Cases reported "Edema"

Filter by keywords:



Filtering documents. Please wait...

11/14. Sac decompression for refractory luetic vertigo.

    Luetic hydrops can occur in both congenital and acquired lues and otologic manifestations may be indistinguishable from Meniere's disease. Eight endolymphatic sac decompression procedures were performed on 6 patients with refractory luetic vertigo. Of those, 3 had congenital and 3 acquired lues. All cases had received extensive anti-luetic medical therapy without any discernible improvement in the vertiginous attacks. In our 6 patients with luetic hydrops the main complaint was severe refractory vertigo, indeed, disabling in most cases. Postoperatively, all cases remained free from these severe attacks and the vertigo was controlled or eliminated in all cases. Although hearing was improved in one patient, hearing seemed not to improve, generally speaking, as a result of the long-term postoperative follow-up. We describe our method of sac decompression and drainage and suggest that this procedure might be considered for patients with uncontrollable luetic vertigo who have not benefited from adequate medical therapy.
- - - - - - - - - -
ranking = 1
keywords = vertigo
(Clic here for more details about this article)

12/14. Delayed endolymphatic hydrops.

    Eighteen patients with delayed endolymphatic hydrops are presented. This distinctive entity typically affects young adults and is characterized by episodic vertigo of Meniere's type occurring years after a sudden hearing loss. measles or mumps were thought to have caused the hearing loss in eight patients. In the entire group of 18 patients the delay between identification of hearing loss and vertigo averaged 22.6 years. The diagnosis is aided by electronystagmography and labyrinthotomy in selected cases. Medical treatment may be effective and surgical treatment is curative.
- - - - - - - - - -
ranking = 0.25
keywords = vertigo
(Clic here for more details about this article)

13/14. Unusual otologic manifestation of chronic lymphocytic leukemia.

    The first reported case of a patient with chronic lymphocytic leukemia, who 14 years after diagnosis developed bilateral symmetrical ear lobe swelling secondary to lymphocytic infiltrates and its management, is presented. The various otologic and specific skin manifestations of leukemia are discussed and the literature reviewed. The temporal bone findings take the form of leukemic infiltrations, inflammation, and hemorrhage. These may present as a red or thickened tympanic membrane, hemotympanum, exudates in the middle ear, acute otitis media, mastoiditis, conductive or sensori-neural hearing loss, dizziness, vertigo or facial paralysis. The specific skin manifestations take the form of nodules, papules, infiltrations, plaques, ulcerations and exfoliative erythroderma. These may present as skin lesions most commonly in the head and neck area, rarely presenting in the auricle and ear canal.
- - - - - - - - - -
ranking = 0.125
keywords = vertigo
(Clic here for more details about this article)

14/14. Delayed endolymphatic hydrops following acoustic tumor removal with intraoperative and postoperative auditory brainstem response improvements.

    A 36-year-old female with delayed endolymphatic hydrops (ELH) after acoustic tumor removal of the same ear is reported. She presented at our clinic with pressure, fullness, and tinnitus involving her right ear. She had an abnormal auditory brainstem response (ABR), and a computed tomography showed a right acoustic tumor. She underwent a complete tumor removal from a suboccipital incision with significant intraoperative and postoperative ABR improvements. Preoperatively, there was no fluctuation in her hearing and her electrocochleography (ECoG) was normal. She did well postoperatively, but 18 months after the tumor surgery she complained of noticeable fluctuating hearing loss with increased tinnitus and aural fullness of her right operated ear and nausea but no vertigo. Neurotological examinations showed a positive right urea dehydration and positive right ECoG for enhanced summating potential to clicks. She was diagnosed as cochlear Meniere's disease with delayed ELH, failed medical management and then underwent a valved shunt surgery for ELH to stabilize her hearing. Eight years after her acoustic tumor surgery and 6 and a half years after her ELH surgery she has stabilized hearing with normal ABR and ECoG. Her clinical course is presented and a pathogenesis of ELH is discussed.
- - - - - - - - - -
ranking = 0.125
keywords = vertigo
(Clic here for more details about this article)
<- Previous |


Leave a message about 'Edema'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.