RESUMO
Spontaneous intracranial hypotension is frequently idiopathic. The authors report on a patient presenting with symptomatic intracranial hypotension caused by a transdural calcified thoracic disc herniation. Cranial magnetic resonance (MR) imaging revealed classic signs of intracranial hypotension, and a combination of spinal MR and computerized tomography myelography confirmed a mid-thoracic transdural calcified herniated disc as the cause. The patient was treated with an epidural blood patch and burr hole drainage of the subdural effusion on two occasions. Postoperatively the headache resolved and there was no neurological deficit. Thoracic disc herniation may be a cause of spontaneous intracranial hypotension.
Assuntos
Deslocamento do Disco Intervertebral/complicações , Deslocamento do Disco Intervertebral/fisiopatologia , Hipotensão Intracraniana/etiologia , Hipotensão Intracraniana/fisiopatologia , Vértebras Torácicas/fisiopatologia , Adulto , Feminino , Humanos , Deslocamento do Disco Intervertebral/terapia , Hipotensão Intracraniana/terapia , Vértebras Torácicas/cirurgiaRESUMO
Adult epiglottitis is an uncommon disease that may become fatal because of sudden airway obstruction. Recurrent adult epiglottitis has been reported rarely in the literature. We present a case of relapsing epiglottitis in a patient with corticosteroid insufficiency secondary to pituitary surgery. It is the first case to highlight this infection occurring in a relapsing manner in a patient with pituitary-adrenocortical insufficiency on long-term steroid replacement therapy.
Assuntos
Epiglotite/etiologia , Hipofisectomia , Complicações Pós-Operatórias/etiologia , Doença Aguda , Anti-Inflamatórios/uso terapêutico , Doenças do Sistema Endócrino/etiologia , Doenças do Sistema Endócrino/cirurgia , Epiglotite/tratamento farmacológico , Feminino , Humanos , Hidrocortisona/uso terapêutico , Pessoa de Meia-Idade , Sistema Hipófise-Suprarrenal/cirurgia , Complicações Pós-Operatórias/tratamento farmacológico , Recidiva , Tiroxina/uso terapêuticoRESUMO
Epithelioid sarcoma (ES) is a rare tumour that seldom presents to the otolaryngologist. It typically occurs in the extremities of young adolescents; however, it has the capability of metastasizing, often to the lungs or skin. The diagnosis is by histopathological examination and immunohistochemistry. We present a case of metastatic ES occuring in the tongue, a tumour not reported previously in the English literature.