ABSTRACT
We report a 31-year-old woman presenting flutter-like oscillation after acute infection. Ten days after low fever and diarrhea, she presented transient, horizontal and pendular ocular oscillation. This abnormal eye movement was diagnosed as flutter-like oscillation (FLO). Other neurological findings were normal. Cerebrospinal fluid was normal. Brain MRI revealed no particular abnormalities. Serum titers for anti-GD1a antibody were elevated. After treatment with steroid (1,000 mg/day methylprednisolone DIV), the FLO disappeared.
Subject(s)
Autoantibodies/blood , Gangliosides/immunology , Infections/complications , Ocular Motility Disorders/etiology , Acute Disease , Adult , Autoimmunity , Female , Humans , Methylprednisolone/administration & dosage , Ocular Motility Disorders/drug therapy , Treatment OutcomeABSTRACT
Bronchial cysts are common cystic tumors around the tracheobronchial tree in the middle and posterior mediastinum and rarely locate in the anterior mediastinum. We reported two cases of the bronchial cyst located in the anterior mediastinum. One case was a 57 year-old-female. A thymic cyst was suspected and the extended total thymectomy was performed through the mediansternotomy. The microscopic examination showed bronchial epithelium and cartilage in the cystic wall. The another case was 71 year-old-male operated by thoracoscopic surgery for the cystic tumor in the anterior mediastinum. Microscopic examination showed bronchial epithelium and gland in the cystic wall.
Subject(s)
Bronchogenic Cyst/pathology , Mediastinum/pathology , Aged , Bronchogenic Cyst/surgery , Female , Humans , Male , Middle AgedABSTRACT
A rare case of a ruptured lingual artery aneurysm treated with endovascular procedure in presented. A 67-year-old woman undergoing treatment in our hospital for right thalamic hemorrhage complained of sudden swelling in the submandibular area and breathlessness. The swelling was so rapid and progressive that her breathing was disturbed. She was intubated as soon as possible. Computed tomography (CT) showed a massive subcutaneous hematoma, extending from the left submandibular area to the neck, which had compressed the trachea to the right. CT with contrast medium showed extravasation of the medium for this lesion. Angiography showed that the aneurysm was located on the periphery of the left ingual artery. Extravasation of contrast medium from the aneurysm was also observed. We considered that direct surgery was difficult to perform safely, so we chose an endovascular procedure to treat this lesion. The lingual artery was successfully embolized using four platinum coils. No rebleeding or other complication occurred after the coil embolization. Disturbance of breathing due to air way obstruction is an important symptom of a ruptured lingual artery aneurysm. Endovascular surgery may be the first choice for treatment of the bleeding origin.
