Dysphagia

An island of normal mucosa in a sea of Barrett metaplasia

February 1, 2010     David A. Knuff, MD and Albert L. Merati, MD
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Jugular fossa meningioma: Presentation and treatment options

September 30, 2009     Amy L. Rutt, DO, Xiaoli Chen, MD, and Robert T. Sataloff, MD, DMA, FACS
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Abstract

Primary jugular fossa meningiomas are among the rarest subtypes of meningioma. They are intimately related to the lower cranial nerves, the jugular bulb and vein, and the temporal bone, and they have a tendency to extend both intra- and extracranially. The most common morbidity associated with jugular fossa lesions is lower cranial nerve deficits. In these cases, the differential diagnosis and preoperative radiographic diagnosis are very important because preoperative management and operative planning for the jugular fossa subtype differ considerably from those of other types of meningioma. Because of the rarity of this condition, our understanding of its treatment, long-term follow-up, and recurrence is limited. As experience with radiosurgical treatment of all meningiomas is accumulating, we may find that radiosurgery of jugular fossa meningiomas is appropriate. In the meantime, cure is still possible with complete surgical resection, and surgical morbidity can be minimized through meticulous planning and surgical technique. We describe a case of primary jugular fossa meningioma in a 45-year-old man who presented with complaints of chronic left aural fullness, hearing loss, and difficulty understanding voices. Imaging revealed the presence of a destructive jugular fossa mass. The patient underwent surgical resection without complication, and he was free of recurrence at 1 year of follow-up.

Partial esophageal obstruction from anterior cervical spine hardware

August 31, 2009     Carissa Portone, CCC-SLP, Justin S. Golub, BA, and Michael M. Johns III, MD
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A decade of unexplained dysphagia

May 31, 2009     Christopher Burgess, BM, BCh, Richard Hughes, MRCS, Stewart Griffiths, FRCS (SN), and Thomas Cadoux-Hudson, FRCS (SN)
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Proximal esophageal amyloidoma presenting with life-threatening dysphagia

May 31, 2009     Laura Chin-Lenn, MBBS, Caroline Ryan, MBBS, Alison Skene, MBBS, and Aliasghar A. A. Mianroodi, MD
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Abstract

Amyloidoses are abnormal deposits of insoluble proteins in tissues that can lead to tissue dysfunction. Although elderly patients often have amyloid deposition in the gastrointestinal tract, they are usually asymptomatic. When symptoms are present, they are most often functional in nature; rarely are they caused by a localized amyloid deposition (amyloidoma). We report the case of an elderly man who presented with severe dysphagia secondary to an upper esophageal amyloidoma. Unfortunately, the patient died of his disease before management could be instituted.

Large mixed hiatal hernia and stricture as a cause of dysphagia

March 1, 2009     Adriana Hachiya, MD, Neil N. Chheda, MD, and Gregory N. Postma, MD
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Acquired vascular compression of the esophagus

December 1, 2008     Adriana Hachiya, MD, Neil N. Chheda, MD, and Gregory N. Postma, MD
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Giant esophageal lymphangioma

August 31, 2008     Melanie W. Seybt, MD and Gregory N. Postma, MD
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“Gastric pull-up” and dysphagia

May 31, 2008     Adriana Hachiya, MD, Neil N. Chheda, MD, and Gregory N. Postma, MD
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Unilateral tonsillar lymphoepithelioma with ipsilateral parapharyngeal space involvement: A case report

December 1, 2007     Scott L. Lee, MD, Ching Y. Lee, MD, PhD, Rami K. Batniji, MD, and Steven Silver, MD
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Abstract

We report a case of unilateral tonsillar lymphoepithelioma with extension into the ipsilateral parapharyngeal space, and we review the clinical, histologic, and radiographic findings of the case. The patient presented with a tonsillar mass that was confirmed on biopsy to be lymphoepithelioma. Computed tomography demonstrated ipsilateral parapharyngeal space involvement. Association with Epstein-Barr virus was not assessed since it does not affect the treatment modality. We also review the literature and discuss the diagnosis and current treatment options.

Upper esophageal web

December 1, 2007     Catherine J. Rees, MD and Peter C. Belafsky, MD, PhD
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Giant fibrovascular polyp of the esophagus

September 30, 2007     Catherine J. Rees, MD; Peter C. Belafsky, MD, PhD
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A 56-year-old man was referred to the Center for Voice and Swallowing for management of a large upper esophageal mass. He complained of intermittent regurgitation of the mass and associated dyspnea.

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