scholarly journals Pyriform Sinus Fistula in Children: Preferred Imaging Modality and Risk Factors for Diagnostic Delay

2020 ◽  
Vol 8 ◽  
Author(s):  
Tong Chen ◽  
Guijie Ge ◽  
Jianglong Chen ◽  
Xiuhao Zhao ◽  
Qingfeng Sheng ◽  
...  
Keyword(s):  
Risk Factors ◽  
Imaging Modality ◽  
Diagnostic Delay ◽  
Pyriform Sinus ◽  
Pyriform Sinus Fistula

Pyriform Sinus Fistula: A Single Center Experience

2013 ◽  
Vol 56 (3) ◽  
pp. 154 ◽  
Author(s):  
Jun Ho Seok ◽  
Dongbin Ahn ◽  
Jin Ho Sohn ◽  
Jin Hyuk Choi ◽  
Yun Young Jung ◽  
...  
Keyword(s):  
Pyriform Sinus ◽  
Single Center ◽  
Pyriform Sinus Fistula ◽  
Single Center Experience

scholarly journals Risk Factors for Cerebral Aneurysm Rupture in Mongolia

2021 ◽  
Author(s):  
Matthias Bechstein ◽  
Amarjargal Gansukh ◽  
Boldbat Regzengombo ◽  
Oyun Byambajav ◽  
Lukas Meyer ◽  
...  
Keyword(s):  
Risk Factors ◽  
Medical History ◽  
Cerebral Aneurysm ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Imaging Modality ◽  
Treatment Options ◽  
Time Estimation ◽  
Developed Countries ◽  
Aneurysm Rupture ◽  
Risk Of Rupture

Abstract Purpose Identification of country-specific demographic, medical, lifestyle, and geoenvironmental risk factors for cerebral aneurysm rupture in the developing Asian country of Mongolia. First-time estimation of the crude national incidence of aneurysmal subarachnoid hemorrhage (aSAH). Methods A retrospective analysis of all intracranial digital subtraction angiographies (DSA) acquired in Mongolia during the 2‑year period 2016–2017 (1714 examinations) was performed. During this period, DSA was used as primary diagnostic imaging modality for acute severe neurological symptoms in the sole hospital nationwide dedicated to neurological patients. The catchment area of the hospital included the whole country. Patients with incidental and ruptured aneurysms were reviewed with respect to their medical history and living conditions. The data was used to install a Mongolian aneurysm registry. Results The estimated annual crude incidence of cerebral aneurysm rupture was 6.71 for the country of Mongolia and 14.53 per 100,000 persons for the capital region of Ulaanbaatar. Risk factors common in developed countries also applied for the Mongolian population: A medical history of hypertension, smoking or the presence of multiple aneurysms led to a higher relative risk of rupture. In contrast, female gender was not associated with a higher risk in this national cohort. Males pursuing a traditional nomadic living may exhibit a specifically high risk of rupture. Conclusion Disease management of over 200 individuals/year with aSAH constitutes a socioeconomic burden in Mongolia. Efforts to raise awareness of the risk factors hypertension and smoking among the Mongolian population are desirable. Measures to improve the nationwide availability of modern neurovascular treatment options are currently under consideration.

Surgical approach to pyriform sinus fistula

1993 ◽  
Vol 14 (2) ◽  
pp. 111-115 ◽  
Author(s):  
Naobumi Nonomura ◽  
Fumio Ikarashi ◽  
Toshiyuki Fujisaki ◽  
Yuichi Nakano
Keyword(s):  
Surgical Approach ◽  
Pyriform Sinus ◽  
Pyriform Sinus Fistula

scholarly journals A Case of Pyriform Sinus Fistula with Respiratory Distress in the Neonatal Period

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Noriko Hamaguchi ◽  
Hajime Ishinaga ◽  
Kazuki Chiyonobu ◽  
Hiroyuki Morishita ◽  
Kazuhiko Takeuchi
Keyword(s):  
Respiratory Distress ◽  
Neonatal Period ◽  
Fistulous Tract ◽  
Pyriform Sinus ◽  
Computed Tomography Imaging ◽  
Pharyngeal Wall ◽  
Tomography Imaging ◽  
Pyriform Sinus Fistula ◽  
Branchial Cleft

Pyriform sinus fistula (PSF) is an anomaly that can arise due to failure of involution of the third or fourth branchial cleft during embryogenesis. It can manifest clinically as sinuses, cysts, or abscesses in the neck and is common in childhood. Herein, we describe a neonate who presented with neck swelling and respiratory distress, which was secondary to a fourth branchial pouch sinus. Physical examination revealed swollen areas in the posterolateral pharyngeal wall and on the external left side of the neck. Computed tomography imaging showed a left-sided mass that was filled with air and fluid. Eventually, the pyriform sinus cyst and the entire fistulous tract were excised. The postoperative course was uneventful. Follow-up after 18 months showed no recurrence.

Developmental Hip Dysplasia

2019 ◽  
pp. 297-300
Author(s):  
Dorothy L. Gilbertson-Dahdal
Keyword(s):  
Risk Factors ◽  
Problem Solving ◽  
Imaging Modality ◽  
Treatment Options ◽  
Hip Dislocation ◽  
Clinical Findings ◽  
Developmental Dysplasia ◽  
Developmental Hip Dysplasia ◽  
Hormonal Factors ◽  
Dysplasia Of The Hip

Chapter 112 focuses on developmental dysplasia of the hip, which includes a spectrum of abnormalities ranging from a stable hip with a mildly dysplastic acetabulum to complete hip dislocation. Pathophysiology, clinical findings, and screening studies are explored. The pathophysiology is multifactorial including mechanical, genetic and hormonal factors. Imaging strategies, findings, and treatment options are also discussed. Screening US, which is the imaging modality of choice, is performed on infants with predisposing risk factors. Outcome is quite variable with many cases resolving spontaneously without treatment whereas others stabilize with acetabular dysplasia. Treatment options include immobilization and surgery. MRI is used for problem solving in postoperative patients.

scholarly journals Hemiplegic (unilateral) cerebral palsy in northern Stockholm: clinical assessment, brain imaging, EEG, epilepsy and aetiologic background factors

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Elsa Tillberg ◽  
Bengt Isberg ◽  
Jonas K. E. Persson
Keyword(s):  
Risk Factors ◽  
Cerebral Palsy ◽  
White Matter ◽  
Diagnostic Delay ◽  
Motor Impairment ◽  
Population Based ◽  
White Matter Injury ◽  
Background Factors ◽  
Hemiplegic Cerebral Palsy ◽  
First Year Of Life

Abstract Background The purpose of this study was to describe clinical presentation, epilepsy, EEG, extent and site of the underlying cerebral lesion with special reference towards aetiologic background factors in a population-based group of children with hemiplegic cerebral palsy. Methods Forty-seven children of school- age, fulfilling the SPCE (Surveillance of Cerebral palsy in Europe)-criteria of hemiplegic cerebral palsy, identified via the Swedish cerebral palsy register, were invited and asked to participate in the study. Results Fifteen boys and six girls participated. Of the sixteen children born at term, five had no risk factors for cerebral palsy. Two out of five preterm children presented additional risk factors. Debut of motor impairment was observed in the first year of life in sixteen children. Age at diagnosis varied from 2 months to 6 years. Epilepsy was common and associated with grey- and white matter injury. Conclusions Recognizing the importance of risk factors for cerebral palsy, any child with these risk factors should be offered a check-up by a paediatrician or a paediatric neurologist. Thereby reducing diagnostic delay. Epilepsy is common in hemiplegic cerebral palsy and associated with grey- and white matter injury in this cohort.

MRI in Children With Pyriform Sinus Fistula

2020 ◽  
Vol 53 (1) ◽  
pp. 85-95
Author(s):  
Zhonglong Han ◽  
Jun Tai ◽  
Jun Gao ◽  
Shengcai Wang ◽  
Tong Yu ◽  
...  
Keyword(s):  
Pyriform Sinus ◽  
Pyriform Sinus Fistula
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