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Gard A P AP Section of Neurosurgery, Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA - - - 2009
We describe the case of a 48-year-old woman who presented with a sigmoid sinus aneurysm. These rare entities have only recently been described in the literature and the ideal treatment approach has not been elucidated. This report represents additional evidence in a growing body of literature that suggests that endovascular ...
Medel Ricky - - 2009
OBJECT: Although initially described in the 19th century, cerebral venous sinus thrombosis (CVST) remains a diagnostic and therapeutic dilemma. It has an unpredictable course, and the propensity for hemorrhagic infarction produces significant consternation among clinicians when considering anticoagulation. It is the purpose of this review to analyze the evidence available ...
Morales Humberto - - 2010
Controversy exists as to whether sinus thrombosis is the cause or the result of dural arteriovenous fistula (DAVF) and to whether DAVF are congenital or acquired lesions, especially in children. An infant presented with rupture of an anterior communicating artery aneurysm diagnosed with computed tomography angiography and catheter angiography. Pretreatment ...
Baghla Davinder Paul Singh - - 2010
We describe an unusual cause of an acquired cavo-varus foot deformity produced by progressive enlargement of an accessory calcaneal ossicle. A 13-year-old boy with constitutional plano-valgus flat feet noted a gradual change in foot shape associated with lateral ankle pain on ambulation following an inversion injury 2 years earlier. CT ...
Kwon Moon Oh - - 2009
In this article, we report a case of isolated sphenoid fungal sinusitis which only presented as headache. We review the literature of this rare but interesting lesion according to the revised 2004 IHS diagnostic criteria for "Headache attributed to Rhinosinusitis".
Miman Murat C - - 2009
Osteomas are slow-growing benign tumors of the paranasal sinuses. They originate from the sinus wall and generally fills the sinus cavity. Many osteomas are asymptomatic and diagnosed incidentally on radiographs. The well-circumscribed, dense bony appearance on radiographs is usually diagnostic. Osteomas become symptomatic when they extend to the orbit or ...
Visvanathan V - - 2010
OBJECTIVE: Inverted papilloma is a rare but locally aggressive tumour with the potential for malignant transformation. Intracranial extension or complications secondary to inverted papilloma are extremely rare. We report a case of inverted papilloma with a large frontal sinus mucocele eroding the frontal sinus, which presented with sudden neurological compromise. ...
Pellicelli Adriano M - - 2009
Only few cases of rhino-orbital mucormycosis in patients with liver cirrhosis are described in the literature and most of these patients showed an associated diabetes mellitus. We describe a case of rhino-orbital mucormycosis in a patient with liver cirrhosis without other risk factors.
Lamb Jarom F - - 2009
Ectopic teeth are rarely found in the maxillary sinus. When they are, they represent an anomaly of odontogenic development that is generally associated with odontogenic cysts, trauma, or idiopathic etiology. Although affected patients are often asymptomatic, documented morbidities include sinus disease that is often refractory to treatment. The diagnosis is ...
McArdle B - - 2010
OBJECTIVE: We describe a previously unreported case of ethmoid silent sinus syndrome. METHOD: Case report and review of the world literature regarding silent sinus syndrome. RESULTS: A 33-year-old woman developed medial displacement of the left orbital contents in the absence of trauma, surgery or other significant pathology. Imaging showed opacification ...
Rousset-Caron M M - - 2009
Meningiomas infrequently develop in children, and their clinical picture is somewhat different than in adults. We describe here a case of a meningioma in a 9-year-old girl unusual in two aspects. Firstly, it arose from the cavernous sinus what is exceptional in children. Secondly, despite the big tumor mass the ...
Emmez Hakan - - 2009
Various forms of intracranial air have been described in the literature. This report aims to present clinical, radiological and intraoperative findings of a rare intracranial air entrapment case after endoscopic sinus surgery.
Khammissa R A G - - 2009
Osteosarcoma of the jaws accounts for 6-13% of all osteosarcomata. If not diagnosed early, it spreads extensively through the jaw and contiguous soft tissues into the nasal cavity, the maxillary sinus, the orbit and the infratemporal fossa, and may invade the oral soft tissues. A clinical finding of tooth displacement ...
Gasco Jaime J Division of Neurological Surgery, University of Texas Medical Branch, Galveston, - - 2009
We present a rare case of an isolated superior orbital fissure fracture resulting from blunt injury to the face and presenting with selective cranial nerve deficits surgically treated with a neuroendoscopic approach. The anatomy of the superior orbital fissure is detailed, and the peculiarities of the surgical approach described. A ...
Abdel-Aal Ahmed K - - 2010
Type III frontal recess air cell as a cause of frontal sinus pneumocele has not been previously reported in literature. A 31-year-old woman with chronic history of sinusitis presented with pressure in the left eye on blowing the nose. Computed tomography examination of the orbits and paranasal sinuses with coronal ...
Walsh Michael T - - 2009
Meningiomas involving the cavernous sinus have traditionally posed a major challenge for neurosurgeons and neuro-oncologists. Recent advancements in surgical techniques and radiotherapy have led to new treatment strategies for these difficult tumors. In this article, we review the current literature with respect to treatment options for cavernous sinus meningiomas. Additionally, ...
Sather M D - - 2009
Occipital encephaloceles are the most common type of encephalocele encountered in the Western Hemisphere. The occipital encephalocele is typically classified according to the relationship of the herniated tissue to the torcular. We report the unusual case of a premature infant with a rare, large occipital encephalocele which encompassed the posterior ...
Tripathy Pradipta - - 2009
Technological development in neuroendoscopy has lead to an expansion of its applications. The dimensions of a microsurgical approach to the brain can greatly be enlarged with the use of endoscope, making it possible to look behind structures and around corners. We performed an endoscopic assisted microsurgical decompression of an adenoid ...
Hata Masaharu - - 2009
Malignant myoepithelioma of the head and neck usually arises in the salivary glands. We experienced a rare case with malignant myoepithelioma in the maxillary sinus. A 47-year-old woman with malignant myoepithelioma in the maxillary sinus underwent partial maxillectomy. However, local recurrence occurred 28 months after surgery and she was subsequently ...
Boutarbouch M - - 2009
Cavernous sinus involvement of tuberculosis is rare; only seven cases have been reported in the literature to date. Many factors make the diagnosis difficult in this location, necessitating a surgical procedure. We report the case of a 45-year-old man who presented with a left cavernous sinus syndrome clinically. The lesion ...
Hirakawa Hitoshi - - 2009
A distinctive mass in the liver in a two-month-old girl with elevated serum alpha-fetoprotein (AFP) level was diagnosed as telangiectatic focal nodular hyperplasia (FNH) after biopsy. The tumor spontaneously regressed and finally became no longer detectable by any imaging study within normal range of AFP. The nature of this novel ...
Mannan A A S Rifat - - 2009
The paranasal sinuses are an extremely unusual location for a vascular hamartoma. As far as we know, only 1 such case has been previously reported in the English-language literature. We report 3 new cases of vascular hamartoma of the paranasal sinuses, which occurred in a 20-year-old woman and in 2 ...
Mihora Lisa D - - 2009
Ectopic brain in the orbit is a rare entity with only 14 other case reports in the literature. This case is unique in that symptomatic presentation occurred 20 years prior to diagnosis. Symptoms are generally due to mass effect. We report an unusual case of diplopia secondary to ectopic orbital ...
Gupta Rishi K - - 2009
Cerebral venous sinus thrombosis is a rare but dangerous condition, occurring with an incidence of 3-4 cases/million/year. Cerebral venous sinus thrombosis presents a diagnostic challenge due to its varied presentation patterns. We report a case of a 42 year old Nepali man diagnosed with cerebral venous sinus thrombosis after presenting ...
Karikari Isaac O - - 2009
Meningiomas are histologically heterogeneous tumors with at least 15 different subtypes. They can be subdivided into well-differentiated, atypical, and anaplastic or malignant categories. The secretory meningioma is a well-differentiated variant, is relatively rare. Orbital involvement of secretory meningiomas is rarity. We report two cases of secretory meningiomas of orbit and ...
Diaz Maria Carmen G - - 2008
This is a case of an 11-year-old male with an ethmoid sinus mucocele who presented to our emergency department with an orbital mass. This mucocele was most likely related to an ipsilateral orbital subperiosteal abscess that required endoscopic drainage 9 years ago. Mucoceles are mucus-filled, epithelial-lined sacs that slowly develop ...
Knopman Jared - - 2008
Venous sinus thrombosis is a rare entity that usually arises secondary to underlying thrombophilia, neoplasm, head injury, or infection. Tympanic infection accounts for the majority of infectious etiologies, and the sigmoid sinus becomes the likely anatomical site of thrombosis. The authors report a case involving a child with recurrent otitis ...
Bailhache Axelle - - 2008
INTRODUCTION: Rhinoscleroma is a rare chronic, granulomatous disease of the respiratory tract. OBJECTIVE: The aim of this paper was to report 2 unusual cases of rhinoscleroma and to review the literature. MATERIAL: We present two cases of sinus rhinoscleroma diagnosed and treated at the ENT Department of a French University ...
Hocker Sara E - - 2008
Cerebral venous and dural sinus thrombosis (CVDST) is a rare but not uncommon life-threatening disease accounting for less than 1% of stroke, affecting people of any age group, predominantly the extremes of age. CVDST carries a variable prognosis: although the majority of cases are associated with complete recovery, outcome may ...
Zairi Anna - - 2008
An unusual case is reported of accidental extrusion of sodium hypochlorite solution into the maxillary sinus during instrumentation in the course of root canal treatment of a maxillary premolar. This caused a burning sensation accompanied by nasal bleeding, swallowing of blood, and interrupted breathing. The case was managed by irrigating ...
Ulivieri S - - 2008
Solitary eosinophilic granuloma is a rather benign and localized form of Langerhans's cell histiocytosis. Definitive diagnosis is made by histopathology including immunohistochemical detection of S-100, HLA-DR and CD1a antigens. We report the case of a twenty-five year old boy presented with headache and orbit's pain. A CT scan showed a ...
O'Toole L - - 2008
We present two cases in which Aspergillus infection was identified at a late stage in the clinical evaluation as the cause for a painful, progressive and indolent orbital apex syndrome in the absence of any clinical or radiological sign of sinus involvement. Surgical investigation was undertaken with serious subsequent morbidity. ...
Melroy Christopher T - - 2008
The use of the balloon dilating catheter has been a divisive topic in the rhinology community. This commentary addresses shortcomings that are commonly remarked upon by opponents of this technology and reviews the clinical history of the device as detailed in the literature. The reported orbital and cranial complications are ...
Fleming James Chris - - 2008
PURPOSE: To report the development of unilateral, diffuse hyperostosis of orbital bones in 3 postexenteration patients. METHODS: Three advanced cases of periorbital and orbital malignancies are presented, and their clinical, radiologic, and histopathologic features are reviewed. RESULTS: Postexenteration CT showed thickened orbital walls in all 3 cases. The histopathology revealed ...
Lee Sang-Guk - - 2008
A 25-year old man with a 30 month history of proptosis and pain of the right eye was referred to Severance Hospital of Yonsei University. Orbital computed tomography (CT) demonstrated a huge mass in the right retrobulbar orbit; an incisional biopsy and orbitotomy were performed for diagnosis and orbital soft ...
Hiu Takeshi - - 2008
We present a unique case of a cavernous sinus (CS) dural arteriovenous fistula (DAVF), which recurred at adjacent sinuses following repeated transvenous embolizations (TVEs). A 68-year-old woman presented with progressive left conjunctival chemosis and diplopia. Cerebral angiography revealed a left CS DAVF, which was completely obliterated by TVE via the ...
van Aalst J - - 2009
OBJECTS: In this study, a disjunction anomaly mimicking the spinal congenital dermal sinus (DS) is described. This anomaly is referred to as the dermal-sinus-like stalk. Dissimilarities between a true dermal sinus and a dermal-sinus-like stalk are discussed. CLINICAL MATERIAL: Three cases in which a spinal congenital dermal sinus was suspected ...
Soundappan S V S - - 2008
A sinus tract presenting with an opening around the angle of mandible is suggestive of first cleft remnant. We present the case of a 4-year-old boy with a recurrent discharging sinus around the angle of the right mandible whose internal opening was near the tonsil on imaging. Complete excision was ...
Prakalapakorn Sasapin G - - 2008
To report the clinicopathologic features of 2 patients with carcinosarcoma of the orbit. Case reports. Two patients with orbital carcinosarcoma were identified. Retrospective chart review with clinicopathologic correlation and literature review. Clinical examination, imaging studies, and histopathologic findings. Two patients, a 56-year-old woman and a 91-year-old woman, with orbital carcinosarcoma ...
Kodama Satoru - - 2009
Aspergillosis is a common fungal infection of the paranasal sinuses. Isolated frontal sinus aspergillosis is extremely rare, with only three cases reported in the literature. We report a case of isolated frontal sinus aspergillosis that was accompanied by a contralateral frontal sinus cyst enclosed osseously. The patient was treated successfully ...
Som P M - - 2008
BACKGROUND AND PURPOSE: Recent interest in the origin and complications associated with frontal intersinus septal cells prompted us to review our material looking for cases of the uncommon occurrence of a mucocele developing within such a cell. The purpose of this article was to present the imaging findings on 4 ...
Seo Eui-Kyo - - 2008
Meningiomas frequently invade cerebral venus sinuses, especially parasagittal meningioma to superior sagittal sinus. However, most invasions do not reach internal jugular vein. We present a case of parasagittal meningioma extending into the internal jugular vein through the sinuses. Radiological investigation revealed that the tumor was invading the sagittal, transverse, sigmoid ...
Ahmad Faiz Uddin - - 2008
Primary spontaneous cerebrospinal fluid (CSF) rhinorrhea is rare. Only two such cases with a defect in the clivus have been previously reported in the world literature. The purpose of this report is not to discuss the operative approach or results but the etiopathogenesis of the defect at this very rare ...
Saka Naoki - - 2009
OBJECTIVE: Churg-Strauss syndrome (CSS) is known as autoimmune vasculitis with peripheral eosinophilia after bronchial asthma and rarely has otological findings. We present a case of CSS with refractory otitis media and discuss the relationship between otological symptoms of CSS and eosinophilic otitis media. CASE REPORT: A 60-year-old woman had suffered ...
Rozen Warren Matthew - - 2008
Sinus pericranii is a rare vascular anomaly in which an abnormal communication exists between the extracranial venous system and the dural venous sinuses. The natural history is of increasing size and potential life-threatening complications, including thrombosis and haemorrhage. Thus surgical management is the mainstay of treatment. We present a unique ...
Li Yong-ping - - 2008
The authors describe a rare case of orbital rhabdomyoma in a 3-year-old girl who presented with progressive proptosis of the left eye. An axial computed tomographic scan of the left orbit demonstrated an irregular retrobulbar mass. The tumor was resected locally from the lateral wall of the orbit and the ...
Kasliwal Manish K - - 2008
BACKGROUND: Inflammatory pseudotumor is a nonneoplastic process of unknown etiology most frequently involving the lungs and orbits. Primary intracranial inflammatory pseudotumors are exceptionally rare. The authors report a rare case of clinoidal inflammatory pseudotumor mimicking a medial sphenoid wing meningioma. CASE DESCRIPTION: A 24-year-old woman presented with visual diminution and ...
Sethi Ashwani - - 2008
We report the case of a 40-year-old female who presented to us with earache and a rapidly progressive painful ophthalmoplegia involving the right eye with right temporal swelling. A clinical and radiological assessment revealed it to be temporal cellulitis with orbital apex syndrome secondary to acute otitis media. In spite ...
Umur A S - - 2008
BACKGROUND: Osteomas of the paranasal sinuses rarely cause intracranial manifestations. A neurological symptom may be the first sign of a previously unrecognized osteoma. CASE DESCRIPTION: A 28-year-old male was referred with one episode of witnessed tonic-clonic seizure and loss of consciousness. Radiologic examination revealed a calcific mass in the frontal ...
El Khashab Mostafa - - 2008
Dermal sinus tracts are rare congenital lesions located in the midline characterized by a cutaneous pit or dimple. They occur all along the midline neuroaxis, from the nasion and occipital area down to the lumbar and sacral regions, most frequently in the lumbar and lumbosacral region. Here we report a ...
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