ABSTRACT
The lingual abscess is rare due to several protective mechanisms against infection in this location. Concretely, the abscess in the base of the tongue (posterior lingual abscess) is even more exceptional. Its prompt detection is crucial to avoid potentially fatal airway complications. To familiarize physicians with this condition, we report 2 cases of posterior lingual abscess. Both were referred to our emergency department due to minor oropharyngeal complaints. Finally, both were diagnosed and required surgical drainage. The clinical evolution was successful: both were discharged in less than 72 hours and follow-up one week later confirmed clinical recovery.
ABSTRACT
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Subject(s)
Humans , Female , Middle Aged , Tinnitus/etiology , Aortic Arch Syndromes/complications , Vascular Malformations/complications , Vascular Malformations/diagnosis , Aorta, Thoracic/abnormalities , Hearing Loss, Sudden/complications , Aorta, Thoracic/pathology , Aortic Arch Syndromes , Vascular Malformations , Acoustic Impedance Tests , Audiometry/methods , Otoscopy/methods , OtoscopySubject(s)
Aorta, Thoracic/abnormalities , Brachiocephalic Trunk/abnormalities , Carotid Artery, Common/abnormalities , Tinnitus/etiology , Aorta, Thoracic/pathology , Brachiocephalic Trunk/pathology , Carotid Artery, Common/pathology , Female , Hemorheology , Humans , Magnetic Resonance Angiography , Middle Aged , PulseABSTRACT
La histiocitosis de células de Langerhans es una enfermedad de causa desconocida con compromiso focal o diseminado y que afecta con frecuencia a la cabeza y el cuello; el compromiso craneal es una de las manifestaciones más comunes en niños mayores de 5 años. Presentamos el caso de una niña de 3 años, sin antecedentes otológicos de interés remitida por sospecha de absceso subperióstico y diagnosticada posteriormente de granuloma eosinofílico. Se describe el manejo y su evolución (AU)
Langerhans cell histiocytosis is a disease of unknown aetiology which may be isolated or affect multiple organs and which frequently affects the head and neck, with cranial compromise being one of the most common manifestations in children over five years. We present the case of a three year old girl with no otologic history who came to our hospital with a clinic of subperiostic abscess, subsequently diagnosed as eosinophilic granuloma. We describe the treatment and clinical evolution of the case (AU)
Subject(s)
Humans , Female , Child, Preschool , Eosinophilic Granuloma/diagnosis , Mastoiditis/diagnosis , Mastoiditis/therapy , Eosinophilic Granuloma/therapy , Histiocytosis, Langerhans-Cell/diagnosis , Histiocytosis, Langerhans-Cell/therapy , Temporal BoneABSTRACT
Langerhans cell histiocytosis is a disease of unknown aetiology which may be isolated or affect multiple organs and which frequently affects the head and neck, with cranial compromise being one of the most common manifestations in children over five years. We present the case of a three year old girl with no otologic history who came to our hospital with a clinic of subperiostic abscess, subsequently diagnosed as eosinophilic granuloma. We describe the treatment and clinical evolution of the case.
Subject(s)
Bone Diseases , Eosinophilic Granuloma , Temporal Bone , Bone Diseases/diagnosis , Bone Diseases/therapy , Child, Preschool , Eosinophilic Granuloma/diagnosis , Eosinophilic Granuloma/therapy , Female , HumansABSTRACT
INTRODUCTION: Until recently, the only tests available to provide information about vestibular function were caloric and kinetic tests, which only give us information about the external semicircular canal and the superior vestibular nerve. In recent years the development of vestibular evoked myogenic potentials has allowed us to assess the saccule and the inferior vestibular nerve. Our aim is, by studying the caloric test results as well as the vestibular evoked myogenic potentials in patients with Vestibular Neuritis, to determine whether they have involvement of the superior, inferior or both vestibular nerves. MATERIAL AND METHODS: Retrospective study of 9 patients with Vestibular Neuritis admitted to a tertiary care hospital. We studied them by means of anamnesis, otoneurological clinical examination, caloric test and vestibular evoked myogenic potentials. Their clinical progress after admission and any residual instability were also studied. RESULTS: Women were more affected (66.6 %) than males. The mean age for presentation of the disease was 53.8 +/- 14.0 years. Hospital stays lasted for 5.7 +/- 3.2 days. After their crises, they suffered from instability for 122 +/- 114 days. Four cases were diagnosed as Complete Vestibular Neuritis and five as Superior Vestibular Neuritis. P13 wave latency was normal in all cases. There were no differences between the groups in terms of the length of hospital stay nor residual instability. CONCLUSIONS: Nowadays, vestibular evoked myogenic potentials make it possible to advance further in the study of Vestibular Neuritis. Complete and superior vestibular neuritis are much more frequent than inferior vestibular neuritis. Clinical behaviour is similar in the sub-types found.
Subject(s)
Evoked Potentials, Auditory , Vestibular Neuronitis/physiopathology , Adult , Aged , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
Introducción y objetivos. Hasta época reciente sólo disponíamos del test calórico y del test cinético como pruebas fundamentales para el conocimiento de la función vestibular, los cuales sólo aportan información sobre el canal semicircular externo y el nervio vestibular superior. En los últimos años, ha comenzado a desarrollarse el estudio del potencial vestibular miogénico evocado, que permite valorar el sáculo y el nervio vestibular inferior. Nuestro objetivo es, a partir del estudio de los resultados del test calórico y del potencial vestibular miogénico evocado en pacientes con neuritis vestibular, diferenciar si la afectación es del nervio vestibular superior, inferior o de ambos. Material y métodos. Estudio retrospectivo de 9 pacientes ingresados en un hospital terciario, con diagnóstico de neuritis vestibular. Les practicamos estudio con anamnesis, exploración clínica otoneurológica, test calórico y potencial vestibular miogénico evocado. También se estudió la evolución clínica después del ingreso y la inestabilidad residual. Resultados. Hubo una afectación mayor de mujeres (66,6 %). La edad media ± desviación estándar de presentación de la enfermedad fue de 53,8 ± 14 años. El tiempo de estancia hospitalaria ha sido de 5,7 ± 3,2 días. Después de la crisis, presentaron inestabilidad durante 122 ± 114 días. Se diagnosticaron 4 casos de neuritis vestibular completa y 5 de neuritis vestibular superior. La latencia de la onda p13 fue normal en todos los casos. No hay diferencias en el tiempo de estancia hospitalaria, ni en la inestabilidad residual entre los grupos. Conclusiones. Actualmente, con el potencial vestibular miogénico evocado, es posible profundizar en el estudio de la neuritis vestibular. Es mucho más frecuente la neuritis vestibular completa y la neuritis vestibular superior que la neuritis vestibular inferior. El comportamiento clínico es similar en los subtipos encontrados
Introduction. Until recently, the only tests available to provide information about vestibular function were caloric and kinetic tests, which only give us information about the external semicircular canal and the superior vestibular nerve. In recent years the development of vestibular evoked myogenic potentials has allowed us to assess the saccule and the inferior vestibular nerve. Our aim is, by studying the caloric test results as well as the vestibular evoked myogenic potentials in patients with Vestibular Neuritis, to determine whether they have involvement of the superior, inferior or both vestibular nerves. Material and methods. Retrospective study of 9 patients with Vestibular Neuritis admitted to a tertiary care hospital. We studied them by means of anamnesis, otoneurological clinical examination, caloric test and vestibular evoked myogenic potentials. Their clinical progress after admission and any residual instability were also studied. Results. Women were more affected (66.6 %) than males. The mean age for presentation of the disease was 53.8 ± 14.0 years. Hospital stays lasted for 5.7 ± 3.2 days. After their crises, they suffered from instability for 122 ± 114 days. Four cases were diagnosed as Complete Vestibular Neuritis and five as Superior Vestibular Neuritis. P13 wave latency was normal in all cases. There were no differences between the groups in terms of the length of hospital stay nor residual instability. Conclusions. Nowadays, vestibular evoked myogenic potentials make it possible to advance further in the study of Vestibular Neuritis. Complete and superior vestibular neuritis are much more frequent than inferior vestibular neuritis. Clinical behaviour is similar in the sub-types found
