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Think Like a Doctor: Think Like a Doctor: The Painter ’ s Headaches Solved!

Readers solve the case of a painter with terrible headaches.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Headaches Brain Art Fistulas Ears and Hearing Magnetic Resonance Imagers Tinnitus Doctors Source Type: news

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Conclusions: Neurosarcoidosis is an elusive diagnosis and can cause hearing loss and psychiatric symptoms. Cochlear implantation for patients with severe hearing loss should be considered once the diagnosis is confirmed, as it is possible to achieve a successful level of hearing. Psychiatric symptoms can manifest with the onset of neurosarcoidosis, result from CN deficits, or develop as a side effect from long-term, high-dose corticosteroids, and should be monitored carefully in patients with neurosarcoidosis.Audiol Neurotol 2017;22:205-217
Source: Audiology and Neurotology - Category: Audiology Source Type: research
Female, 60 years old, with headache and recurrent left tinnitus. Has been to several ENT clinics. Stayed unexplained for 5 Yrs.  MRI brain incidentally detected the finding described below.Case submitted by Dr. A. Altamimi, MD, DMRD, FRCR, Consultant RadiologistMRI Brain revealed : special note is the presence of an incidentaloma in the form of a lobulated oval mass (about 2.5 x 3 x 4.5 cm) embedded in the left upper neck at the level of the carotid bifurcation (splaying the ICA and ECA carotid arteries) with some localized mass effect. It is generally iso-to-hypointense to muscle on T1, ...
Source: Sumer's Radiology Site - Category: Radiology Authors: Source Type: blogs
Authors: Kleinjung T, Thüring C, Güntensperger D, Neff P, Meyer M Abstract Neurofeedback is a noninvasive neuromodulation technique employing real-time display of brain activity in terms of electroencephalography (EEG) signals to teach self-regulation of distinct patterns of brain activity or influence brain activity in a targeted manner. The benefit of this approach for control of symptoms in attention deficit disorders, hyperactivity, depression, and migraine has been proven. Studies in recent years have also repeatedly shown this treatment to improve tinnitus symptoms, although it has not become e...
Source: HNO - Category: ENT & OMF Tags: HNO Source Type: research
Conclusion: Surgical drainage is preferable to more aggressive resection procedures, with the latter reserved for recurrent lesions or lesions with severe hearing loss/involvement of critical neurovascular structures. ITF-B approach provides adequate cyst and neurovascular control for resection, while avoiding brain retraction. An initial wait-and-scan approach can be used in most patients where symptoms and imaging justify so.
Source: Otology and Neurotology - Category: ENT & OMF Tags: Tumors of the Ear and Cranial Base Source Type: research
Conclusion: SSNHL patients had a higher prevalence of migraine. Although those with migraine had higher recovery rates, the differences were not statistically significant.
Source: Otology and Neurotology - Category: ENT & OMF Tags: Sensorineural Hearing Loss and Tinnitus Source Type: research
Abstract BackgroundIdiopathic intracranial hypertension (IIH) is characterized by abnormally elevated intracranial pressure (ICP) without identifiable etiology. Recently, however, a subset of patients with presumed IIH have been found with isolated internal jugular vein (IJV) stenosis in the absence of intracranial abnormalities. MethodsFifteen consecutive patients were screened from 46 patients suspected as IIH and were finally confirmed as isolated IJV stenosis. The stenotic IJV was corrected with stenting when a trans‐stenotic mean pressure gradient (∆MPG) was equal or higher than 5.44 cmH2O. Dynamic MRV/CTV/DSA of ...
Source: European Journal of Neurology - Category: Neurology Authors: Tags: Original Article Source Type: research
Conclusions: There appears to be a continuum of increasing total symptoms from no exposure to blast exposure plus both current deployment concussion and past concussion. Concussion had a greater influence than blast exposure alone on the presence of postdeployment symptoms. A high blast injury score can be used to triage those exposed to explosive blasts for evaluation.
Source: Neurology - Category: Neurology Authors: Tags: Brain trauma ARTICLE Source Type: research
We present the case of a 46 year old female that presented with right tinnitus, dizziness and bifrontal headache, progressive, starting two years before. Imaging studies reveals an incidentally neoplastic extraaxial homogeneous appearance tumor on the right anterior skull base. She undewernt surgical treatment with total resection of the tumor by a bicoronal approach. The histopathological study reported schwannoma.Although attributte the origin of schwannomas from the the olfactory nerve is near impossible, once they do not have Schwann cells, intracranial supratentorial schwannomas are mainly located in the anterior skull base.
Source: World Neurosurgery - Category: Neurosurgery Authors: Tags: Case Report Source Type: research
We report a severe adverse event occurring in the course of a cohort study (ISRCTN13784335) aimed at measuring the efficacy and safety of venous stenting in the treatment of patients with medically refractory idiopathic intracranial hypertension (IIH). The patient was a 41-year-old woman who was not overweight, who presented with severe headache, grade 1 bilateral papilledema and transient tinnitus, refractory to medical treatment. Right transverse sinus stenting was successfully performed. Following surgery, the patient's state of consciousness decreased acutely with rapid and progressive loss of brainstem reflex. CT scan...
Source: Interventional Neuroradiology - Category: Radiology Tags: Interv Neuroradiol Source Type: research
Conclusions: Respondents demonstrated durable improvements in the symptoms that led them to have surgery. Auditory symptoms had the greatest improvements. Headaches, imbalance, dizziness, and brain fog showed the least improvements. Nearly, all patients would recommend SCDS surgery to others. These results can be used to counsel patients regarding the lasting benefits of surgery for SCDS.
Source: Otology and Neurotology - Category: ENT & OMF Tags: Vestibular Disorders Source Type: research
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