scholarly journals Osteoma of mastoid temporal bone

Author(s):  
Gowri Sankar M. ◽  
Somanath B. M. ◽  
Raveendra P. Gadag ◽  
Manu C. B. ◽  
Nagaraj M.

<p>Osteoma is a benign slow growing bone tumour with predominance in long bones, and is rare in the skull. They are a rare occurrence in the mastoid temporal bone, being usually asymptomatic and treated mainly for cosmetic reasons. We report a case of a young female who presented with a history of swelling in the left post aural region since 10 years. Swelling was gradually increasing in size and was painless. Patient underwent excision of the tumour without any significant complication. As per our knowledge this appears to be the largest tumour reported in literature. The clinical presentation and radiological features of osteoma are characteristic but differential diagnosis should include eosinophilic granuloma, giant cell tumour, monostotic fibrous dysplasia, solitary variant of multiple osteoma, and osteoblastic metastasis. Osteomas present on the mastoid or squamous portion of the temporal bone need to be dealt for cosmetic purposes or if they are causing symptoms, while surgery should include careful removal of periosteal cover and safe margin of the mastoid cortex around it. </p>

2017 ◽  
Vol 4 (4) ◽  
pp. 1484 ◽  
Author(s):  
Senthilkumar Perumal

Gall stone ileus is an uncommon and potentially serious complication of cholelithiasis. The formation of fistula between the gallbladder and duodenum may allow the gallstone to enter the intestinal tract. It carries a significant morbidity and mortality due to the advanced age of patients and high incidence of concomitant diseases. Here we report a case of a 75-year-old male patient who is a known diabetic, hypertensive and COPD with a recent history of surgery for obstructed umbilical hernia. He presented in the emergency department with small bowel obstruction owing to a large stone in ileum. The clinical presentation, radiological features, operative procedure and literature review are presented.


1993 ◽  
Vol 83 (7) ◽  
pp. 424-425 ◽  
Author(s):  
WL Wagoner ◽  
RB Spencer ◽  
RP Ramos

The gross and histologic characteristics of chondroid syringoma were discussed. A case history of the fourth published occurrence of this rare tumor of the lower extremity was presented. Because of the rare occurrence of this tumor in the lower extremity, chondroid syringoma can easily be misdiagnosed. However, it should be included in the differential diagnosis of any slow-growing solid nodule in the skin. In the case presented, the hallux was saved by the persistence of the podiatrist and pathologist in obtaining second and third opinions on the histologic presentation of this rare tumor.


Neurographics ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 211-222
Author(s):  
S.E. Noujaim ◽  
K.T. Brown ◽  
D.T. Walker ◽  
C.D. Hasbrook

Paragangliomas are slow-growing hypervascular neuroendocrine tumors that arise from neural crest paraganglia cells distributed throughout the body. The purpose of this article is to review the clinical presentation and imaging characteristics of paragangliomas of the head and neck, based on their sites of origin, and to discuss the differential diagnosis of lesions that can mimic them. This article also reviews detailed anatomy of the jugular fossa, temporal bone, and the carotid space, where most head and neck paragangliomas are found. This article is intended for neuroradiologists and neuroradiology trainees with varying degrees of experience as well as a broader audience of physician radiologists and nonradiologists who use imaging of the head and neck in their daily practice.Learning Objective: To recognize the clinical presentation and imaging characteristics of paragangliomas of the head and neck, based on their sites of origin, and to differentiate these tumors from lesions that can mimic them.


2019 ◽  
Vol 12 (10) ◽  
pp. e230768
Author(s):  
Jeewan Ram Vishnoi ◽  
Vijay Kumar ◽  
Kirti Srivastava ◽  
Sanjeev Misra

Ewing’s sarcoma (ES) is the second most common malignant primary bone tumour in children and adolescents. It primarily affects the diaphysis of long bones and pelvis. ES arising from temporal bone is extremely rare. To date, 43 such cases have been described in the literature. Clinical and radiological features are non-specific. Diagnosis is based mainly on immunohistochemistry. The present article presents an extremely rare case of ES of the temporal bone in a 20-year young man, and he was successfully treated with multiagent chemotherapy and radiotherapy.


2021 ◽  
Vol 13 (2) ◽  
pp. 22-27
Author(s):  
Bárbara Cecília Borges Moreira ◽  
Alexandre Fernandes de Azevedo ◽  
Mirian Cabral Moreira de Castro

Spontaneous cerebrospinal fluid leaks of the temporal bone are uncommon conditions, but with increasing incidence in the last years. They represent the osteodural defect of the middle and posterior fossae floor with consequent communication between the subarachnoid space and the middle ear and mastoid cells, not associated with a history of trauma, chronic infections, tumors, surgery or irradiation. Physiopathogenesis is not well defined, being associated with the faulty development of the temporal bone and/or the presence of aberrant arachnoid granulations, in addition to being favored by idiopathic intracranial hypertension, obstructive sleep apnea and obesity. It has the potential for serious neurological complications, which is why surgical treatment is recommended. The main approaches involve transmastoid access and craniotomy access through the middle fossa, or a combination of both. This paper reports on a case attended at Grupo Santa Casa BH and performs a literature review and on aspects related to the clinical presentation and management of the condition.


Neurosurgery ◽  
2009 ◽  
Vol 64 (1) ◽  
pp. E189-E190 ◽  
Author(s):  
Kenny Yu ◽  
James Van Dellen ◽  
Philip Idaewor ◽  
Federico Roncaroli

Abstract OBJECTIVE We describe an intraosseous angiolipoma of the cranium and discuss the outcome. Angiolipomas are benign tumors that consist of mature adipose tissue and abnormal vessels. They occur predominantly in the subcutaneous tissue of the trunk and upper limbs. Only 4 examples of intraosseous angiolipomas have been reported in the literature, all of which involved the mandible and ribs. CLINICAL PRESENTATION A 39-year-old man presented with a right parietal swelling. The patient initially refused surgery; thus it was possible to follow this case for 11 years, allowing us to evaluate the natural history of this rare condition. INTERVENTION Complete surgical excision of the intraosseous lesion was achieved with a titanium cranioplasty performed at intervals. Fifteen months after surgery, no recurrence was seen. CONCLUSION This is the first known report of intraosseous angiolipoma of the cranium. Angiolipomas are rare, benign, slow-growing tumors with an excellent prognosis. On preoperative neuroimaging, they may mimic intraosseous angiomas, lipomas, or intraosseous meningiomas. Total resection is curative.


2011 ◽  
Vol 15 (6) ◽  
pp. 344-346 ◽  
Author(s):  
Matthew Henry ◽  
Adam Perry

Background and Objective: This is a somewhat rare case of a 19-year-old African American female with multiple cutaneous granular cell tumors. Granular cell tumors are of neural origin, except in rare cases, and are considered benign, with a low incidence of malignancy. The clinical presentation varies greatly, but these tumors are most commonly painful and slow growing, with two-thirds occurring on the head and neck. Patients are most commonly in their second to fourth decades of life, two-thirds are black, and two-thirds are women. Granular cell tumors are diagnosed by the characteristic pathologic findings of polygonal cells with eosinophilic granular cytoplasm. Conclusion: These tumors are most commonly singular but can be multiple in 10 to 15% of patients. Older patient age, rapid growth or enlargement, and a history of local recurrence should raise concern for malignant behavior. The distribution and family history in this case are suggestive of possible mosaicism.


2021 ◽  
Vol 20 (3) ◽  
pp. 678-681
Author(s):  
Nurul Anis Mohd Fauzi ◽  
Mohd Shaiful Nizam Mamat Nasir ◽  
Zubaidah Mohamad ◽  
Azliana Aziz ◽  
Irfan Mohamad

Sudden rapidly increased neck swelling due to spontaneous intranodular bleeding of the thyroid gland is rare occurrence but can be considered. Here, we report an extremely rare case of spontaneous rupture intrathyroidal nodule in a healthy young female who had no history of neck swelling, thyroid disease or neck trauma. She was closely observed and treated conservatively as there was no compromised airway. She was discharged well after completed intravenous antibiotic. Bangladesh Journal of Medical Science Vol.20(3) 2021 p.678-681


2018 ◽  
Vol 34 (4) ◽  
pp. 285-290 ◽  
Author(s):  
Elizabeth Ayers

A plunging or diving ranula is a rare mucous fluid collection in the submandibular or parapharyngeal space resulting from damage or rupture of one or more ducts of the sublingual gland. The most common clinical presentation is a painless, slow-growing, pliable mass in the floor of the mouth, sometimes extending below the mandible through a defect in the mylohyoid muscle. This case report presents a young female patient who was suspected of having a plunging ranula. This case also highlights the role that sonography and other diagnostic tools play in the evaluation of this phenomenon.


2021 ◽  
Vol 14 (11) ◽  
pp. e244298
Author(s):  
Simona D'Amore ◽  
Navdeep Kumar ◽  
Uma Ramaswami

Gaucher disease is an inborn error of metabolism resulting from the deficiency of the enzyme glucocerebrosidase and consequent accumulation of glucocerebroside within the lysosomes of macrophages. The clinical presentation is very diverse, depending on the age of onset and the severity of the disease, and results from the progressive infiltration of lipid-laden cells in various organs. Common manifestations of Gaucher disease include enlarged liver and/or spleen (hepatosplenomegaly), bone marrow disease (pancytopenia) and bone abnormalities, which are extremely variable and can affect multiple skeletal sites. While bone involvement of long bones and vertebrae is a well-recognised feature of Gaucher disease, jawbone involvement is less commonly noted. Here, we describe a case of a 63-year-old patient with type 1 Gaucher disease with a history of long-term use of bisphosphonates and who had presented with dental pain, with subsequent investigations confirming the radiological features of jaw involvement in Gaucher disease, including periodontal disease.


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