Tullio phenomenon in superior semicircular canal dehiscence (SSCD)

A 68-year-old woman presented with worsening sound-induced vertigo (Tullio phenomenon) and left-sided hearing loss. Weber's test lateralised to the affected ear and audiography confirmed mild conductive hearing loss. Neurological assessment was remarkable for torsional/vertical noise and vibration-induced nystagmus. The patient demonstrated low threshold cervical vestibular-evoked myogenic potential responses, and superior semicircular canal dehiscence was suspected. Otoscopy, tympanography and stapedial reflexes were normal bilaterally.peer-reviewe

Interhemispheric epidermoid cyst

A 44-year-old man presented following a tonicclonic seizure. Intracranial epidermoid cysts account for approximately 1% of primary intracranial tumours. They are benign slow growing tumours derived from ectodermal inclusions during neural tube closure.peer-reviewe

Mental Illness and Psychiatry: The 20th and Early 21st Centuries

The aim of this paper is to present the opposing views and tensions that characterised the evolution of psychiatry and understandings of mental health during the 20th century and the early decades of the 21st century. To this extent, the principal figures and entities that occupied the main fronts during these debates are presented during a description of the journey undertaken by psychiatry during the aforementioned years. Quotes from various original texts or their translations have been included in an attempt to recreate the spirit of the periods under study. This historical exploration provides further insight into the multifaceted world of mental health, its illnesses, treatments and the role of a number of influencing bodies that were crucial into shaping this discipline across the centuries

The elephant man syndrome

We describe a case of Proteus syndrome in a 34-year-old man who started to notice growths over his left frontal and temporal regions about 15 years ago. An abdominal ultrasound confirmed splenomegaly which was palpable on clinical examination. A skull X-ray showed well-circumscribed lesions over the left frontal bone and at the mastoid processes with a hazy appearance of the matrix, a narrow zone of transition and no periosteal reaction. CT demonstrated hyperostosis of the skull.peer-reviewe

Lemierre syndrome : more than just a sore throat

A previously healthy, 35-year-old, immunocompetent man presented with a 2-day history of sore throat and unilateral swelling of the right neck. The patient was found to be tachycardic and pyrexic on clinical examination.peer-reviewe

Teaching neuroImages : chordoma

In this study Dr. Azzopardi was responsible for conducting the literature review and drafting the manuscript and accepts responsibility for conduct of research, final approval, and acquisition of data. Dr. Grech accepts responsibility for conduct of research, final approval, acquisition of data, and study supervision and made the radiologic diagnosis.peer-reviewe

Bilateral intralobar pulmonary sequestration : a case report

Bronchopulmonary sequestration is a congenital lung malformation consisting of a non-functioning lung segment. Arterial supply to such a segment is found to be systemic rather than pulmonary, and by definition there is no communication with the tracheobronchial tree. It accounts for about 6% of all congenital pulmonary malformations. Bilateral bronchopulmonary sequestration is yet more uncommon. These malformations can be classified as either intralobar sequestration (the commoner type), or extralobar sequestration (in 14- 25%).peer-reviewe

Imaging of adult ocular and orbital pathology - a pictorial review

Orbital pathology often presents a diagnostic challenge to the reporting radiologist. The aetiology is protean, and clinical input is therefore often necessary to narrow the differential diagnosis. With this manuscript, we provide a pictorial review of adult ocular and orbital pathology.peer-reviewe

Mounier-Kuhn syndrome : more than just a cough

A 35-year-old man presented with a chronic productive cough and a history of recurrent lower respiratory tract infections. Physical examination was unremarkable as were routine blood investigations. A chest radiograph demonstrated dilation of the trachea and main bronchi. Multiple perihilar cysts with air-fluid levels were seen. Contrast-enhanced chest CT confirmed tracheal dilation with multiple tracheal diverticulae present in the posterior aspect of the proximal trachea. Both main bronchi were also dilated. Bilateral, cystic spaces with air-fluid levels, in keeping with cystic bronchiectasis were seen to involve both lower lung zones, sparing the lung apices.peer-reviewe

Multinodular and Vacuolating Neuronal Tumor

BACKGROUND: Multinodular and Vacuolating Neuronal Tumor (MVNT) of the cerebrum is a benign lesion described recently in the WHO CNS tumours in 2016. Although this tumour is uncommon, clinicians should be acquainted with the possible presentation and imaging findings. CASE REPORT: We present a case of a young gentleman whose only symptom was absence seizures. Brain imaging showed lesions, compatible with this rare diagnosis. CONCLUSION: Our description of imaging findings on MRI highlights the characteristic cystic appearances of note in the right occipital lobe, in contrast to the temporal lobe as the predominant location found in previous cases