hemangiomas are benign tumours of mesodermal origin. Even though various localizations of hemangioma have been described in the literature, its occurrence in the greater omentum is very rare. Only symptomatic hemangiomas are indicated for surgical treatment. There are case reports presenting resection or surgical removal of the greater omentum with hemangioma because of mechanical syndrome, consumption coagulopathy, bleeding, infection or suspicion of a malignancy. This article presents a case report of a patient operated on for a suspicion of carcinomatosis of the greater omentum. Histological examination found hemangiomatosis in the resected greater omentum.

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