“The Accessory Ethmoidal Canal Does Not Necessarily Contain an Arterial Structure”

Introduction: The aim of our study is to describe the prevalence of the accessory ethmoidal artery in endonasal endoscopic cadaver dissections and to identify its intraorbital origin. Material and Methods: From 2018 to 2020, thirty-four nasal dissections were performed in seventeen adult cadaveric heads. We performed a complete ethmoidectomy to identify the ethmoidal canals. Then, we removed the bony canal and the lamina papiracea to verify the injected vessel and to confirm the vascular structure inside the canal. Results: We found the anterior ethmoidal canal (AEC) and the posterior ethmoidal canal (PEC) in 100% of nasal cavities (34/34). We identified 4 accessory ethmoidal canals (AcEC) in the 34 nasal fossae dissected (12%). All AEC contained an arterial vessel. The AcEC contained an arterial vascular structure in 2 cases, a neural structure in other specimen, and in the fourth case no structure could be verified. In 32 of 34 nasal cavities, the PEC contained an artery and only in 2 cases the PEC did not contain any vascular structure. In these specimens, we observed that the AcEC with an arterial vessel inside (6%) was closer to the posterior canal than the anterior canal. Conclusion: According to our findings, we can suggest that the presence of a canal does not necessarily imply the presence of an arterial vessel, and that presence of the accessory ethmoidal artery could be associated with the absence of posterior ethmoidal artery.

Four Unusual Cases of Congenital Forelimb Malformations in Dogs

Four dogs were presented with thoracic limb deformity. After clinical and radiographic examinations, a diagnosis of congenital malformations was performed for each of them. In one case, a deformity involving both the radial and ulnar side of the distal limb was observed. Based on clinical and radiological evaluations, a diagnosis of postaxial terminal longitudinal ulnar hemimelia was performed. The term ectrodactyly was used to refer different malformations characterized by skin and soft tissue separation of the distal forelimb observed in two dogs. Simple complete uncomplicated syndactyly of the right forelimb, and complex incomplete uncomplicated syndactyly of the left forelimb were diagnosed in the fourth case. To the authors’ knowledge, ectrodactyly and simple complete uncomplicated syndactyly are very uncommon anomalies in companion animals and have been rarely documented. Moreover, postaxial terminal longitudinal ulnar hemimelia has still not been reported in dogs.

Effect of the addition of pie-shaped ribs and parallelogram ribs in micro-channels on thermal performance using diamond-water nanofluid

In this paper, we numerically study the influence of the addition of parallelogram ribs and pie-shaped ribs in micro-channels on thermal exchange in three dimensions. We design four different silicon micro-channel heat sinks; the first and second cases without ribs, the third case with added pie-shaped ribs, and a fourth case containing parallelogram ribs. The main purpose of this research is to determine the best micro-channel heat sink in which the heat dissipation is sufficient to improve the heat exchange performance of the micro-channel, as well as to improve the cooling of the electronic components. A constant heat flux is applied to the bottom wall of the four micro-channels, and we use liquid diamond-water with a volume concentration of 5% diamond nanoparticles as a coolant, with a Reynolds number chosen between 200 and 600. The numerical results show that the Nusselt number (Nu) of the micro-channel that contains the parallelogram ribs is higher than that for the other cases, and it also yiels lower temperature values on the bottom wall of the substrate compared to the micro-channel containing pie ribs. When increasing the flow velocity, the thermal resistance of the micro-channel decreases in all cases, and we then find the largest value of the friction factor in the fourth case (with parallelogram ribs).

Spontaneous Pneumomediastinum Associated with COVID-19 Pneumonia

The first case of coronavirus disease 2019 (COVID-19) was declared in December in Wuhan, before becoming a global pandemic in a few weeks. Several complications of this infection have been reported. However, a spontaneous pneumomediastinum has rarely been described. We report the fourth case of this extremely rare complication in a 65-year-old male patient with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pneumonia, discovered during his therapeutic management by a CT scan control.

Eviscerated alive: Novel and macabre feeding strategy in Oligodon fasciolatus (Günther, 1864) eating organs of Duttaphrynus melanostictus (Schneider, 1799) in Thailand

A hitherto unknown feeding mode among snakes is described for the colubrid snake Oligodon fasciolatus in Northeast Thailand. Three cases of O. fasciolatus using enlarged posterior maxillary teeth to cut open the abdomen of a live poisonous toad Duttaphrynus melanostictus and eat its organs are described. The snakes and toads fought vigorously, and the toads secreted toxic white liquid on the dorsum and neck. The snakes inserted their heads into the abdomen of the toads, pulled out some of the organs and swallowed them. The snakes and toads were adults. All three cases were documented by extensive photographic material. In a fourth case from Central Thailand, an adult O. fasciolatus was observed swallowing an entire semi-adult D. melanostictus. The majority of all snake species swallow their prey in one piece, but to place our observations in a broader context we review a number of exceptions.

Supratentorial intraventricular rosette-forming glioneuronal tumors – Case report and review of treatment paradigms

Background: Rosette-forming glioneuronal tumors (RGNT) are slow-growing WHO Grade I tumors that are characterized by mixed histology and rosette formation. Although typically located in the posterior fossa, these tumors can rarely originate elsewhere. Here, we describe the fourth case in literature where an RGNT was localized to the lateral ventricles and detail the treatment approach. Case Description: A 41-year-old male presented with a 10 day history of gradually worsening headaches and mild gait difficulty. Computed tomography and magnetic resonance imaging (MRI) identified a heterogeneously enhancing 6.0 cm left lateral ventricular cystic mass with hydrocephalus. An interhemispheric transcallosal approach was performed for tumor debulking. The mass was emanating from the roof of the left lateral ventricle. Sub-total resection (STR) was achieved. Pathology showed a glioneuronal neoplasm with vague neurocytic rosettes and loose perivascular pseudorosettes. Tumor vessels were thickly hyalinized and contained eosinophilic granular bodies and Rosenthal fibers. Tumor stained positive for GFAP, S-100, OLIG2, and SOX10, and patchy positive for epithelial membrane antigen (EMA), D2-40, CD99, and p16. Neurocytic rosettes and perivascular structures stained positive for synaptophysin. The patient was discharged home uneventfully and remained intact at his 6-month follow-up visit. Long-term care included MRI surveillance with repeat surgery being considered in case of progression. Conclusion: In this report, we describe the fourth case of an RGNT being isolated to the lateral ventricles and the first where it stained positive for EMA and D2-40. Our patient’s uneventful recovery after STR indicates that surgery alone continues to be a viable initial treatment option.

A Painless Restricted Motion of the Thumb: What Etiology? About An Uncommon Tumor in Uncommon Localization

Lipomas in fingers are rare and account for less than 1% of all cases. As a type of lipoma, the spindle cell lipoma is exceptional and it presents 1.5% of total adipocyte tumors. Moreover, its localization in the thumb is extremely rare. Only three cases have already been reported in adults; our case constitutes the fourth case, which is about a 61-year-old female who presented since 18 months a mass on the ulnar lateral aspect of the thumb. After clinical and radiological assessments, an entire excisional biopsy of the mass was performed. The histopathological analysis confirmed the spindle cell lipoma of the thumb. At the last follow-up of two years, the patient did well with no recurrence and no restricted motion of the thumb. So, although lipomas of the digit are rare, they should be considered a possible etiology of either painful or mechanic restricted motion of the digit.