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Background@#To compare the clinical and cardiac magnetic resonance (CMR) imaging findings of coronavirus disease 2019 (COVID-19) vaccine-associated myocarditis (VAM) with those of other types of myocarditis. @*Methods@#From January 2020 to March 2022, a total of 39 patients diagnosed with myocarditis via CMR according to the Modified Lake Louise criteria were included in the present study. The patients were classified into two groups based on their vaccination status:COVID-19 VAM and other types of myocarditis not associated with COVID-19 vaccination.Clinical outcomes, including the development of clinically significant arrhythmias, sudden cardiac arrest, and death, and CMR imaging features were compared between COVID-19 VAM and other types of myocarditis. @*Results@#Of the 39 included patients (mean age, 39 years ± 16.4 [standard deviation]; 23 men), 23 (59%) had COVID-19 VAM and 16 (41%) had other types of myocarditis. The occurrence of clinical adverse events did not differ significantly between the two groups. As per the CMR imaging findings, the presence and dominant pattern of late gadolinium enhancement did not differ significantly between the two groups. The presence of high native T1 or T2 values was not significantly different between the two groups. Although the native T1 and T2 values tended to be lower in COVID-19 VAM than in other types of myocarditis, there were no statistically significant differences between the native T1 and T2 values in the two groups. @*Conclusion@#The present study demonstrated that the CMR imaging findings and clinical outcomes of COVID-19 VAM did not differ significantly from those of other types of myocarditis during hospitalization.
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BACKGROUND AND OBJECTIVES: Altough tonsillectomy is one of the most common otolaryngological procedures, a highly reliable and effective method for reducing postoperative pain has yet to be identified. This study evaluated the efficacy of a non-steroidal anti-inflammatory drug (NSAID) mouthwash on postoperative pain in tonsillectomy patients. SUBJECTS AND METHOD: A total of 64 patients who underwent tonsillectomy were randomly assigned to one of two groups (32 patients each). One group received the NSAID mouthwash and the other a distilled water mouthwash. Postoperative pain in the two groups was compared by assessing pain severity 1-9 days postoperatively using a visual analog scale. RESULTS: Compared to the distilled water mouthwash group, patients using the NSAID mouthwash showed a statistically significant decrease in postoperative pain over the first 9 postoperative days. CONCLUSION: A NSAID mouthwash may be a simple and effective method for controlling post-tonsillectomy pain when administered in conjunction with routine medications.
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Humanos , Anti-Inflamatórios não Esteroides , Métodos , Antissépticos Bucais , Dor Pós-Operatória , Tonsilectomia , Escala Visual Analógica , ÁguaRESUMO
BACKGROUND AND OBJECTIVES: Various hearing tests and vestibular function tests are used to diagnose acoustic neuroma. We analyzed the clinical characteristics and the results of audiovestibular function tests between patients of intrameatal and extrameatal acoustic neuroma. SUBJECTS AND METHOD: Reviewing the medical records for 64 patients with acoustic neuroma between March 2007 and February 2014, we divided the patients into two groups, intrameatal (31 patients) and extrameatal acoustic neuroma (33 patients) according to the involvement of cerebropontine angle. We compared the clinical characteristics, pure tone audiograms, speech audiometry, caloric test, and vestibular evoked myogenic potential (VEMP) between the two groups. RESULTS: While hearing loss was the most frequent presenting symptom in patients with intrameatal acoustic neuroma, dizziness was the most common symptom in patients with extrameatal acoustic neuroma. Hearing thresholds measured by pure tone audiometry and speech discrimination scores were significantly worse for patients with extrameatal acoustic neuroma. Abnormal unilateral canal paresis of caloric test was significantly higher for extrameatal acoustic neuroma than for intrameatal acoustic neuroma. Most patients with acoustic neuroma showed abnormal findings in the VEMP test, but the number of patients between intrameatal and extrameatal acoustic neuroma did not differ significantly. CONCLUSION: Clinical symptoms and the results of audiovestibular function tests differed according to the tumor size of acoustic neuroma. Physicians should counsel patients presenting with audiovestibular symptoms of the possibility of acoustic neuroma.
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Humanos , Acústica , Audiometria , Audiometria da Fala , Testes Calóricos , Tontura , Audição , Perda Auditiva , Testes Auditivos , Prontuários Médicos , Métodos , Neuroma Acústico , Paresia , Percepção da Fala , Testes de Função VestibularRESUMO
Brain arteriovenous malformation (AVM) is an abnormal connection between arteries and veins, bypassing the capillary system in the central nervous system. The first symptom of AVM is intracranial hemorrhage, followed by headache and seizure. However, dizziness as a symptom of AVM is very rare. We report a 16-year-old female patient who presented with disequilibrium. She showed down-beating nystamgus on Dix-Hallpike test and falling tendency on Romberg test with eyes open. Magnetic resonance image showed cerebellar AVM.
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Adolescente , Feminino , Humanos , Artérias , Malformações Arteriovenosas , Encéfalo , Capilares , Sistema Nervoso Central , Tontura , Cefaleia , Hemorragias Intracranianas , Convulsões , VeiasRESUMO
Arachnoid cysts compose 1% of all intracranial tumors and are usually incidental findings in brain imaging. They may present with symptoms such as dizziness, tinnitus and hearing loss, although they may be usually asymptomatic. In particular, presentation with sudden deafness is very rare. We report a case of a 21-year-old male who presented with sudden hearing loss linked to a cerebellopontine angle (CPA) arachnoid cyst. In this case, the cystic lesion at the CPA was found by magnetic resonance imaging of the brain. The hearing loss of this patient was successfully treated with steroids.
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Humanos , Masculino , Adulto Jovem , Cistos Aracnóideos , Aracnoide-Máter , Encéfalo , Ângulo Cerebelopontino , Tontura , Perda Auditiva , Perda Auditiva Súbita , Achados Incidentais , Imageamento por Ressonância Magnética , Neuroimagem , Esteroides , ZumbidoRESUMO
BACKGROUND AND OBJECTIVES: Ultrasonography (USG)-guided sclerotherapy using a sclerotherapic agent such as ethanol, OK-432, recently has gained popularity as a treatment for nonfunctioning benign thyroid nodules. The study evaluates the efficacy and safety of the USG-guided sclerotherapy for that purpose. SUBJECTS AND METHOD: Included in the study were 23 patients who had complaints of applied pressure or cosmetic problems due to cystic thyroid nodules, which had been diagnosed as benign and nonfunctioning by fine-needle aspiration biopsy and thyroid function test. Sclerotherapy was performed with OK-432 or 99.9% ethanol following nearly complete evacuation of the fluid from the cystic portion of thyroid nodule. At each USG follow-up, we measured the volume of cysts, symptom scores, cosmetic scores using a visual analog scale, and related complications were examined at postoperative dates of one and six months. RESULTS: The volume of thyroid cysts were significantly reduced (p<0.01) with mean volume reduction rates of 77.3+/-21.2% at postoperative 6 months. The cosmetic score and symptom score were significantly improved following sclerotherapy (p<0.01). Major complications related to sclerotherapy, such as vocal cord paralysis, thyrotoxicosis and tissue necrosis, did not happen during the follow-up observation. CONCLUSION: USG-guided sclerotherapy could be a simple and effective treatment modality for benign cystic thyroid nodules.
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Humanos , Biópsia por Agulha Fina , Cronologia como Assunto , Cosméticos , Etanol , Seguimentos , Necrose , Picibanil , Estudos Prospectivos , Escleroterapia , Testes de Função Tireóidea , Glândula Tireoide , Nódulo da Glândula Tireoide , Tireotoxicose , Paralisia das Pregas VocaisRESUMO
We report herein a case of linear focal elastosis associated with striae distensae. A 17-year-old man presented with striae-like palpable bands on his lower back. Histologic examination revealed many fine wavy and fragmented bundles of elastic fibers in the dermis. He also had typical striae distensae on the knee area. This patient can be one more case to the theory that linear focal elastosis might be the keloidal repair of striae distensae.