earache/seizures

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Management of lateral sinus thrombosis.

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OBJECTIVE Review the clinical signs and symptoms, management, bacteriology and outcomes of patients treated for lateral sinus thrombosis. METHODS A retrospective review of six patients, treated from 1993 through 1998, with an intraoperatively confirmed diagnosis of lateral sinus

[Fatal outcome after retrograde insufflation of the eustachian tube].

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This case report describes a lethal complication of retrograde air insufflation through the Eustachian tube after myringotomy. A 35-year-old woman presented with otalgia and hearing loss in her left ear, which had occurred after an upper respiratory infection. Otoscopy showed a middle ear effusion.

Presentation of Wegener's granulomatosis in young patients.

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We have reviewed 50 cases of Wegener's granulomatosis, seen at the New England Medical Center Hospital between 1970 and 1984, and were impressed that 10 (20%) of these patients were under 25 years of age, with ages ranging from 13 to 23 years. Closer examination of this younger group revealed

Pulmonary neuroendocrine carcinoma mimicking neurocysticercosis: a case report.

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BACKGROUND Neurocysticercosis occurs when the eggs of the pork tapeworm (Taenia solium) migrate and hatch into larvae within the central nervous system. Neurocysticercosis is the most common cause of seizures in the developing world and is characterized on brain imaging by cysts in different stages

Clinical outcomes of intracranial complications secondary to acute mastoiditis: The Alder Hey experience.

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Acute mastoiditis is the most common intra-temporal complication of acute otitis media. Its management remains a challenge due to potential extracranial and intracranial complications. This study was designed to evaluate the recent experience with acute mastoiditis and its associated

Cotton bud in external ear canal causing necrotising otitis externa and subdural abscess.

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Necrotising otitis externa (NOE) is an infection originating in the soft tissues of the external auditory canal (EAC) spreading to the surrounding bone and rarely causing intracranial complications. It is usually caused by Pseudomonas aeruginosa and has historically occurred in elderly

Munchausen by proxy syndrome mimicking childhood-onset systemic lupus erythematosus.

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Childhood-onset systemic lupus erythematosus (cSLE) is a chronic inflammatory multisystem autoimmune disease that requires multiple differential diagnoses. Munchausen by proxy syndrome (MBPS) is a form of child abuse, where a caregiver intentionally creates a medical history and induces or

A diagnostic dilemma of central skull base osteomyelitis mimicking neoplasia in a diabetic patient.

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We present a case which illustrates the diagnostic difficulty in distinguishing between osteomyelitis of the central skull base and base of skull tumours. A woman in her early forties presented with seizures and multiple cranial nerve palsies. She also had a background of chronic otalgia and poorly

Cholesterol granulomas of the petrous apex: combined neurosurgical and otological management.

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Cholesterol granulomas of the head are relatively rare. Isolated lesions of the cerebellopontine angle are even more uncommon. In this report, 17 cases of petrous apex cholesterol granulomas are presented and management is discussed. Symptoms at presentation included dizziness (14 patients),

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