[N100m findings of auditory-evoked fields in patients with psychogenic hearing impairment].

We recorded the auditory-evoked fields in five patients with psychogenic hearing impairment and ten healthy controls. The maximum N100m peak amplitude and latency were measured under 1000 and 2000-Hz tone burst stimuli in each ear. The mean N100m amplitude in the patients was smaller than that in the controls. Especially, regardless of the side of stimulation, the mean amplitude in the left-hemisphere was significantly smaller in the patients than in the controls, except for the 2000-Hz stimulus condition in the left ear. There was no significant difference in the latency of the N100m peak between patients and controls. We attribute the findings of attenuation of the N100m amplitude to the peculiar auditory perception in patients with psychogenic hearing impairment. Concerning the cause of this finding, we suggest two possible mechanisms: inhibitory auditory processing and attention deficit.

Maxillary cancer in a child: a case report.

Cases with maxillary cancer are most frequently found in the 5th to the 7th decades of life, and then rarely occur in adolescence, even less so in a children. One does not expect to encounter this tumor in children, considering that most have a non-epithelial origin. However, we had a case of maxillary squamous cell carcinoma which appeared in a 12-year-old boy. He was initially considered to have sinusitis, and received conservative treatment for a while. After diagnosis, a combination therapy consisting of preoperative irradiation along intra-arterial administration of 5-FU and CBDCA was followed by total maxillectomy and primary reconstruction. Unfortunately about 2 months later, distant metastasis developed along with local recurrence, and the boy died about 1 year 6 months after the initial presentation. The clinical details of this rare case will be discussed in conjunction with some important considerations in dealing with this type of malignancy in a child.