ABSTRACT
We report the case of a 52 years old patient with clinic of food regurgitation and some dysphagia without other added symptoms who was sent to our ENT consulting rooms. It was performed a cervicothoracic CT which informed as a paratracheal cystic lesion with differential diagnosis between esophageal or tracheal diverticulum. The possibility of that last one was discarted by a normal bronchoscopy.
Subject(s)
Cysts/diagnosis , Tracheal Diseases/diagnosis , Zenker Diverticulum/diagnosis , Diagnosis, Differential , Humans , Male , Middle AgedABSTRACT
We present the case of a 56 years old female controlled in our ENT Department because of right sudden hearing loss, tinnitus and vertigo. The endoscopic exam was normal. Audiogram showed a severe neurosensorial hypoacusia and PEATC confirmed the so called hypoacusia suggesting a retrocochlear origin of it. As imaging tests an otic-craneal CT and IRM were asked for, which informed of the presence of a cystic lesion versus polyp in sphenoidal sinus of 15 x 10 mm without other alterations or significant pathology.
Subject(s)
Cysts/complications , Cysts/diagnosis , Paranasal Sinus Diseases/complications , Paranasal Sinus Diseases/diagnosis , Paranasal Sinus Neoplasms/complications , Paranasal Sinus Neoplasms/diagnosis , Polyps/complications , Polyps/diagnosis , Retrocochlear Diseases/complications , Sphenoid Sinus , Female , Humans , Incidental Findings , Middle Aged , Severity of Illness IndexABSTRACT
Vegetal or animal food can produce hipersensibility reactions IgE mediated of diverse intensity. We report the case of a 54 years old woman without previous allergic antecedents who after eating frozen fish had to go to Emergencies due to angioedema especially in face and oropharynx. The ENT exploration by fibroscopia descarted laryngeal edema but the patient showed initially respiratory symptoms so she was treated with SC adrenalina and then steroids during her admission. The diagnosis of alimentary alergia would be confirmed after by Allergology with cutaneous test prick type.
Subject(s)
Angioedema/etiology , Face , Fishes , Food Hypersensitivity/complications , Oropharynx , Angioedema/diagnosis , Angioedema/drug therapy , Animals , Female , Humans , Middle AgedABSTRACT
Cholesterol granulomas and cysts located on the petrous apex can course of a silent way during years. We describe one case assisted in our consulting rooms which was discovered after performing CT and MRI (with and without paramagnetic contrast) in a patient with vertigo associated to conscience loss without other symptoms. In the discussion is exposed which must be the differential diagnosis of this pathology.
Subject(s)
Bone Cysts/diagnosis , Cholesterol , Granuloma, Foreign-Body/diagnosis , Petrous Bone , Adult , Diagnosis, Differential , Female , HumansABSTRACT
Epistaxis represent a relatively common symptom in the hospitalary Emergencies Services. In our casuistry of 250 consecutive patients assisted and admitted because of that cause in 2 different hospitals of the region between 1996 and 2005, we have noticed the presence of one or more base pathologies or risk factors in originate most of them which could the nose bleeding. These causes are analysed beside the location of the epistaxis and the different treatment options that were used until its resolution.
Subject(s)
Epistaxis/etiology , Data Interpretation, Statistical , Emergency Service, Hospital , Epistaxis/diagnosis , Epistaxis/therapy , Female , Hemostasis, Surgical , Hemostatic Techniques , Hospitalization , Humans , Length of Stay , Male , Middle Aged , Retrospective Studies , Risk Factors , Time FactorsABSTRACT
Maxillary sinus hypoplasia is a relatively uncommon clinical condition that may be misdiagnosed as chronic sinusitis or neoplasm by otolaryngologist. We report an unilateral clinical case of this entity confirmed by CT and a short literature review is performed at this respect.
Subject(s)
Maxillary Sinus/abnormalities , Maxillary Sinusitis/diagnosis , Chronic Disease , Diagnosis, Differential , Female , Humans , Maxillary Sinus/diagnostic imaging , Maxillary Sinusitis/diagnostic imaging , Middle Aged , Tomography, X-Ray ComputedABSTRACT
The so called Forestier-Rotes Querol's disease or diffuse idiopathic skeletal hyperostosis can affect the neck caused by osteophytos and ossification-calcification of the vertebral ligaments. The location in that region can produce dysphagia or hoarseness, among other symptoms, so that the patient can assist or be sent to ENT valoration. We are reporting a case of this pathology which was diagnosed in our hospital. Finally a bibliographic review is performed.
Subject(s)
Cervical Vertebrae , Deglutition Disorders/etiology , Hyperostosis, Diffuse Idiopathic Skeletal/complications , Aged , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Cervical Vertebrae/diagnostic imaging , Humans , Hyperostosis, Diffuse Idiopathic Skeletal/diagnostic imaging , Hyperostosis, Diffuse Idiopathic Skeletal/drug therapy , Male , Radiography , Treatment OutcomeABSTRACT
Kartagener syndrome (a clinical variant of primary ciliary dyskinesia) is a recessive autossomical disease characterized by the triad of chronic sinusitis, bronchiectasis and situs inversus with dextrocardia. We report one case described in a 8 years old boy who besides presented a seromucous otitis and bronchitis of repetition. Finally we performed a short bibliographic review at respect of this uncommon pathology.
Subject(s)
Kartagener Syndrome , Biopsy , Bronchiectasis/diagnostic imaging , Bronchitis/diagnosis , Child , Chronic Disease , Dextrocardia/diagnostic imaging , Humans , Kartagener Syndrome/diagnosis , Kartagener Syndrome/diagnostic imaging , Kartagener Syndrome/pathology , Lung/pathology , Male , Otitis/diagnosis , Radiography, Thoracic , Sinusitis/diagnosisABSTRACT
Vogt-Koyanagi-Harada sindrome is an autoimmune sistemic disease characterized by granulomatous bilateral uveitis with involvement of the central nervous system which can compromise the VIII craneal pair function producing tinnitus and neurosensorial hypoacusia. We report a case diagnosed in a young woman who also suffered episodes of vertigo. We review the literature of that pathology.
Subject(s)
Hearing Loss, Sensorineural/etiology , Tinnitus/etiology , Uveomeningoencephalitic Syndrome/complications , Vertigo/etiology , Adult , Audiometry , Female , Fluorescein Angiography , Follow-Up Studies , Hearing Loss, Sensorineural/diagnosis , Humans , Time Factors , Uveomeningoencephalitic Syndrome/diagnosisABSTRACT
We are reporting the case of a 52 years old male with a peripheral vertiginous syndrome which could have been diagnosed as a benign paroxysmal positional vertigo. In a craneocervical CT appeared an osteolytical lesion on C3 vertebral body. With this article we pretend to emphasize the importance of a complete exploration and the differential diagnosis in the peripheral vertiginous pathology.
Subject(s)
Cervical Vertebrae , Osteolysis/diagnosis , Vertigo/diagnosis , Cervical Vertebrae/diagnostic imaging , Diagnosis, Differential , Humans , Male , Middle Aged , Osteolysis/complications , Osteolysis/diagnostic imaging , Tomography, X-Ray Computed , Vertigo/etiologyABSTRACT
We present a retrospective study of 200 consecutive children explored in our hospital between november 2005 and april 2006, as a part of the protocole or program of early identification hearing loss stablished several years ago in our Comunity. In case of suspected hypoacusia after performing otoacoustic emissions, children must be sent to PEATC 3 months later.