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Indian Journal of Otolaryngology and Head and Neck Surgery最新文献

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Quality of Life in Patients of Head and Neck Cancer During Covid 19 2019冠状病毒病期间头颈癌患者的生活质量
IF 0.6 Q3 Medicine Pub Date : 2022-04-19 DOI: 10.1007/s12070-022-03097-y
D. Dharkar, L. N. Namdev, S. Verma, V. Vyas, Kratika Kulkarni
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引用次数: 0
Hemifacial spasm: Is teflon the permanent and ultimate cure? 面肌痉挛:特氟龙是永久和最终的治疗方法吗?
IF 0.6 Q3 Medicine Pub Date : 2022-04-15 DOI: 10.18231/j.ijashnb.2022.001
M. Pandit, R. Agrawal, Sanjay. B. Nyamati, Swapnil Agrawal
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引用次数: 0
Olfactory neuroblastoma: A case report 嗅觉神经母细胞瘤1例
IF 0.6 Q3 Medicine Pub Date : 2022-04-15 DOI: 10.18231/j.ijashnb.2022.006
S. Kathuria, Chikku T. Sunny
Olfactory neuroblastoma (ON) is a rare malignant neuroectodermal tumor of the nasal cavity. The malignancy accounts for <3% of tumours originating in the nasal cavity. Through the nasal cavity, ON may infiltrate the sinuses, the orbit and the cranium. The tumour is characterized by a pattern of slow growth and local recurrences. Olfactory neuroblastoma is a neoplasm that can histologically mimic many tumours within the sinonasal tract. Treatment options are surgical excision combined with a radiotherapy and/or chemotherapy combination treatment.The present study reports the case of a 45 year-old male patient with a mass in the nasal cavity who was treated by combined surgical excision and radiotherapy. The literature for ON and the treatment of the tumour are also discussed.
嗅觉神经母细胞瘤是一种罕见的鼻腔神经外胚层恶性肿瘤。恶性肿瘤占小于3%的肿瘤起源于鼻腔。通过鼻腔,ON可渗入鼻窦、眼眶和头盖骨。肿瘤的特点是生长缓慢和局部复发。嗅觉神经母细胞瘤是一种在组织学上可以模仿鼻窦炎内许多肿瘤的肿瘤。治疗选择是手术切除联合放疗和/或化疗联合治疗。本研究报告一例45岁男性患者鼻腔肿块,采用手术切除和放疗联合治疗。文献ON和肿瘤的治疗也进行了讨论。
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引用次数: 0
Aphasia, apraxia, and dysphagia following viper envenomation: A single case report 毒蛇中毒后的失语、失用症和吞咽困难:1例报告
IF 0.6 Q3 Medicine Pub Date : 2022-04-15 DOI: 10.18231/j.ijashnb.2022.008
R. Rani
: Aim of the work was to highlight unusual complications such as aphasia, apraxia and dysphagia following viper bite. In this case report, a 55 years old male who had developed Cerebrovascular Accident (CVA) and Right hemiparesis after an hour of saw-scaled viper bite on his right foot was described. His MRI report revealed chronic infarct in bilateral fronto parietal lobe. Difficulty in speaking and swallowing were observed and the patient was under nasogastric feeding. For assessing speech and language skills, Western Aphasia Battery and Apraxia Battery for Adults-2 was used. Manipal Manual for Swallowing Assessment was used for assessing the swallowing skills.: The assessment results indicated that the patient had Broca’s aphasia with Non-Verbal oral apraxia and oropharyngeal dysphagia. Improvement was observed in swallowing and verbal communication skills following speech-language intervention. Aphasia, apraxia and dysphagia were unusual complications following viper bite. Therefore, it is important for a speech language pathologist to have knowledge regarding various causes of stroke for better speech, language and swallowing management
这项工作的目的是强调不寻常的并发症,如失语,失用症和吞咽困难毒蛇咬伤后。在这个病例报告中,我们描述了一个55岁的男性,在他的右脚被锯状毒蛇咬了一个小时后,发生了脑血管意外(CVA)和右半瘫。MRI报告显示双侧额顶叶慢性梗死。观察患者说话和吞咽困难,给予鼻胃喂养。对于言语和语言技能的评估,使用了西方失语电池和成人失语电池-2。使用《吞咽评估手册》对吞咽技能进行评估。评估结果显示患者为布洛卡失语症合并非言语性口语失用和口咽吞咽困难。在言语语言干预后,吞咽和言语沟通能力均有改善。失语、失用和吞咽困难是毒蛇咬伤后常见的并发症。因此,对于言语语言病理学家来说,了解中风的各种原因对于更好的言语、语言和吞咽管理是很重要的
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引用次数: 0
Intramedullary tuberculoma of thoracic spine: A rare location of an endemic disease 胸椎髓内结核瘤:一种罕见的地方性疾病
IF 0.6 Q3 Medicine Pub Date : 2022-04-15 DOI: 10.18231/j.ijashnb.2022.005
A. Tripathi, Zahwa Rizwan, S. Mufti, G. Prakash
Tuberculosis (TB) is endemic in India, alone contributing for two thirds of total cases worldwide. Spinal tuberculosis accounts for 1-2% of all cases of tuberculosis. However, spinal intramedullary tuberculoma occurs in as few as 2 out of 1000 cases of tuberculosis involving central nervous system. This may present in form of meningitis, tubercular spondylitis, arachnoididtis or tuberculomas mostly. The most common site of involvement is found to be the thoracic region of spine affecting relatively younger age groups and often seen in association with extraspinal tuberculosis disease. The source of intramedullary tuberculosis is mostly hematogenous spread from a site of primary TB elsewhere in the body which is usually the lungs.Due to rarity of the disease misdiagnosis is frequent.Magnetic Resonance Imaging is the investigation of choice and histopathological examination and culture are confirmatory methods for diagnosis of tuberculosis.Microsurgical resection is better option for rapidly progressing intramedullary tuberculosis cases. Here we report a rare case of isolated spinal intramedullary tuberculoma of thoracic spinal region.
结核病在印度流行,仅印度就占全世界总病例的三分之二。脊柱结核占所有结核病例的1-2%。然而,脊髓髓内结核瘤的发生率仅为千分之二,涉及中枢神经系统。主要表现为脑膜炎、结核性脊柱炎、蛛网膜炎或结核瘤。最常见的受累部位是脊柱的胸段,影响相对年轻的年龄组,常与脊柱外结核相关。髓内结核的来源主要是来自身体其他部位(通常是肺部)的原发性结核的血液传播。由于该病罕见,故常误诊。对结核的诊断,磁共振成像是首选的调查方法,组织病理学检查和培养是证实性的方法。对于进展迅速的髓内结核患者,显微手术切除是较好的选择。我们在此报告一例罕见的胸椎区孤立性脊髓髓内结核瘤。
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引用次数: 0
Circadian rhythm in epilepsy: A brief note on clock gene expression 癫痫的昼夜节律:时钟基因表达的简要说明
IF 0.6 Q3 Medicine Pub Date : 2022-04-15 DOI: 10.18231/j.ijashnb.2022.003
Sujithra Srinivas
Every cell in the human body is said to produce a cell specific rhythmicity, these rhythms are governed by the brains internal core clock. These rhythms are essential for maintaining day to day function of our body. These rhythms play a greater role in therapeutics as the drug perfusion in our body is time dependent. In neurology, a 24 hour rhythmic activity of epileptic seizure is a topic of greater interest. The rhythmic activity in epilepsy and seizure occurrence is related to the circadian variation in excitatory and inhibitory balance in neurons. There are two core circadian genes BMAL1 and CLOCK, that code for transcription factors, tend to influence the excitability and threshold of the seizure. Although there is uncertainties about the circadian rhythmicity that includes rhythm related factors such as time of the day seizure responses, frequency of occurrences of the seizures. In other cases the time of occurrences of the seizure is consequential to the severity of the seizures. However an improved seizure prediction can open new possibilities of research by understanding the efficacy of the treatment and the drugs used to control seizure. Better clarity on the severity and rhythmicity of the seizure can bring about newer and novel therapeutic options which can be beneficial in treatment of epilepsy. Lastly future studies in these area can clarify the seizure pathways involved in generating the rhythmic patterns in disease manifestation.
据说人体内的每个细胞都产生细胞特有的节律,这些节律是由大脑内部的核心时钟控制的。这些节律对于维持我们身体的日常功能至关重要。这些节律在治疗中发挥着更大的作用,因为我们体内的药物灌注是时间依赖的。在神经学中,癫痫发作的24小时节律性活动是一个更令人感兴趣的话题。癫痫的节律性活动和发作发生与神经元兴奋性和抑制性平衡的昼夜变化有关。有两个核心的昼夜节律基因BMAL1和CLOCK,编码转录因子,倾向于影响癫痫发作的兴奋性和阈值。虽然存在不确定的昼夜节律,包括节律相关因素,如时间的癫痫发作反应,癫痫发作的频率。在其他情况下,发作的发生时间与发作的严重程度有关。然而,通过了解治疗效果和用于控制癫痫发作的药物,改进癫痫发作预测可以为研究开辟新的可能性。更清楚地了解癫痫发作的严重程度和节律性可以带来更新和新颖的治疗选择,这对癫痫的治疗有益。最后,在这一领域的进一步研究可以阐明疾病表现中产生节律模式的癫痫发作途径。
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引用次数: 0
Neuro-otological Symptoms: An Atypical Aspect of COVID-19 Disease 神经病理学症状:新冠肺炎疾病的一个非典型方面
IF 0.6 Q3 Medicine Pub Date : 2022-04-15 DOI: 10.1007/s12070-022-03088-z
F. Deva, Anchal Gupta, Monica Manhas, P. Kalsotra
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引用次数: 3
Review study on epileptiform discharge during sleep and circadian rhythm modulation during seizures 睡眠时癫痫样放电和癫痫发作时昼夜节律调节的回顾研究
IF 0.6 Q3 Medicine Pub Date : 2022-04-15 DOI: 10.18231/j.ijashnb.2022.002
Sujithra Srinivas
Epilepsy is a neurological condition that affects approximately more than 50 million people around the globe, out of which the prevalence of this disease is also seen in developed countries. Epilepsy can be clinical defined by two or more non triggered seizures. A seizure can be characterized as a paroxysmal event which is caused due to hyper–synchronization in the neurons that many have various reasons of manifestation. The neuronal discharge maybe focal spreading in specific brain cortex or widespread throughout the cortex. An Electroencephalogram (EEG) is used to in diagnosis and management of epilepsy and can be used for routine examinations, it also considered to be the golden standard investigation of epileptic syndrome. While using EEG the distribution, presence and frequency of interictal epileptiform discharges IEDs are suggestive diagnosis of epilepsy. In other words the presence of IEDs in an individual’s EEG is a diagnosis of epilepsy. IEDs are predominantly found in EEG that is performed during sleep which can give basic diagnosis and prognosis of sleep related epilepsies in patients. During sleep latent interictal discharge are activated. Sleep IEDs are said to greatly affect the epilepsy management. These interaction mechanisms of sleep and epilepsies tends to bring about changes in behaviour of the seizure.
癫痫是一种影响全球约5000多万人的神经系统疾病,其中发达国家也可见该病的流行。癫痫的临床定义为两次或两次以上的非触发性癫痫发作。癫痫发作可以被描述为一种发作性事件,它是由神经元的高度同步引起的,有各种各样的表现原因。神经元放电可能局限于特定的大脑皮层,也可能广泛分布于整个大脑皮层。脑电图(EEG)用于癫痫的诊断和治疗,可用于常规检查,也被认为是癫痫综合征调查的金标准。在脑电图中,癫痫样间歇放电的分布、存在和频率提示癫痫的诊断。换句话说,个人脑电图中出现的ied是癫痫的诊断。在睡眠期间进行的脑电图中主要发现ied,可以对睡眠相关性癫痫患者进行基本的诊断和预后。在睡眠期间,潜伏的间歇放电被激活。睡眠简易爆炸装置据说对癫痫的控制有很大的影响。这些睡眠和癫痫的相互作用机制往往会导致癫痫发作行为的改变。
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引用次数: 0
A unilateral popliteal vein aneurysm in an adult cadaver: A case report 成人尸体单侧腘静脉动脉瘤1例
IF 0.6 Q3 Medicine Pub Date : 2022-04-15 DOI: 10.18231/j.ijashnb.2022.007
Kiruthika Shree K, A. Varma, K. Ramachandran
The incidence of venous aneurysm is less than the arterial aneurysms. The knowledge of Popliteal vein aneurysm (PVA) is important as it could be a source of pulmonary embolism, deep vein thrombosis and so could be fatal. PVA could be an incidental finding during the investigations for pulmonary embolism or chronic venous insufficiency. We report a case of left popliteal vein aneurysm in the popliteal fossa in a 65-year-old female cadaver observed during routine dissection. A large saccular dilatation was noted in the left popliteal vein in the distal part of the popliteal fossa. The right popliteal vein was normal.An early diagnosis of PVA with doppler ultrasound examination is important to prevent the occurrence of any thromboembolic events or other major complications.
静脉动脉瘤的发生率低于动脉动脉瘤。腘静脉动脉瘤(PVA)的知识很重要,因为它可能是肺栓塞,深静脉血栓形成的来源,因此可能是致命的。PVA可能是在肺栓塞或慢性静脉功能不全的检查中偶然发现的。我们报告一个病例左腘静脉动脉瘤在腘窝在一个65岁的女性尸体在常规解剖观察。在腘窝远端左腘静脉可见大的囊状扩张。右腘静脉正常。早期诊断PVA与多普勒超声检查是重要的,以防止任何血栓栓塞事件或其他主要并发症的发生。
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引用次数: 0
Congenital epulis: A surgical and anaesthetic challenge 先天性瞳孔:手术和麻醉的挑战
IF 0.6 Q3 Medicine Pub Date : 2022-04-15 DOI: 10.18231/j.ijashnb.2022.009
N. Bhattacharya, Kaushik Bhattacharya, S. Dutta, A. Bhattacharya
Congenital Epulis or Neumann’s tumour is a rare benign outgrowth commonly from the maxilla in a new-born. It presents dramatically at birth of a child with breathing or feeding problems. The treatment in such symptomatic infants is prompt excision which presents a challenge to Surgeons but more so to the anaesthesiologist. A case report is presented here with a focus on the methods of anesthesia and surgery. A brief literature review is also presented.
先天性Epulis或Neumann肿瘤是一种罕见的良性肿瘤,常见于新生儿的上颌骨。它在孩子出生时表现出呼吸或喂养问题。这种有症状的婴儿的治疗是迅速切除,这对外科医生来说是一个挑战,但对麻醉师来说更是如此。一个病例报告是在这里提出的重点麻醉和手术的方法。本文还简要回顾了相关文献。
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引用次数: 0
期刊
Indian Journal of Otolaryngology and Head and Neck Surgery
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