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1.
J Assoc Res Otolaryngol ; 19(1): 31, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29299694

RESUMO

This article was updated to correct a formatting error in Table 1.

2.
J Neurosurg ; 127(6): 1268-1276, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28084916

RESUMO

Superior semicircular canal dehiscence (SSCD) syndrome is an increasingly recognized cause of vestibular and/or auditory symptoms in both adults and children. These symptoms are believed to result from the presence of a pathological mobile "third window" into the labyrinth due to deficiency in the osseous shell, leading to inadvertent hydroacoustic transmissions through the cochlea and labyrinth. The most common bony defect of the superior canal is found over the arcuate eminence, with rare cases involving the posteromedial limb of the superior canal associated with the superior petrosal sinus. Operative intervention is indicated for intractable or debilitating symptoms that persist despite conservative management and vestibular sedation. Surgical repair can be accomplished by reconstruction or plugging of the bony defect or reinforcement of the round window through a variety of operative approaches. The authors review the etiology, pathophysiology, presentation, diagnosis, surgical options, and outcomes in the treatment of this entity, with a focus on potential pitfalls that may be encountered during clinical management.


Assuntos
Doenças do Labirinto/diagnóstico , Canais Semicirculares/patologia , Humanos , Doenças do Labirinto/patologia , Doenças do Labirinto/cirurgia , Procedimentos Neurocirúrgicos
3.
J Neurosurg ; 127(1): 192-198, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27791521

RESUMO

For more than 230 years, anatomical illustrations have faithfully reproduced the German medical student Thomas Soemmerring's cranial nerve (CN) arrangement. Virtually all contemporary atlases show the abducens, facial, and vestibulocochlear nerves (CNs VI-VIII) all emerging from the pontomedullary groove, as originally depicted by Soemmerring in 1778. Direct observation at microsurgery of the cerebellopontine angle reveals that CN VII emerges caudal to the CN VIII root from the lower lateral pons rather than the pontomedullary groove. Additionally, the CN VI root lies in the pontomedullary groove caudal to both CN VII and VIII in the vast majority of cases. In this high-resolution 3D MRI study, the exit location of CN VI was caudal to the CN VII/VIII complex in 93% of the cases. Clearly, Soemmerring's rostrocaudal numbering system of CN VI-VII-VIII (abducens-facial-vestibulocochlear CNs) should instead be VIII-VII-VI (vestibulocochlear-facial-abducens CNs). While the inaccuracy of the CN numbering system is of note, what is remarkable is that generations of authors have almost universally chosen to perpetuate this ancient error. No doubt some did this through faithful copying of their predecessors. Others, it could be speculated, chose to depict the CN relationships incorrectly rather than run contrary to long-established dogma. This study is not advocating that a universally recognized numbering scheme be revised, as this would certainly create confusion. The authors do advocate that future depictions of the anatomical arrangements of the brainstem roots of CNs VI, VII, and VIII ought to reflect actual anatomy, rather than be contorted to conform with the classical CN numbering system.


Assuntos
Nervos Cranianos/anatomia & histologia , Ilustração Médica , Nervos Cranianos/diagnóstico por imagem , História do Século XVI , História do Século XVII , História do Século XIX , História do Século XX , História do Século XXI , História Antiga , Humanos , Erros Médicos , Ilustração Médica/história
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