RESUMEN
OBJECTIVE: To chronicle the remission of anosmia in a 79-year-old female receiving chiropractic care using the Activator Methods Chiropractic Technique (AMCT) protocol. CLINICAL FEATURES: A 79-year-old white female with a 4-year history of medically diagnosed anosmia. Postural alterations, reduction in cervical ranges of motion (ROM), and absent cranial nerve I function were found in conjunction with vertebral subluxation throughout the spine and mild to severe degenerative changes throughout the spine present on radiographic studies. INTERVENTION & OUTCOMES: Chiropractic care using AMCT was provided for the assessment and correction of vertebral subluxations. The patient reported subjective improvement in olfaction, physical functioning and life enjoyment, and demonstrated objective improvement in posture, cervical ROM, cranial nerve I function. CONCLUSION: A course of chiropractic care, following the AMCT protocol, was associated with remission of anosmia.
Asunto(s)
Anosmia/terapia , Manipulación Quiropráctica/métodos , Enfermedades del Nervio Olfatorio/terapia , Anciano , Femenino , Humanos , Calidad de Vida , Rango del Movimiento Articular , Columna Vertebral/patologíaRESUMEN
In this study, we analyze and discuss the treatments of postoperative nasal complications after endonasal transsphenoidal resection of pituitary neoplasms (PNs). We performed 129 endonasal transsphenoidal resections of PNs and analyzed and treated cases with nasal complications. After endonasal transsphenoidal resection of PNs, there were 26 cases of postoperative nasal complications (20.1%), including nasal hemorrhage (4.8%), cerebrospinal fluid rhinorrhea (6.9%), sphenoid sinusitis (2.3%), atrophic rhinitis (1.6%), olfactory disorder (1.6%), perforation of nasal septum (0.8%), and nasal adhesion (2.3%). All patients clinically recovered after therapy, which included treatment of the cavity through nasal endoscopy, intranasal corticosteroids, and nasal irrigation. We propose that regular nasal endoscopic review, specific nasal medications, and regular nasal irrigation can effectively clear nasal mucosal hyperemia-induced edema and nasal/nasoantral secretions, as well as promote regeneration of nasal mucosa, prevent nasal adhesion, maintain the sinus cavity drainage, and accelerate the recovery of the physiological function of the paranasal sinus. Timely treatment of patients with nasal complications after endonasal transsphenoidal resections of PNs could greatly relieve the clinical symptoms. Nasal cleaning is very beneficial to patients after surgery recovery.
Asunto(s)
Lavado Nasal (Proceso)/métodos , Cirugía Endoscópica por Orificios Naturales/efectos adversos , Enfermedades Nasales/terapia , Neoplasias Hipofisarias/cirugía , Complicaciones Posoperatorias/terapia , Adolescente , Adulto , Cuidados Posteriores/métodos , Anciano , Rinorrea de Líquido Cefalorraquídeo/etiología , Rinorrea de Líquido Cefalorraquídeo/terapia , Niño , Epistaxis/etiología , Epistaxis/terapia , Femenino , Humanos , Masculino , Persona de Mediana Edad , Mucosa Nasal/patología , Perforación del Tabique Nasal/etiología , Perforación del Tabique Nasal/terapia , Procedimientos Quírurgicos Nasales/métodos , Cirugía Endoscópica por Orificios Naturales/métodos , Nariz/lesiones , Nariz/cirugía , Enfermedades Nasales/etiología , Enfermedades del Nervio Olfatorio/etiología , Enfermedades del Nervio Olfatorio/terapia , Senos Paranasales/fisiopatología , Complicaciones Posoperatorias/etiología , Recuperación de la Función , Estudios Retrospectivos , Rinitis Atrófica/etiología , Rinitis Atrófica/terapia , Seno Esfenoidal/cirugía , Sinusitis del Esfenoides/etiología , Sinusitis del Esfenoides/terapia , Adherencias Tisulares/etiología , Adherencias Tisulares/terapia , Adulto JovenRESUMEN
Olfactory groove schwannomas are extremely uncommon and less than 30 cases are reported in the literature. We report a 21-year-old developmentally-retarded boy who experienced severe headache and aggressive behaviour for 5 months. Imaging showed a cystic mass in the subfrontal region, which was removed by craniotomy. The lesion had a vascular supply from the anterior ethmoidal arteries and it was noted to be attached to the right olfactory nerve. It was removed completely and histology showed it to be a schwannoma. Olfactory groove schwannomas are rare lesions and should be differentiated from meningiomas, neuroblastomas and dural-based metastatic lesions of the anterior cranial base.
