Craniopharyngioma - Transnasal Endoscopic Approach

Craniopharyngiomas are slow growing tumours arising from remnants of the craniopharyngeal duct and occupy the sellar region. The patients may remain asymptomatic for long duration or present with headache or visual disturbances. Surgery is the mainstay of the treatment. Traditionally these tumours have been removed by neurosurgeons through the cranial approach but the advent of nasal endoscopes has opened new avenues for ENT surgeons to treat such patients. We hereby present a case of craniopharyngioma who was successfully treated by Trans-nasal Hypophysectomy

A Rare Nasopharyngeal Foreign Body

Nasopharynx is an exceptionally rare anatomical location for foreign body impaction. We present a rare case of nasopharyngeal foreign body (NFB) in a 7 years old child. The diagnosis was confirmed by nasal endoscopy. Immediate removal of foreign body (FB) in the nasopharynx was performed under general anesthesia. This rare situation is potentially dangerous, since its dislodgment may cause fatal airway obstruction. Therefore, in all cases with missing foreign bodies in the aerodigestive system, nasopharyngeal impaction should be kept in mind and endoscopic examination of the region should be considere

Primary Non-Hodgkin's Malignant Lymphoma of the Sinonasal Tract

Primary non-Hodgkin’s lymphomas (NHL) of the sinonasal tract are rather uncommon entities. Morphologically and radiographically, sinonasal lymphomas are difficult to distinguish from other malignant neoplasms or non- neoplastic processes. They have a variable presentation from fulminant destructive manifestations to chronic indolent type of disease and may mimic as carcinomas and invasive fungal infection respectively. We report a case of primary NHL involving sinonasal tract in elderly female, which was clinically and radiologically mimicking as sinonasal malignany and was proven as NHL on histological examination and confirmed by immunohistochemistry. A high index of suspicion, appropriate histopathological examination and immunohistochemistry is necessary to differentiate sinonasal lymphomas from other possibilities. Failure to do so may miss the diagnosis and delay appropriate treatmen

Space-Optimal Quasi-Gray Codes with Logarithmic Read Complexity

A quasi-Gray code of dimension n and length l over an alphabet Sigma is a sequence of distinct words w_1,w_2,...,w_l from Sigma^n such that any two consecutive words differ in at most c coordinates, for some fixed constant c>0. In this paper we are interested in the read and write complexity of quasi-Gray codes in the bit-probe model, where we measure the number of symbols read and written in order to transform any word w_i into its successor w_{i+1}. We present construction of quasi-Gray codes of dimension n and length 3^n over the ternary alphabet {0,1,2} with worst-case read complexity O(log n) and write complexity 2. This generalizes to arbitrary odd-size alphabets. For the binary alphabet, we present quasi-Gray codes of dimension n and length at least 2^n - 20n with worst-case read complexity 6+log n and write complexity 2. This complements a recent result by Raskin [Raskin \u2717] who shows that any quasi-Gray code over binary alphabet of length 2^n has read complexity Omega(n). Our results significantly improve on previously known constructions and for the odd-size alphabets we break the Omega(n) worst-case barrier for space-optimal (non-redundant) quasi-Gray codes with constant number of writes. We obtain our results via a novel application of algebraic tools together with the principles of catalytic computation [Buhrman et al. \u2714, Ben-Or and Cleve \u2792, Barrington \u2789, Coppersmith and Grossman \u2775]

Elegant Aging Through Endocrine Optimization

Elegant Aging Through Endocrine Optimizatio