scholarly journals Surgical Management of Recurrent Laryngeal Glomus

2013 ◽  
Vol 3 (1) ◽  
pp. 12-14
Author(s):  
Gopinath Maraignanam ◽  
John Samuel
Keyword(s):  
Surgical Management ◽  
Previous History ◽  
Surgical Excision ◽  
Lateral Pharyngotomy ◽  
Aryepiglottic Fold ◽  
Body Sensation ◽  
History Of ◽  
The Right ◽  
And Function

ABSTRACT A 51-year-old male presented to the ENT outpatient department with complaints of pain, irritation and foreign body sensation in the throat for 3 months. There was history of being diagnosed to have laryngeal paraganglioma for which the patient had undergone microlaryngeal surgical excision twice during the preceding 9 years. Clinical examination revealed a reddish proliferative mass of about 2 cm involving the laryngeal surface of the epiglottis and extending to the right aryepiglottic fold. Vocal cords were normal in structure and function. With the previous history of endolaryngeal excision of the tumor and its recurrence, the patient underwent laryngofissure approach with median thyrotomy and left lateral pharyngotomy. The tumor was excised in toto and histopathologically confirmed as paraganglioma. Postoperative period was uneventful. Patient is on continued follow-up with no recurrence till date. How to cite this article Samuel J, Mohanty S, Maraignanam G. Surgical Management of Recurrent Laryngeal Glomus. Int J Phonosurg Laryngol 2013;3(1):12-14.

scholarly journals Thirteen-year follow-up of parasellar intravascular papillary endothelial hyperplasia successfully treated by surgical excision: case report

2015 ◽  
Vol 15 (4) ◽  
pp. 384-391 ◽  
Author(s):  
Sook Young Sim ◽  
Yong Cheol Lim ◽  
Keun Soo Won ◽  
Kyung Gi Cho
Keyword(s):  
Surgical Excision ◽  
Subtotal Resection ◽  
Intravascular Papillary Endothelial Hyperplasia ◽  
Long Term Follow Up ◽  
History Of ◽  
Papillary Endothelial Hyperplasia ◽  
The Right ◽  
Frontal Skull Base

Intracranial intravascular papillary endothelial hyperplasia (IPEH) is very rare, and to our knowledge long-term follow-up results have not been previously published. An 11-year-old boy presented with a 6-month history of progressive visual impairment in the right eye. Magnetic resonance imaging revealed a well-enhanced, large parasellar mass involving the cavernous sinus, right frontal skull base, and ethmoid and sphenoid sinuses. Frontotemporal craniotomy and subtotal resection were performed, and the diagnosis of IPEH was confirmed. The mass increased in size during the following 3 months. A second operation was performed via frontotemporal craniotomy combined with a transsphenoidal approach, and gross-total resection of the tumor was achieved. Adjuvant radiotherapy (5040 cGy) and chemotherapy with interferon were administered. The patient's visual symptoms improved, and there was no recurrence during a 13-year follow-up period. The results of this case indicate that intracranial IPEH can recur with subtotal resection; however, optimal resection with multimodal adjuvant treatment can control the disease for many years, if not permanently.

scholarly journals Ectopic intraconal orbital meningioma – A rare case report

2021 ◽  
Vol 12 ◽  
pp. 305
Author(s):  
Anil Kumar Sharma ◽  
Charandeep Singh Gandhoke ◽  
Somen Misra ◽  
Ashik Ravi ◽  
Rakesh Kumar Gupta ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Visual Outcome ◽  
Surgical Excision ◽  
Histopathological Diagnosis ◽  
Who Grade ◽  
Rare Case Report ◽  
History Of ◽  
The Right ◽  
Orbital Meningioma

Background: Ectopic orbital meningiomas (OM) are a rare subset of OMs which are neither attached to the optic nerve sheath nor to the surrounding bone. Case Description: We report the case of a 65-year-old female who presented with a 1 year history of proptosis followed by visual loss and restricted right eye movements since 3 months. Radiology of the orbits was suggestive of intraorbital, intraconal, and heterogeneous contrast enhancing right eye lesion which was completely excised through supraorbital orbitotomy approach. Intraoperatively, the right optic nerve, though compressed, and displaced inferiorly, was free from the lesion. The final histopathological diagnosis was “Meningioma WHO Grade I.” At 3 months follow-up, patient’s vision in the right eye improved from perception of light positive to 6/12 and there was no evidence of recurrence. Conclusion: Rarity of ectopic OM, total surgical excision with an excellent postoperative visual outcome prompted us to report this case.

scholarly journals Spontaneous Cataractous Lens Extrusion in a Patient with Corneal Melting

2020 ◽  
Vol 11 (2) ◽  
pp. 177-180
Author(s):  
Bader AlQahtani ◽  
Ahmad Abdelaal ◽  
Ehab Karamallah
Keyword(s):  
Corneal Vascularization ◽  
Surgery Patient ◽  
Body Sensation ◽  
Cataractous Lens ◽  
History Of ◽  
Compliance To Treatment ◽  
The Right ◽  
Lost To Follow Up ◽  
Corneal Melting

Purpose: The aim of this report is to describe an unusual case of cataractous lens extrusion through a diseased cornea in the absence of any history of trauma or surgery. Patient and Methods: An elderly female with a history of blepharitis, corneal vascularization, and scarring presented with foreign body sensation, mild ocular pain, and a brunescent cataractous lens extruding through an area of corneal melt of the right eye after being lost to follow-up. The patient was operated urgently and then referred to a specialized eye hospital for further management. Conclusion: In the setting of social neglect and poor compliance to treatment and appointments, consequences of common ophthalmic conditions can lead to serious vision and organ-threatening complications. These might require prompt medical and surgical attention.

scholarly journals A Rare Case of Calcifying Pseudoneoplasms of the Neural Axis in Lumbar Spine

2021 ◽  
Author(s):  
Venkatesan Ravi ◽  
Pammi Srinath
Keyword(s):  
Histopathological Examination ◽  
Previous History ◽  
Neural Axis ◽  
Intracranial Lesions ◽  
History Of ◽  
The Central Nervous System ◽  
Radicular Symptoms ◽  
The Right ◽  
Weighted Sequences

AbstractCalcified pseudoneoplasm of the neural axis (CAPNON) is a very rare, non-neoplastic, calcified pathological entity occurring anywhere in the central nervous system (CNS). Overall, less than 100 cases were reported, of which less than 50% were from the spine. We present a case of a 53-year-old lady with a history of L4–L5 radiculopathy, known case of rheumatoid arthritis, and with no previous history of trauma, tumor or infection. MRI showed calcified intradural mass, extending into the right lateral recess, which was isointense on T1- and T2-weighted sequences. Fenestration on right side along with complete resection of the lesion was done. Mass was found adherent around the dura, extending in to right L5 nerve root foramen, and histopathological examination confirmed the diagnosis of CAPNON. At 6 months follow-up, the patient is pain-free with no radicular symptoms. This entity should be taken in as differential in cases of calcified intraspinal and intracranial lesions. Surgical resection is the treatment of choice.

scholarly journals Brugada ECG Sign & Chest Pain Mimicking ST Elevation Myocardial Infarction

2013 ◽  
Vol 1 (2) ◽  
pp. 86-90
Author(s):  
Omar Mousa ◽  
Haroonur Rashid
Keyword(s):  
Chest Pain ◽  
Previous History ◽  
Wave Inversion ◽  
History Of ◽  
Future Events ◽  
St Elevation ◽  
The Right ◽  
Brugada Pattern

Background: Management of patients with the brugada ECG sign who have no previous history of syncope is still negotiable. We present a case of a 57 year-old Caucasian lady who presented to the emergency department with substernal chest pain. Results: Her past medical history showed that she had two previous episodes of lightheadedness, but no syncope. She had a family history of sudden death secon­dary to unknown cause in her aunt at the age of 61. Physical exam was unremarkable except for diaphoresis. Electrocardiography (ECG) showed ST elevation in the right precordial leads (V1-V2) with T inversion, mimicking a STEMI. Emergent cardiac catheterization revealed normal coronary arteries. Echocardiogram was normal. Again, interpretation of ECG revealed a Brugada type 1 pattern, characterized by coved-type, gradually descending ST-T segment, elevated J point of more than 2 mm and T wave inversion. Electrophysiological (EPS) testing with a Sodium channel blocker challenge showed a persistent Brugada type 1 pattern with non-inducible ventricular tachycardia. This patient had Brugada type 1 ECG pattern with no previous history of syncope (asymptomatic). Thus she was considered at low risk of developing a serious arrhythmogenic event in the future. Conclusion: A history of syncope remains the best available predictor for arrhythmogenic events. EPS testing in such patients, to stratify the risk and predict for any future events, is still controversial. It is still unjustified to place an implantable cardioverter-defibrillator in asymptomatic non-inducible individuals with the Brugada pattern. These patients should follow up closely with a cardiologist and be aware of the risk of possible triggers of ventricular arrhythmias.

Surgical embolization of cerebral arteriovenous malformations through internal carotid and vertebral arteries

1975 ◽  
Vol 42 (4) ◽  
pp. 443-451 ◽  
Author(s):  
Alfred J. Luessenhop ◽  
John H. Presper
Keyword(s):  
Arteriovenous Malformations ◽  
Previous History ◽  
Surgical Excision ◽  
Clinical Results ◽  
Prior History ◽  
Cerebral Arteriovenous Malformations ◽  
Content Type ◽  
Progressive Neurological Deficit ◽  
History Of

✓ The authors describe the clinical results of surgical embolization in 55 patients with large cerebral arteriovenous malformations. Follow-up intervals ranged from 2 months to 14 years, averaging 4½ years. The authors believe the procedure is safe in properly selected patients and is useful as a preliminary to direct surgical excision. It relieves associated headaches, and usually reverses or stabilizes a progressive neurological deficit. The potential for seizures probably is not altered. The incidence of hemorrhage following embolization is low for patients with no previous history of hemorrhage; however, the procedure does not reduce the likelihood of recurrence in patients with a prior history of hemorrhage.

scholarly journals A rare complication developing after delivery: septic pelvic thromboembophlebitis

2020 ◽  
Vol 28 (1) ◽  
pp. 52-55
Author(s):  
Ersin Çintesun ◽  
Denizhan Bayramoğlu ◽  
Emine Uysal ◽  
Çetin Çelik
Keyword(s):  
Emergency Service ◽  
Rare Complication ◽  
Previous History ◽  
Ovarian Vein ◽  
Anticoagulant Treatment ◽  
Vein Wall ◽  
History Of ◽  
The Right ◽  
Tomography Scan

Objective In this case report, we aimed to discuss a septic pelvic thromboembophlebitis (SPT) case detected 20 days later who had the previous history of cesarean section and had an intrauterine stillbirth vaginally at 30 weeks of gestation. Case(s) A 24-year old patient, who admitted to the emergency service with the complaints of fever and pain in the lower right abdomen and was reported to have a 4 cm formation consistent with thrombus on the right ovarian vein wall in the computed tomography (ST), was hospitalized for follow-up and treatment. The patient whose thrombus showed remission in the check-up tomography scan after the broad-spectrum antibiotherapy and anticoagulant treatment was discharged on the 10th day. The treatment of the patient who did not develop any complication in the follow-ups was completed with recover. Conclusion In conclusion, SPT is a complication which is seen rarely in both obstetric and gynecologic practices. SPT is a disease which may lead to fatal outcomes by late diagnosis but satisfying results with early diagnosis. Abdominal pain and fever symptoms should come to mind in all cases after delivery or operation.

scholarly journals Tuberculous Arthritis of the Knee with Rice Body Formation: A Report of a Rare Case

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Truong Nguyen Khanh Hung ◽  
Tran Binh Duong ◽  
Tran Phuoc Binh ◽  
Dao Thanh Tu ◽  
Huynh Phuoc Hau ◽  
...  
Keyword(s):  
Previous History ◽  
Body Formation ◽  
Normal Limits ◽  
Tuberculous Arthritis ◽  
Rice Bodies ◽  
History Of ◽  
The Right ◽  
High Level ◽  
Rice Body

In this report, we present the case of a 53-year-old man with rice body formation in the right knee caused by tuberculous arthritis (TB arthritis). The patient visited our hospital in January 2018 with a seven-month history of swelling and pain in the right knee. He had no previous history of tuberculosis, and the results of the routine laboratory tests were within normal limits; he also tested negative for rheumatoid factor. Magnetic resonance (MR) imaging revealed multiple rice bodies in the right knee, measuring 5-8 mm. He underwent an arthroscopic operation in the right knee in January 2018 and received antituberculosis polytherapy for 6 months. He was followed-up for more than 01 year. The patient regained good function of the operated knee with no evidence of recurrence during the last follow-up in February 2019. Conclusion. The biggest challenge in diagnosing tuberculosis arthritis is the consideration of its possibility in the differential diagnosis, not only in endemic countries where tuberculosis is frequent. A high level of suspicion for TB should be maintained for every infection of the knee joint, particularly in the case of intra-articular rice bodies.

scholarly journals Case Report: Rare site for intraoral meningioma

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 95
Author(s):  
Hatem Amer ◽  
Layla Hafed ◽  
Sally Ibrahim ◽  
Shady Shaker
Keyword(s):  
Surgical Excision ◽  
Intracranial Extension ◽  
Unusual Site ◽  
Immunohistochemical Markers ◽  
First Case ◽  
History Of ◽  
Rare Site ◽  
Extracranial Meningioma ◽  
The Right

Extracranial meningioma is very rare with few cases reported, especially in the oral cavity. Its diagnosis considered a challenge owing to the unusual site of occurrence.  We report, to our knowledge, the first case of extra-cranial meningioma as a primary tumor in the palate with no detected intracranial extension. A 59-year-old female Egyptian patient presented with a 22-year history of a large painless swelling at the right side of the palate, which could not be seen on radiographs.  An incisional biopsy was taken and, after assessment with a panel of immunohistochemical markers, the lesion was diagnosed as extracranical meningioma. The patient did not show up for surgical excision and follow-up was not performed because of loose of contact with the patient. Intraoral meningioma is a rare unsuspected tumor. Immuohistochemical markers are important when confirming this diagnosis.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

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