ABSTRACT
We detail here the clinical case of a 22 month old child who was referred to our department because of recurring episodes of upper dyspnea and barking cough since he was 3 months old. The Pediatric Department suspected laryngeal stenosis or laryngomalacia and asked for confirmation of this. The ENT examination including nasofibrolaryngoscopy was normal. A computerised axial tomography (CAT) was carried out, as well as a magnetic resonance of the neck, both eliminating possible pathologies. Having tried several treatments, we prescribed empirical treatment with proton pump inhibitors, and to our surprise the improvement was spectacular. We have carried out a review of literature about gastroesophageal reflux, its manifestations, diagnosis and treatment.
Subject(s)
Croup/etiology , Dyspnea/etiology , Gastroesophageal Reflux/complications , Croup/diagnosis , Dyspnea/diagnosis , Follow-Up Studies , Gastroesophageal Reflux/diagnosis , Gastroesophageal Reflux/drug therapy , Humans , Infant , Male , Proton Pump Inhibitors , Time FactorsABSTRACT
The melanomas are unusual tumours with a high mortality. The mucosal malignant melanoma type supposes loss than 1% of the total of melanoma. The initial symptoms are unspecific and the regional metastasis are rare. The surgical approach it's the most effective treatment complemented with radiotherapy and or chimiotherapy. We present the case of primary nasal mucosal malignant melanoma and review the litterature of this disease.
Subject(s)
Maxillary Sinus Neoplasms , Melanoma , Nose Neoplasms , Aged , Biopsy , Combined Modality Therapy , Epistaxis/etiology , Female , Humans , Immunohistochemistry , Magnetic Resonance Imaging , Maxillary Sinus Neoplasms/diagnostic imaging , Maxillary Sinus Neoplasms/drug therapy , Maxillary Sinus Neoplasms/pathology , Maxillary Sinus Neoplasms/radiotherapy , Maxillary Sinus Neoplasms/surgery , Melanoma/diagnosis , Melanoma/diagnostic imaging , Melanoma/drug therapy , Melanoma/pathology , Melanoma/radiotherapy , Melanoma/surgery , Nasal Obstruction/etiology , Nose/pathology , Nose Neoplasms/diagnosis , Nose Neoplasms/diagnostic imaging , Nose Neoplasms/drug therapy , Nose Neoplasms/pathology , Nose Neoplasms/radiotherapy , Nose Neoplasms/surgery , Prognosis , Tomography, X-Ray ComputedABSTRACT
It's defined tinnitus as an auditive perception of internal origin that it does not answer to vibratory external action. The rest of the sounds are considered as real biological noises and not properly as tinnitus. Tinnitus is a very common symptom in our practice. It is important to determine what causes it, since medical treatment is effective in some cases and prevents serious complications, severe bleeding and neurological consequence if any surgical treatment is carried out. We present two cases of tinnitus of vascular origen, the first caused by venous malformation and the second by an arterial one. We review the literature of this entity.
Subject(s)
Tinnitus/diagnosis , Adult , Carotid Artery, Internal , Female , Humans , Jugular Veins , Magnetic Resonance Angiography , Tinnitus/diagnostic imaging , Tinnitus/etiology , Tomography, X-Ray ComputedABSTRACT
Presentamos el caso clínico de un niño de 22 meses de edad enviado a nuestro departamento por sufrir episodios recurrentes de diseña alta y tos perruna desde los tres meses. Por Pediatría se sospecha estenosis laríngea o laringomalacia y solicitan su confirmación. La exploración ORL incluida la nasofibrolaringoscopia resultó ser normal. Se realizó tomografía axial computarizada (TAC) y resonancia magnética del cuello (RM) descartándose en ambas patología. Después de haberse agotados múltiples terapéuticas, pautamos tratamiento empírico con inhibidores de la bomba de protones (IBP) y para sorpresa nuestra la mejoría fue espectacular
We detail here the clinical case of a 22 month old child who was referred to our department because of recurring episodes of upper dyspnea and barking cough since he was 3 months old. The Pediatric Department suspected laryngeal stenosis or laryngomalacia and asked for confirmation of this. The ENT examination including nasofibrolaryngoscopy was normal. A computerised axial tomography (CAT) was carried out, as well as a magnetic resonance of the neck, both eliminating possible pathologies. Having tried several treatments, we prescribed empirical treatment with proton pump inhibitors, and to our surprise the improvement was spectacular. We have carried out a review of literature about gastroesophageal reflux, its manifestations, diagnosis and treatment
Subject(s)
Humans , Male , Infant , Dyspnea/diagnosis , Dyspnea/etiology , Proton Pumps/antagonists & inhibitors , Gastroesophageal Reflux/complications , Gastroesophageal Reflux/diagnosis , Gastroesophageal Reflux/drug therapy , Laryngoscopy/methods , Tomography, Emission-Computed/methods , Time Factors , Follow-Up Studies , Gastroesophageal Reflux/pathology , Gastroesophageal Reflux , Magnetic Resonance Imaging/methodsABSTRACT
Los melanomas son neoplasias poco frecuentes, con una alta tasa de mortalidad. La localización primaria en mucosas, supone menos del 1% del total de los melanomas. En el melanoma maligno nasosinusal la clínica inicialmente es poco significativa, las metástasis regionales son raras. El tratamiento más efectvo es el quirúrgico complementado con radioterapia y/o quimioterapia. Presentamos el caso de melanoma mucoso maligno primario nasosinusal, y hacemos una completa revisión bibliográfica actual sobre esta entidad
The melanomas are unusual tumours with a high mortality. The mucosal malignant melanoma type supposes loss than 1% of the total of melanoma. The initial symptoms are unspecific and the regional metastasis are rare. The surgical approach it's the most effective treatment complemented with radiotherapy and or chimiotherapy. We present the case of primary nasal mucosal malignant melanoma and review the litterature of this disease
Subject(s)
Humans , Female , Aged , Combined Modality Therapy/methods , Immunohistochemistry/methods , Tomography, X-Ray/methods , Magnetic Resonance Imaging/methods , Epistaxis/diagnosis , Maxillary Sinus Neoplasms/drug therapy , Maxillary Sinus Neoplasms/surgery , Melanoma/drug therapy , Melanoma/surgery , Nose Neoplasms/surgery , Biopsy/methods , Epistaxis/etiology , Prognosis , Diagnostic Imaging/methods , Nasal Obstruction/etiology , Maxillary Sinus Neoplasms/radiotherapy , Melanoma/pathology , Melanoma , Nose Neoplasms/pathology , Nose NeoplasmsABSTRACT
Se define el acúfenos como una percepción auditiva de origen interno que no responde a ninguna acción vibratoria externa. El resto de los sonidos se consideran como somatosonidos (ruidos biológicos reales) y no propiamente como acúfenos. El síntoma acúfeno es muy frecuente como motivo de consulta y tiene importancia considerar su etiología, pu es en muchas ocasiones es curativo y en otras evita complicaciones fatales por hemorragia grave y secuelas neurológicas si se realiza algún procedimiento quirúrgico. Presentamos dos casos afectos de acúfeno de origen vascular por malformación venosa y el segundo por malformación arterial. Revisamos la bibliografía referente a este tema
It's defined tinnitus as an auditive perception of internal origin that it does not answer to vibratory external action. The rest of the sounds are considered as real biological noises and not properly as tinnitus. Tinnitus is a very common symptom in our practice. It is important to determine what causes it, since medical treatment is effective in some cases and prevents serious complications, severe bleeding and neurological consequence if any surgical treatment is carried out. We present two cases of tinnitus of vascular origen, the first caused by venous malformation and the second by an arterial one. We review the literature of this entity
Subject(s)
Humans , Adult , Female , Tinnitus/diagnosis , Tinnitus/etiology , Tomography, X-Ray/methods , Magnetic Resonance Angiography/methods , Carotid Artery, Internal/pathology , Carotid Artery, Internal , Jugular Veins/pathology , Jugular Veins , Tinnitus/complications , TinnitusABSTRACT
Adenoid cystic carcinomas are malignant epithelial tumors that originate in body regions containing exocrine and eccrine glands. Their most common location is the salivary glands. These tumors have specific, highly individualized histopathological and clinical features. Three cases of adenoid cystic carcinoma in different sites, palate, sublingual gland, and nasal cavity, are reported. The literature is reviewed for information about the fundamental clinical, diagnostic, and therapeutic aspects of these tumors.
Subject(s)
Carcinoma, Adenoid Cystic/diagnosis , Mouth Neoplasms/diagnosis , Palate/diagnostic imaging , Palate/pathology , Paranasal Sinus Neoplasms/diagnosis , Sublingual Gland Neoplasms/diagnosis , Aged , Carcinoma, Adenoid Cystic/therapy , Combined Modality Therapy , Female , Humans , Male , Mouth Neoplasms/therapy , Palate/radiation effects , Palate/surgery , Paranasal Sinus Neoplasms/therapy , Radiography , Sublingual Gland Neoplasms/therapyABSTRACT
Fibrous dysplasia is a rare bone condition characterized by the replacement of healthy bone by fibrous tissue and different grades of bone metaplasia. It may affect one (monostotic) or more bones (polyostotic). We present the case of a patient with monostotic fibrous dysplasia of the upper maxilla and analyze the clinical characteristics, diagnostic and therapeutic aspects, and the bibliography of the disease.
Subject(s)
Fibrous Dysplasia, Monostotic/diagnosis , Maxilla/diagnostic imaging , Maxilla/pathology , Aged , Female , Fibrous Dysplasia, Monostotic/surgery , Humans , Magnetic Resonance Imaging , Maxilla/surgery , Tomography, X-Ray ComputedABSTRACT
We present a clinical case of extrinsic periaqueductal syndrome caused by an epidermoid cyst in the pineal gland. This is a unusual disorder and those localized in the epiphysis are extremely rare. A bibliographic review of the incidence, clinical aspects, diagnosis and therapy is carried out in this article.
Subject(s)
Epidermal Cyst/complications , Epidermal Cyst/pathology , Pineal Gland/pathology , Vertigo/etiology , Adolescent , Audiometry, Evoked Response , Caloric Tests , Cerebral Ventricles/abnormalities , Electronystagmography , Humans , Hydrocephalus , Magnetic Resonance Imaging , Vertigo/diagnosisABSTRACT
A case of neuroendocrine small cell carcinoma is described in a 79 year-old male. This tumor is an unusual laryngeal carcinoma (the incidence is slightly lower than 1% of all carcinomas) with an aggressive biological behaviour. This work analyzes its clinical, pathological, therapeutical and evolutive aspects, and compare this case to those reported in the literature.
