Congential nasal pyriform aperture stenosid: first case report in Oman

Congenital nasal pyriform aperture stenosis [CNPAS] is a recently defined clinical entity that causes airway obstruction in the neonate as a result of narrowing of the nasal pyriform aperture. The pyriform aperture is the narrowest, most anterior portion of the nasal airway, and a slight decrease in its cross sectional area will significantly increase the nasal airway resistance. This entity should be kept in the differential diagnosis of any neonate or infant with signs and symptoms of upper air way obstruction. The CNPAS presents with symptoms of nasal airway obstruction, which are often characterized by episodic apnea and cyclic cynosis

Alternating hemiplegia of childhood. a report of two cases

Tow cases of Alternating hemiplegia of childhood are being reported. Several medicines tried in the first case were ineffective. There was, however, some improvement with flunarazine in the same child, which did not persist. The second case did not receive any medication