An unusual etiology of posttraumatic Collet–Sicard Syndrome: a case report

Posttraumatic Unilateral paralysis of the last four cranial nerves (IX-XI), known as collet-Sicard syndrome, is rare following closed head injury. A 21-year-old man presented with slurred speech, hoarseness voice and difficulty swallowing his saliva following closed head trauma. The cranial nerve examination revealed left sided severe dysfunction of cranial nerves VII, IX, X, XI, and XII.A CT-Scan of the neck was performed demonstrating a fracture of the left styloid process at the base of the skull.The Magnetic Resonance Imaging showed unusually well seen lower cranial nerves due to nerve edema. The patient was managed conservatively with steroids and regular sessions of neuromuscular and orthophonic rehabilitation.The nutrition had to be administered by gastrostomy since he was unable to swallow.Six months after the injury a total neurological recovery was noted.We present the exceptional case of Collet-Sicard Syndrome caused by styloid process fracture.Pan African Medical Journal 2016; 2

Decompression of Facial Nerve after Temporal Bone Fracture: about 20 Cases

Background: Seven to ten percent of facial nerve paralysis occurs in patients with temporal bone fracture. It has become increasingly common due to the development of human activity. One of the main topics of discussion is facial nerve injury management resulting from temporal bone trauma. The purpose of this study is to report the paralysis of facial nerve after temporal bone fractures. Aim: In this study, our goal was to record the facial profile of rhinoplasty applicants in Shiraz. Methods: This retrospective study analyzed 20 cases of traumatic paralysis of facial nerve, which underwent facial nerve decompression. Results: Recovery rate was correlated to the delay of surgery. 83.3% of patients who underwent decompression surgery within the first 2 weeks after trauma had an excellent therapeutic outcome (HB grading I-II) and the difference was statistically significant (p=0.000). Conclusion: Facial nerve paralysis surgical management after bone fracture is controversial. The decision must be taken according to the type of paralysis and the radiological electrophysiological and evolutionary data

Primary papillary carcinoma of the thyroglossal duct in a 14-year-old female: case report and review of the literature

Thyroglossal duct carcinoma is a rare pathologic entity. The surgeon's main concern is whether to perform thyroidectomy or not. In this paper, we report another case of thyroglossal papillary duct carcinoma in a 14-old girl suspected preoperatively and confirmed postoperatively on the histological analysis of resected specimen by a Sistrunk procedure. Therapeutic strategy was completed by a total thyroidectomy with radioactive iodine therapy and suppressive levothyroxine therapy. In the absence of clear guidelines, the management of thyroglossal duct carcinoma is depending on the clinical situation and the experience of the team of surgeons

Congenital Pulmonary Alveolar Proteinosis

Pulmonary alveolar proteinosis (PAP) is a rare syndrome characterized by pulmonary surfactant accumulation within the alveolar spaces. It occurs with a reported prevalence of 0.1 per 100,000 individuals. Two clinically different pediatric types have been defined as congenital PAP which is fatal and a late-onset PAP which is similar to the adult form and less severe. The clinical course of PAP is variable, ranging from spontaneous remission to respiratory failure. Whole-lung lavage is the current standard treatment for PAP patients. We report a new congenital case of PAP

A rare location of thyroglossal duct cyst in a newborn

Thyroglossal duct cyst of the tongue is a rare entity. Occurrence in the anterior part of the tongue is exceptional. We report in this paper a rare case of thyroglossal cyst of the anterior part of the tongue, discovered in a five-days-old newborn at delivery. Images have shown a cystic mass with homogenous liquid content. A transoral complete resection of the lesion was performed, with no postoperative complication. The histological analysis confirm the diagnosis of lingual thyroglossal duct cyst. There were no recurrence with a follow-up of eight months