ABSTRACT
Minimally invasive follicular carcinoma is exceedingly rare in children and should be included in the differential diagnosis of thyroid mass. A 2-year-old child visited the hospital with a left neck mass. Ultrasonography showed a 3.5 cm-sized well-defined hypoechoic mass in the left lobe of thyroid gland and fine needle aspiration cytology revealed multiple benign follicular cells and a cluster of giant cell. He underwent left lobectomy and the subsequent histopathologic diagnosis confirmed the minimally invasive follicular carcinoma. He has been followed up for 12 months without any evidence of recurrence.
Subject(s)
Child , Humans , Biopsy, Fine-Needle , Diagnosis, Differential , Giant Cells , Neck , Child, Preschool , Recurrence , Thyroid GlandABSTRACT
Vestibular neuritis (VN) is characterized by the acute onset of vertigo, nausea and vomiting, in the absence of hearing loss or tinnitus. Cerebellar and brain stem infarction represents approximately 2.3% of acute strokes overall. Those can result from occlusion of the superior cerebellar artery, anterior inferior cerebellar artery, or the posterior inferior cerebellar artery. Central vertigo such as cerebellar or brain stem infarction may present with nonspecific symptoms similar to those of VN. Patients with isolated vertigo due to cerebral infarction may pose a significant diagnostic challenge to the neurotologists. It is know n for being frequently misdiagnosed, often with consequent disability. We report 2 cases of cerebral infarction mimicking VN initially with a review of the related literatures.
Subject(s)
Humans , Arteries , Brain Infarction , Brain Stem Infarctions , Cerebral Infarction , Hearing Loss , Nausea , Stroke , Tinnitus , Vertigo , Vestibular Neuronitis , VomitingABSTRACT
Intractable aspiration may be the most severe life-threatening problem for handicapped children with altered laryngeal function secondary to neurologic disorders or abnormal laryngeal anatomy. If medical therapy fails to prevent intractable aspiration, surgical treatment of the upper airway from the digestive tract is necessary to prevent recurrent aspiration of the respiratory system. Here we describe a patient who underwent a laryngotracheal separation for intractable aspiration following a cerebral palsy. Laryngotracheal separation is relatively easy to perform and potentially reversible. It is known as a good choice of treatment for handicapped child with intractable aspiration.
Subject(s)
Child , Humans , Cerebral Palsy , Disabled Children , Disabled Persons , Gastrointestinal Tract , Nervous System Diseases , Pneumonia , Respiratory System , TracheostomyABSTRACT
With the development of antibiotics, tympanogenic labyrinthitis complicated by otitis media rarely occurs nowadays. Only few cases of acute serous or suppurative labyrinthitis in otitis media patients have been reported previously in the literature. Acute suppurative labyrinthitis caused by direct bacterial invasion into the inner ear leads to potentially severe, irreversible hearing loss, vertigo and spontaneous nystagmus toward the healthy side. Magnetic resonance image might be helpful to recognize the inflammatory lesions of the labyrinth. Treatment for tympanogenic labyrinthitis includes an appropriate use of antibiotics and establishment a draining route. Recently, we experienced an unusual case of acute suppurative labyrinthitis complicated by chronic otitis media without cholesteatoma. We also review and discuss the clinical manifestations, radiologic findings and treatment strategy of this disease.
Subject(s)
Humans , Anti-Bacterial Agents , Cholesteatoma , Ear, Inner , Hearing Loss , Labyrinthitis , Magnetic Resonance Spectroscopy , Otitis , Otitis Media , VertigoABSTRACT
BACKGROUND AND OBJECTIVES: Endoscopically guided middle meatal culture is recommended to determine organ-specific antibiotic therapy in sinusitis. This study was designed to decrease the chance of contamination in endoscopically guided middle meatal swab through a shielded pathway using a sterile straw to bypass the contaminated area in the nose from the vestibule to the middle meatus. SUBJECTS AND METHOD: Seventeen healthy volunteers underwent endoscopically guided middle meatal culture. With or without the sterilization of the nasal vestibule, endoscopically guided middle meatal culture was performed by using a sterile cotton swab (routine swab) and using a sterile cotton swab through a sterile straw (shielded swab). We compared the contamination rates between the routine swab versus shielded swab. RESULTS: With and without the sterilization of the nasal vestibule, the contamination rates of the routine swab was 11.7% and 64.7%, respectively and the contamination rates of the shielded swab was 5.8% in both. CONCLUSION: In endoscopically guided middle meatal culture, the contamination rates was significantly decreased by using the shielded swab without sterilization of the nasal vestibule. This study suggests that the shielded swab is a new and reliable swab method that can be used easily and simply at the office.