Cloud Bleeding-Typos Leaking Your Information

Nupur Baisakhiya's poster about a user information leak from the Cloud Flare service

Homonymous Hemianopia with Macular Sparing: Clinical and Radiological Correlation - case presentation

A classical case of homonymous hemianopia with macular sparing secondary to stroke involving the occipital cortex is presented. The lesion was localized more anteriorly where anatomically the peripheral vision function in the cerebral cortex is located. Sparing of the occipital pole was responsible for macular sparing in the patient. In this case there was good co-relation between clinical symptoms and radiological findings. This case highlights that well conducted visual field testing and careful evaluation of the visual field defect pattern can localize the lesion site approximately along the optic pathway that can be confirmed by modern imaging modalities.Key words: brain, magnetic resonance imaging, macula, occipital lobe, vision, homonymous hemianopia, strok

Traumatic Retrobulbar Haemorrhage: Aetio-pathology and management

Retrobulbar haematoma following blunt orbital trauma is a rare,but potentially serious complication, since it can evolve rapidly from visual impairment to permanent loss of vision. This sight-threatening situation most commonly arises from orbital bleeding accompanying undisplaced fractures of the orbital walls, an event that increases the pressure inside theorbit and results in vascular damage to the optic nerve. The clinical presentation includes pain, exophthalmos with proptosis, and internal ophthalmoplegia, with impairment or loss of the pupillary reXex. A thin-layer orbital CT scan is an essential diagnostic aid. Therapy is based on orbitaldecompression, via different surgical approaches, with the intention of reducing the pressure on the nerve and vascular structures inside the orbit. Emergent management is of utmost importance as any delay between the onset of symptoms and treatment can have a significant effect onrecovery

Large cerebello-pontine epidermoid tumor in a child

Cerebellopontine angle lesions are more commonly found in adults; however, they are uncommon in children. 13 year female child presented with progressive cerebellar signs and decreased hearing in left ear. Magnetic resonance imaging was suggestive of left cerebello-pontine angle epidermoid tumor that was treated surgically. In this rare case we discuss the imaging findings and review the relevant literature

A Clinical and Radiological Evaluation of Chronic Rhinosinusitis

Introduction The diagnosis of rhinosinusitis is based on clinical grounds having characteristic symptoms, combined with objective evidence of mucosal inflammation. We studied the corelation between the symptoms of the patients, clinical and endoscopic findings with CT scan findings in chronic rhinosinusitis (CRS). Materials and Methods Patients above the age of 15yrs fulfilling the criteria of Chronic sinusitis laid by European position paper on rhinosinusitis and nasal polyps (EPOS) 2012 were prospectively studied. Demographic and clinical profile were noted. Diagnostic Nasal Endoscopy was done and findings were recorded. Patients were undergone CT evaluation after giving appropriate medical management. Clinical, endoscopic and radiological findings were compared with similar studies. Data was analysed using IBM SPSS software version 20. Results This study included 118 patients of Chronic Rhinosinusitis. Patients commonly male between the age group of 21-30 years presented with nasal obstruction, headache and nasal discharge in order of presentation. Diagnostic Nasal endoscopy revealed Septal deviation in 64.4% and medialize uncinate process in 15.2% of cases. Nasal discharge (48.3%) was commonest finding. CT scan suggested deviated nasal septum (70.4%), concha bullosa (30.5%), blocked osteo-meatal complex (68.6%) in patients of CRS. Presence of Agger Nasi cell (49.2%), Haller cell (12.7%) and Onodi cell (15.7%) seen in these patients. Conclusion CT scan and diagnostic endoscopy along with detailed clinical examination are essential component for assessment of a patient with chronic rhinosinusitis. CT scan is considered as gold standard but endoscopy is also a valuable tool for diagnostic evaluation of patients with CRS

Giant schwannoma arising from cervical nerve root with intra-thoracic extension

Schwannomas are well-encapsulated benign neurogenic tumors that arise from the nerve sheaths of peripheral nerves. Schwannomas may occur nearly anywhere in the body, but have a predilection for the head and the neck, with an incidence of 40-50%. Rarely, the cervical nerve root can be the site of a large dumbbell neurogenic tumor in the neck. In the present article, we describe the case of a 40-year-old male with a large schwannoma arising from the cervical nerve root with intrathoracic extension. Surgical excision is the treatment of choice for neurogenic tumors, and it has been described that if the lesion is known to be a schwannoma, it is possible to open the capsule and shell out the tumor from the nerve, possibly avoiding functional deficits. However, as in the present case, it may not be possible to resect the tumor safely from the involved nerve root and it may be necessary to sacrifice the nerve involved in the tumor to achieve complete resection

A rare complication of Nd-YAG capsulotomy: Propionibacterium acnes endopthalmitis

Abstract Posterior capsular opacification, also known as after cataract develops in 33 % of patients after uneventful cataract surgery. Nd-YAG Laser capsulotomy is the treatment of choice for PCO and is routinely performed by the general ophthalmologist on an OPD basis. Endophthalmitis, although a rare complication after Nd-YAG Laser capsulotomy, has been reported in the literature. We report a case of Propionibacterium acnes endophthalmitis following laser capsulotomy and the possible mechanism of its occurrence

Unsafe CSOM still a challenge in rural areas

AIMS AND OBJECTIVESTo determine the frequency of complications in unsafe chronic suppurative otitis media.MATERIAL AND METHODSThis prospective study was conducted in the department Otorhinolaryngology MMIMSR over the timeduration of one year from March 2011 to April 2012. Fifty consecutive patients were selected whoseclinical diagnosis was CSOM Attico-antral type.Conclusion:The rate of complications, especially more serious intracranial complications ,observed in developing countries is significantly more than those observed in studies from the developed countries.(12). In our study the frequency of extracranial complications excluding ossicular erosion is 22% and thefrequency of intracranial complications is 4%. It was observed by Memon et al (13) in 2008 that in aseries of 390 patients of chronic discharging ears that the rate of extracranial complications was 4.10%and rate of intracranial complications was 2.3%of the unsafe variety . The high frequency in our study may be explained by the fact that we are sitting in a rural background with very poor socio-economicbackground patients. Osama U et al (14) from Turkey reveals the rate of 1.35% of extracranial complications and 1.97% of intracranial complications in his study.

Blunt trauma to the parotid gland in child

Blunt trauma to the parotid gland is extremely rare and requires considerable force. We present a unique case in which a child sustained parotid injury without any associated injury to the facial skeleton, parotid gland and ductal structures and managed successfully. A literature search revealed that this type of injury has not been reported previously