ABSTRACT
INTRODUCTION AND IMPORTANCE: Obese, middle age, females, and increased intracranial pressure is the commonest predisposing factors for spontaneous cerebrospinal fluid. CASE PRESENTATION: Here we present a middle-aged female presented 1 year ago with right sided CSF Leak the confirmed by Beta 2 Transferrin and CT scan and repair have been done. Now she presented with the same complains in the left side. CONCLUSION: Proper management of increased intracranial pressure must be done pre and post skull base repair to prevent recurrence either in the same side or the opposite side.
ABSTRACT
INTRODUCTION AND IMPORTANCE: Mucormycosis is rare type of infection yet, it is common in patient with Diabetes Mellitus and immune deficiencies. Mucormycosis mostly target the rhino-orbito-cerebral region, hence the common presenting symptoms are nasal symptoms followed by orbito-cerebral symptoms. CASE PRESENTATION: Here, we present a diabetic lady with unusual presentation of mucormycosis. This old lady present with long history of left dull ear pain and decrease in hearing, nasopharyngeal exam revealed a mild bulging in the fossa of Rosenmuller region. The mild bulging reported as left nasopharyngeal heterogonous soft tissue mass extending to the left external auditory canal and skull base by CT scan. Excisional biopsy was taken and found to be nasopharyngeal mucormycosis CONCLUSION: Mucormycosis is a fatal infection which require early diagnosis and emergent intervention.
ABSTRACT
INTRODUCTION: A fibrolipoma of the left subclavicular region, a neoplasm rarely encountered in this region, was compromising the branchial plexus and thoracic duct, causing thoracic outlet syndrome in a symptomatic patient. CASE PRESENTATION: A 41-year-old Asian woman was brought to our ENT (ear-nose-throat) clinic because of slowly progressive swelling of the left subclavicular region since 10 years before, which became painful with time, associated with increasing subpectoral and shoulder pains, left arm swelling, and left forearm paresthesias. DISCUSSION: The exact etiology of fibrolipomas remains disputed, and endocrine, dysmetabolic, genetic, and traumatic factors have been often considered. A fibrolipoma characteristically grows by simple expansion in a well-encapsulated fashion without the tissue infiltration that is more characteristic of liposarcomas. CONCLUSION: The purpose of this case report is to highlight an unusually large tumor of this type in a dangerous area that caused thoracic outlet syndrome-like symptoms.
ABSTRACT
Ectomesenchymal chondromyxoid tumor (ECMT) is a rare benign intraoral tumor. Clinically, it presents as a slow growing, painless, firm, submucosal swelling exclusively occurring on the anterior dorsum of the tongue. Till date not more than 45 cases have been reported in literature. Histopathologically the tumor is characterized by a well circumscribed, lobular proliferation of round, polygonal, ovoid or fusiform cells in a net-like pattern in a myxoid to chondromyxoid background. Here, we present a rare case of ECMT occurring in a 17 years old male who presented to us with chief complaint of slow growing painless mass arising from anterior Dorsum of the tongue measuring about 1.5cms×1.5cms. Mass was completely resected as excisional biopsy, it was found un encapsulated with muscle entrapment.
