Trauma

Traumatic pseudoaneurysm of the occipital artery: Case report and review of the literature

October 31, 2008     Manish Patel, MD, Hisham Tchelepi, MD, and Dale H. Rice, MD
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Abstract

Only 3 cases of traumatic pseudoaneurysm of the occipital artery have been reported since 1644. We report a fourth case, which occurred in an 85-year-old woman who experienced a blunt trauma during a fall. The pseudoaneurysm resolved without surgical intervention. We also review the literature on traumatic pseudoaneurysms, as well as true aneurysms, of the external carotid system, with emphasis on current diagnostic and therapeutic options.

Mucosal tear

September 25, 2008     Mark A. Ginsburg, DO, Robert L. Eller, MD, and Robert T. Sataloff, MD, DMA
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CSF rhinorrhea secondary to use of a Mayfield head clamp

June 30, 2008     Ioannis Moumoulidis, MD, MRCS and Helen Fernandes, FRCS; Ran De, FRCS
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Abstract

Various complications with use of a Mayfield head clamp have been reported, from minor skin necrosis and lacerations to the more significant extradural hematomas and meningitis. To the best of our knowledge, our report describes for the first time in the medical literature, the uncommon complication of frontal sinus fracture and cerebrospinal flu-id leak caused by a scalp pin of a head clamp used during a frontal craniotomy. The cerebrospinal fluid leak settled with conservative management, and no surgical intervention was necessary. Clinicians should appreciate the possibility of such a complication and assess preoperative scans for frontal sinuses that extend to a high level, as in our patient.

Palatal perforation from cocaine abuse

April 30, 2008     Marc Cohen, MD, Vishad Nabili, MD, and Dinesh K. Chhetri, MD
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Auricular injury with deformity following delivery by cesarean section

March 1, 2008     Sandeep P. Dave, MD and Steven D. Handler, MD
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True vocal fold pseudocyst

February 1, 2008     Mark A. Ginsburg, DO, Robert L. Eller, MD, and Robert T. Sataloff, MD, DMA
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Masticatory diplopia

January 1, 2008     Oleg Militsakh, MD and J. David Kriet, MD, FACS
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Abstract

We report a case of diplopia that was exacerbated by chewing in a patient who had sustained facial fractures in a motorcycle crash. The diplopia was corrected surgically 1 year following the accident. To the best of our knowledge, masticatory diplopia as a result of adhesion of the temporalis muscle to the periorbita secondary to facial trauma has not been previously reported.

Post-traumatic cervical chyloma

January 1, 2008     Juan Gomez, MD, Enrique Palacios, MD, FACR, and Jagan D. Gupta, MD
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Chondrodermatitis nodularis helicis

December 1, 2007     Lester D. R. Thompson, MD, FASCP
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Migration of cochlear implant magnets after head trauma in an adult and a child

September 30, 2007     Robert J. Stokroos, MD, PhD; Pim van Dijk, PhD
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Abstract

Cochlear implantation is considered to be a safe and effective treatment for severe to profound sensorineural hearing loss. Device failures are rare. We report the cases of 2 patients-a 44-year-old woman and a 3-year-old boy-with cochlear implants who were referred to our tertiary cochlear implant center for treatment of magnet migration secondary to mild head trauma. The migra-tion had led to device failure in both cases. Surgical re- exploration was performed with nonmagnetic instruments, and both magnets were easily returned to their proper place. Postoperatively, implant function was restored to previous levels, and wound healing was uncomplicated. The incidence of magnet migration in cochlear implant patients is unknown. A few cases have been reported in children, but to the best of our knowledge, ours is the first report of magnet migration in an adult.

Views of a type I posterior glottic stenosis before and after lysis

August 31, 2007     Melinda Davis-Malesevich, BS; Albert Merati, MD
article

Posterior glottic stenosis (PGS) can be devastating. It is estimated to occur in 4% of patients who have been intubated for 1 week and in 14% of those who have been intubated for up to 2 weeks.

Transcranial trigeminal schwannoma

August 31, 2007     Daniel H. Coelho, MD; Nilesh Vasan, MD, FRACS
article

A 51-year-old man fell while hiking and sustained a mild concussion and a fractured lower leg. Computed tomography (CT) of the head detected no intracranial pathology, but it did incidentallyshow a mass in the right infratemporal fossa. 

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