Granuloma

Neurosarcoidosis presenting as complicated sinusitis: A case report and review

February 1, 2008     Lt. Matthew T. Brigger, MD, Maj. Ian K. McLeod, MD, and Cdr. Martin P. Sorensen, MD
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Abstract

Sarcoidosis is a systemic granulomatous disease with widely variable clinical characteristics, including numerous head and neck manifestations. We describe the case of a 49-year-old man who presented to the emergency department with symptoms consistent with complicated sinusitis. He was ultimately found to have an atypical case of neurosarcoidosis. This case illustrates the varied multisystem presentation of sarcoidosis and the diagnostic considerations that are merited.

Eosinophilic granuloma: Bilateral temporal bone involvement

May 31, 2007     Chester P. Barton III, MD; Drew Horlbeck, MD
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Abstract
Eosinophilic granuloma is an uncommon condition that is characterized by unifocal or multifocal osteolytic lesions that often affect the skull. Unilateral lesions of the temporal bone are not uncommon, but bilateral temporal bone lesions are rare. In fact, to the best of our knowledge, fewer than 20 such cases have been reported during the past 40 years. We report a new case of bilateral temporal bone eosinophilic granuloma, and we review the disease process and its treatment.

Multifocal tuberculosis of the nose and lymph nodes without pulmonary involvement: A case report

April 30, 2007     M. Panduranga Kamath, MS; Kiran M. Bhojwani, MS; Shivananda Prabhu, MS; Ramdas Naik, MD; Geo P. Ninan, MBBS; Yeshwanth Chakravarthy, MBBS
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Vocal process granuloma

March 31, 2007     Robert Eller, MD; Linda Marks, RN; Mary Hawkshaw, BSN, RN, CORLN; Robert T. Sataloff, MD, DMA
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Teflon granuloma

March 1, 2007     James R. Tate, MD; Peter C. Belafsky, MD, PhD; Kristen Vandewalker, MD
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Recalcitrant arytenoid granuloma

January 1, 2007     Robert Eller, MD; Mary Hawkshaw, BSN, RN, CORLN; Robert T. Sataloff, MD, DMA
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Poststapedectomy reparative granuloma

August 31, 2006     Willis S.S. Tsang, FRCS (ORL); John K.S. Woo, FRCS (ORL); Michael C.F. Tong, MD
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Larynx contact ulcer

May 31, 2005     Lester D.R. Thompson, MD
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Cholesterol granuloma

April 30, 2005     Arun K. Gadre, MD
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Sarcoidosis

January 1, 2005     Brad Bryan, MD; Liron Pantanowitz, MD
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Obstructing lesions of the endolymphatic sac and duct mimicking Ménière's disease

November 1, 2004     Ryan C. Cmejrek, MD; Cliff A. Megerian, MD
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Abstract
In this retrospective case series and literature review, we demonstrate that temporal bone lesions that obstruct the endolymphatic sac or duct can cause symptoms of Ménière's disease. This finding is likely attributable to endolymphatic hydrops; initially, such cases typically masquerade as Ménière's disease. Between July 1995 and April 2002, a total of 379 patients were treated for an initial diagnosis of Ménière's disease at our institution. Among this group, 3 patients were found to have an obstructing lesion of the endolymphatic sac or duct that we felt was causally related to their Ménière's-like symptomatology. We reviewed these cases and noted the similarities in each patient's presentation, including a common pathophysiology. On imaging studies, each patient had a different pathologic lesion that involved the endolymphatic sac or duct: patient 1 had a jugular megabulb, and she was ultimately treated with vestibular nerve section; patient 2 had a cholesterol granuloma, which was treated with surgical excision; patient 3 had an endolymphatic sac tumor that was treated with surgical excision. As has been suggested in previous reports, not all cases of Ménière's disease are idiopathic. We conclude that obstruction of the endolymphatic sac or vestibular aqueduct by a mass lesion or vascular anomaly can lead to vestibulocochlear pathology that mimics Ménière's disease.
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