RESUMEN
In nineteen seventy two Towns and Brocks reported on a family in which the father and seven children showed anal atresia, triphalangeal thumb, metatarsal synostosis, extra fingers, neurosensorial deafness and ear abnormalities. The main traits were those related to hand, ear and anus alterations, transmitted under a dominant autosomal pattern. In this paper we present several members of the same family with similar alterations who finally were diagnosed of Townes-Brocks syndrome.
Asunto(s)
Anomalías Múltiples , Ano Imperforado , Oído Externo/anomalías , Deformidades Congénitas del Pie , Deformidades Congénitas de la Mano , Pérdida Auditiva Bilateral/diagnóstico , Pérdida Auditiva Sensorineural/diagnóstico , Anomalías Múltiples/genética , Adolescente , Adulto , Ano Imperforado/genética , Femenino , Deformidades Congénitas del Pie/genética , Deformidades Congénitas de la Mano/genética , Pérdida Auditiva Bilateral/genética , Pérdida Auditiva Sensorineural/genética , Humanos , Masculino , Linaje , SíndromeRESUMEN
Some rachis conditions can produce dysphagia. We report one case of extrinsic oesophageal dysphagia, unusual but not exceptional problem. A 76-year-old patient suffering on idiopathic vertebral hyperostosis or Forestier's disease. He showed an enormous osteophytes widespread throughout the cervical vertebrae, fusing together and causing the extrinsic compression both of hypopharynx and oesophagus. Bibliography perusal.
Asunto(s)
Vértebras Cervicales/diagnóstico por imagen , Trastornos de Deglución/diagnóstico , Trastornos de Deglución/etiología , Hiperostosis Esquelética Difusa Idiopática/complicaciones , Hiperostosis Esquelética Difusa Idiopática/diagnóstico , Anciano , Humanos , Masculino , Índice de Severidad de la Enfermedad , Tomografía Computarizada por Rayos XRESUMEN
Hyponatremia is a relatively common postoperative complication which sometimes has dramatic consequences. A case of severe hyponatremia is reported. Although unrelated with the surgical technique, this complication is potentially life-threatening.