Chordomas are dysembryogenic tumors originating from the notochordal process [1] [2]. They are aggressive tumours with unique diagnostic and management challenges. Primary therapy is complete surgical removal of the t...Chordomas are dysembryogenic tumors originating from the notochordal process [1] [2]. They are aggressive tumours with unique diagnostic and management challenges. Primary therapy is complete surgical removal of the tumour as much as possible. The likelihood of recurrence is high in spite of complete surgical resection. A 52-year-old female patient presented with complaints of decreased vision in right eye, nasal bleeding, nasal blockage and difficulties in swallowing. CT scan and nasal biopsy were performed which confirmed the diagnosis of clivus chordoma. The CT scan showed extension into nasopharynx, nasal cavity and oropharynx pushing onto the soft palate. Surgical excision of the mass was performed with coblator by both intraoral and intra nasal approach [3]. On follow-up, nasal endoscopy and CT were done;the patient was relieved of the symptoms and was clinically better.展开更多
Aims and Objectives: To study benefit of videonystagmography in confirmation of canalolith repositioning in patients with Benign Paroxysmal Positional Vertigo after Epley’s manouver. Study Design: Prospective study o...Aims and Objectives: To study benefit of videonystagmography in confirmation of canalolith repositioning in patients with Benign Paroxysmal Positional Vertigo after Epley’s manouver. Study Design: Prospective study of 35 cases of BPPV. Materials and Method: 35 patients of BPPV presenting at vertigo clinic of ENT department at Civil Hospital Ahmedabad were treated with canalolith repositioning procedure and improvement in nystagmus was studied and confirmed by VNG. Observation: 31 patients out of 35 patients were improved with 1st CRP, 2 out of 3 patients improved with 2nd CRP and 1 patient improved with 3rd CRP. This improvement is confirmed using VNG. Conclusion: Videonystagmography is a very useful tool for ensuring the otolith repositioning by the canalith repositioning manouver. It is a confirmatory adjunct to visual analysis.展开更多
文摘Chordomas are dysembryogenic tumors originating from the notochordal process [1] [2]. They are aggressive tumours with unique diagnostic and management challenges. Primary therapy is complete surgical removal of the tumour as much as possible. The likelihood of recurrence is high in spite of complete surgical resection. A 52-year-old female patient presented with complaints of decreased vision in right eye, nasal bleeding, nasal blockage and difficulties in swallowing. CT scan and nasal biopsy were performed which confirmed the diagnosis of clivus chordoma. The CT scan showed extension into nasopharynx, nasal cavity and oropharynx pushing onto the soft palate. Surgical excision of the mass was performed with coblator by both intraoral and intra nasal approach [3]. On follow-up, nasal endoscopy and CT were done;the patient was relieved of the symptoms and was clinically better.
文摘Aims and Objectives: To study benefit of videonystagmography in confirmation of canalolith repositioning in patients with Benign Paroxysmal Positional Vertigo after Epley’s manouver. Study Design: Prospective study of 35 cases of BPPV. Materials and Method: 35 patients of BPPV presenting at vertigo clinic of ENT department at Civil Hospital Ahmedabad were treated with canalolith repositioning procedure and improvement in nystagmus was studied and confirmed by VNG. Observation: 31 patients out of 35 patients were improved with 1st CRP, 2 out of 3 patients improved with 2nd CRP and 1 patient improved with 3rd CRP. This improvement is confirmed using VNG. Conclusion: Videonystagmography is a very useful tool for ensuring the otolith repositioning by the canalith repositioning manouver. It is a confirmatory adjunct to visual analysis.
