Ectopic glioneuronal tissue in the middle cranial fossa region

2009 ◽  
Vol 3 (3) ◽  
pp. 188-196 ◽  
Author(s):  
Taylor J. Abel ◽  
Abhineet Chowdhary ◽  
Mahesh Thapa ◽  
Joseph C. Rutledge ◽  
Joseph Gruss ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Clinical Course ◽  
Middle Cranial Fossa ◽  
Future Research ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Feeding Difficulties ◽  
Cranial Fossa ◽  
The Right

The growth of ectopic glioneuronal tissue in the middle cranial fossa region is an uncommon event, with very few cases reported in the literature. In this paper the authors document 4 cases of ectopic glioneuronal tissue in the middle cranial fossa in children and briefly describe the clinical course and pathology. All of the children presented within the first 6 months of life. Two children presented with facial masses, 1 with airway obstruction, and another with proptosis of the right eye. Each child underwent a customized surgery dependent on the location and characteristics of the harbored lesion. Ectopic glioneuronal masses in the middle cranial fossa are rare and benign congenital tumors, and affected newborns can present with airway obstruction, feeding difficulties, and facial deformity depending on the lesion location. Determining an appropriate surgical approach and strategy is a significant challenge and may involve a multidisciplinary team of craniofacial plastic surgeons, otolaryngologists, and neurosurgeons. Although these lesions share clinical and anatomical similarities, because of their histopathological heterogeneity, it is unlikely that they represent a single pathological entity. The long-term outcome in these children is still unknown and is an area for future study. The pathogenesis of these lesions also remains unknown and may be revealed in future research.

49-Month Survival Following Caval Venectomy Without Nephrectomy in a Dog with a Pheochromocytoma

2012 ◽  
Vol 48 (5) ◽  
pp. 352-358 ◽  
Author(s):  
Pierre J. Guillaumot ◽  
Dominique Heripret ◽  
Bernard M. Bouvy ◽  
Gilbert Christiaens ◽  
Agnes Poujade ◽  
...  
Keyword(s):  
Hind Limb ◽  
Vena Cava ◽  
En Bloc ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Clinical Disorders ◽  
Limb Edema ◽  
Thrombus Removal ◽  
The Right

An 11 yr old spayed female Labrador retriever was diagnosed with a right adrenal tumor. At surgery, adhesions to the right kidney were dissected, allowing the right kidney to be preserved. The tumor showed extensive invasion into the suprarenal vena cava. It was felt that thrombus removal via venotomy could not be performed. Instead, the vena cava was ligated caudal to the liver and cranial to the right renal vein. The neoplastic gland was then excised en bloc together with the portion of the invaded caudal vena cava. Hind limb edema had developed preoperatively and increased transiently in the first days postoperatively. The animal was discharged 6 days postoperatively with no other clinical disorders, and hind limb edema resolved over time. Histopathology identified a pheochromocytoma. The dog died 49 mo later. A neoplastic thrombus of the vena cava may require venotomy to allow thrombus removal. Occasionally, removal of the thrombus by venotomy may prove impossible. In such a situation, en bloc removal of the concerned portion of the vena cava may be performed with a good long-term outcome provided that gradual occlusion of the vena cava by the thrombus has allowed time for collateral circulation to develop.

Displacement of an Ununited Medial Humeral Condylar Ossification Centre in the Cat

2018 ◽  
Vol 31 (02) ◽  
pp. 153-157
Author(s):  
Kerstin Erles ◽  
Thomas Maddox ◽  
Andy Morris
Keyword(s):  
Weight Bearing ◽  
Distal Humerus ◽  
Acute Onset ◽  
Outcome Evaluation ◽  
Ossification Centre ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Similar Appearance ◽  
The Right

AbstractA 2-year-old cat was presented with the complaint of acute-onset non–weight-bearing lameness of the right forelimb. When examined, the cat was of short stature and had multiple joint and cartilaginous abnormalities suggestive of chondrodysplasia. The cause of the acute lameness was radiographically identified as a displaced osseous fragment from the medial portion of the right humeral condyle. The features of the osseous fragment were consistent with an ununited medial condylar ossification centre of the distal humerus. Furthermore, a nondisplaced ununited ossified fragment of similar appearance and size was present in the contralateral elbow. Surgical treatment by excision of the displaced fragment resulted in a preinjury level of limb function in the long-term outcome evaluation.

Participation of Ethnically Diverse Personnel in State-Federal Vocational Rehabilitation Agencies

2006 ◽  
Vol 37 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Madan M. Kundu ◽  
Alo Dutta ◽  
Sylvia Walker
Keyword(s):  
Vocational Rehabilitation ◽  
Culturally Diverse ◽  
Ethnically Diverse ◽  
Substantial Improvement ◽  
Future Research ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Diverse Backgrounds ◽  
Rehabilitation Personnel

The rate of employment among those with disabilities, especially from culturally diverse backgrounds, is extremely low and the prevalence of poverty rather high compared to the general population. However, the long-term outcome of consumers of the state-federal vocational rehabilitation (VR) system continues to be in need of substantial improvement. The fact that the ethnographic composition of the direct service professionals and administrators employed by the system does not represent that of the country complicates the matter even further. The current study, involving 7,862 professionals from 38 VR agencies, was designed to ascertain the demographic composition of rehabilitation personnel in: (1) State Offices, (2) District/Regional Offices, and (3) Evaluation/Training Facilities. It was found that the participants were mostly Caucasians, females, did not have degrees in rehabilitation, and possessed non-rehabilitation related certification/licensure. The representation of people with disabilities was extremely low. Recommendations for future research, continued federal funding of rehabilitation and related programs, and possible changes in existing policies were made.

Surgical treatment of ruptured aneurysm of the sinus of Valsalva

1994 ◽  
Vol 4 (4) ◽  
pp. 347-352 ◽  
Author(s):  
Guo Jia Qiang ◽  
Zhu Xiao Dong ◽  
Xie Gan Xing ◽  
Cao Jian Xiang ◽  
Xiao Ming Di ◽  
...  
Keyword(s):  
Coronary Sinus ◽  
Functional Class ◽  
Ruptured Aneurysm ◽  
Sinus Of Valsalva ◽  
Aortic Sinus ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Long Term Follow Up ◽  
The Right

SummaryThis study reviews the results of the surgical management of 154 cases of ruptured aneurysm of the sinus of Valsalva. Of the patients0 73% were male, with an average age of 28 years. An associated ventricular septal defect was found in 40% and 23% had aortic valvar regurgitation. The aneurysms originated from the right coronary sinus in 79% and from the non-coronary sinus in the remainders. The aneurysms ruptured into the right ventricle in 73%, into the right atrium in 27% and into the left ventricle in less than 1%. Operative mortality was 4.5%. Long-term follow-up was achieved in 80% of patients, with a mean duration of 5.7 years and a range from two months to 29 years. Preoperative aortic regurgitation and preoperative functional class (NYHA III or IV) were both predictive of a worse long-term outcome. The optimal surgical approach was closure of the distal end of the fistula by direct suture together with reinforcement of the aortic sinus with a Dacron patch.

Long-term outcome of stent insertion in airway obstruction due to advanced malignancy

Lung Cancer ◽  
2020 ◽  
Vol 139 ◽  
pp. S27-S28
Author(s):  
M. Shoeib ◽  
A. Kirk ◽  
M. Asif ◽  
J. Butler ◽  
N. Kostoulas ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Stent Insertion ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Advanced Malignancy
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