sphenoethmoidal hemangioma a rare presentation
play

Sphenoethmoidal hemangioma-A rare presentation * Sundar krishnan - PDF document

Jan 28, 2023 •284 likes •395 views

Volume 2 Issue 3 2012 ISSN 2250-0359 Sphenoethmoidal hemangioma-A rare presentation * Sundar krishnan * Raghukumaran *Madras Medical College

  1. Volume 2 Issue 3 2012 ISSN 2250-0359 Sphenoethmoidal hemangioma-A rare presentation * Sundar krishnan * Raghukumaran *Madras Medical College & Rajiv Gandhi Government General Hospital ABSTRACT Hemangiomas do not develop as commonly in the sinonasal cavity, compared with other head and neck sites. The most common presenting symptom was epistaxis. Hemangiomas involving multiple sinuses with a atypical clinical presentation is extremely rare. We present a representative case of sphenoethmoidal hemangioma with atypical clinical presentation and treated by endoscopic excision yielding excellent outcome in terms of tumor control and safety. CASE REPORT A 37 year old male had c/o referred to ENT OPD with c/o headache past 6months, diminished vision in right eye 2months & left eye 2weeks and increased frequency of urination 2weeks. www.jorl.net

  2. On carefully eliciting the history he revealed his headache was diffuse, compressive nature continuously present not associated with nausea and vomiting.2months back developed blurring of vision in right eye for which he attended opthal OPD where he was admitted for 2 days investigated, diagnosed as ?retrobulbar neuritis treated and discharged. After discharge, for 2weeks he was asymptomatic and had deterioration of vision in right eye & diminution of vision in left eye with increased frequency of urination 2weeks.patient again revisited opthal OPD from where he was referred to neurology OPD. After serial of investigations by neurologists they are still inconclusive in diagnosis and with aid of radiologists they gave a differential diagnosis of? Fungal granuloma,? ethmoidal carcinoma and ?pituitary adenoma with dibetes insipidus. Then patient was referred to our ENT OPD for further management.  CRANIAL NERVE EXAMINATION: OPTIC NERVE: Rt Lt Visual acuity only light 6/36 Perception Colour vision not appreciable + Field of vision absent + Other cranial Nr’s examination -Normal; All blood investigations was normal ENT examination revealed normal except for mild DSL, Deviated septum to left. www.jorl.net

  3. CT PNS MRI BRAIN WITH PNS www.jorl.net

  4. DIAGNOSTIC NASAL ENDOSCOPY showed, Rt side: Accessory ostium + , Middle turbinate medialized *Lt side-DSL, Accessory ostium + , Sphenoethmoidal recess-normal # NO MASS VISUALISED IN NASAL CAVITY  We planned for a, ENDOSCOPIC TRANSNASAL MASS EXCISION, under GA  We had excised the mass and sent for histopathological examination  HPE report showed polypoidal respiratory epithelium lined mucosa with scattered bony spicules with large dilated thin walled blood vessels lined by endothelial cells and foci of proliferating thin walled branching closely packed blood vessels wit intervening fibrotic stroma. Lesion consistent with HEMANGIOMA www.jorl.net

  5. HPE PICTURES-CAPILLARY AND CAVERNOUS HEMANGIOMA www.jorl.net

  6. PRE OPERATIVE MRI POST OPERATIVE MRI Post operatively pt had a transient Diabetes Insipidus was on strict fluid management with normal renal parameters Within a week DI resolved completely Nasal pack removed on IVth POD To our surprise pt had a dramatic improvement in vision in immediate post op period and returned to 6/6 in both eyes. CONCLUSION: Thus we conclude sphenoethmoidal hemangioma is extremely rare presenting with blindness and endoscopic optic nerve decompression proven its complete removal with excellent outcome in patient improvement and tumor control. www.jorl.net

  7. DISCUSSION www.jorl.net

  8. www.jorl.net

  9. REFERENCES www.jorl.net

  10. www.jorl.net

Download Presentation
Download Policy: The content available on the website is offered to you 'AS IS' for your personal information and use only. It cannot be commercialized, licensed, or distributed on other websites without prior consent from the author. To download a presentation, simply click this link. If you encounter any difficulties during the download process, it's possible that the publisher has removed the file from their server.

Recommend

can mimic infantile hemangioma both clinically and radiographically Case Report Logan Dance, MD;

can mimic infantile hemangioma both clinically and radiographically Case Report Logan Dance, MD;

Cutaneous metastases of infantile choriocarcinoma can mimic infantile hemangioma both clinically and radiographically Case Report Logan Dance, MD; Patricia Cornejo, MD; Mittun Patel, MD Disclosures None Objectives Understand the

347 views • 33 slides
DEVELOPMENT IN TREATMENT OF CONGENITAL HEMANGIOMA Cathay General Hospital Taipei Taiwan ROC 1

DEVELOPMENT IN TREATMENT OF CONGENITAL HEMANGIOMA Cathay General Hospital Taipei Taiwan ROC 1

DEVELOPMENT IN TREATMENT OF CONGENITAL HEMANGIOMA Cathay General Hospital Taipei Taiwan ROC 1 AUTHORS: Chun-yu Wang, Jian-Jr Lee, Carlos Chi-Ho Liu, Ming-Ting Chen The Plasitc Surgery Department of Taipei Cathay General

446 views • 20 slides
Rare cancers What is the problem, and how big is it? Rare (orphan) diseases NIH Office for Rare

Rare cancers What is the problem, and how big is it? Rare (orphan) diseases NIH Office for Rare

Rare cancers What is the problem, and how big is it? Rare (orphan) diseases NIH Office for Rare Diseases Prevalence less than 5/10 000 in the community In the US <200 000 cases Eurodis (European Organisation for Rare Diseases)

779 views • 44 slides
RAREDISEASEDAY.ORG 1 Rare Disease Day 2020 13 th edition on Saturday 29 February 2020

RAREDISEASEDAY.ORG 1 Rare Disease Day 2020 13 th edition on Saturday 29 February 2020

RAREDISEASEDAY.ORG 1 Rare Disease Day 2020 13 th edition on Saturday 29 February 2020 A rare day for rare diseases in this leap year! Key campaign message: Rare is many. Rare is strong. Rare is proud! RAREDISEASEDAY.ORG 2

853 views • 15 slides
ISBT WORKING PARTY ON RARE DONORS Israel Have a national Rare Donor Program: Yes Number of

ISBT WORKING PARTY ON RARE DONORS Israel Have a national Rare Donor Program: Yes Number of

ISBT WORKING PARTY ON RARE DONORS Israel Have a national Rare Donor Program: Yes Number of Donors in Database: Rare 1000,Ag- ~ 20,000 Definition of Rare: <1: 1000, or rare combination Number of Frozen Rare Cells: 1500 How are Rare Donors

428 views • 3 slides
ISBT WORKING PARTY ON RARE DONORS Canada Canadian Blood Services Have a national Rare Donor

ISBT WORKING PARTY ON RARE DONORS Canada Canadian Blood Services Have a national Rare Donor

ISBT WORKING PARTY ON RARE DONORS Canada Canadian Blood Services Have a national Rare Donor Program: Yes Number of Donors in Database: Rare donor code 6260: 1849 donors coded Definition of Rare: A donation/RBC is considered to be rare

67 views • 6 slides
demand for.. Rare Metals Research Capital Rare Metals Conference, April 30, 2008

demand for.. Rare Metals Research Capital Rare Metals Conference, April 30, 2008

AVL:TSX the way to play the surging demand for.. Rare Metals Research Capital Rare Metals Conference, April 30, 2008 www.avalonventures.com 1 Rare Metals Project Locations Thor Lake Rare Earths Tantalum-Cesium Tantalum Lithium

3.06k views • 29 slides
ISBT WORKING PARTY ON RARE DONORS SINGAPORE Have a national Rare Donor Program: YES Number of

ISBT WORKING PARTY ON RARE DONORS SINGAPORE Have a national Rare Donor Program: YES Number of

ISBT WORKING PARTY ON RARE DONORS SINGAPORE Have a national Rare Donor Program: YES Number of Donors in Database: 8 donors Definition of Rare: 1:1000 Number of Frozen Rare Cells: 16 units How are Rare Donors found?: Screened & ABID Number

326 views • 3 slides
Rare Metals September 20, 2007 AVALONS RARE METALS FOCUS: Leveraged to advances in

Rare Metals September 20, 2007 AVALONS RARE METALS FOCUS: Leveraged to advances in

The Next Big Thing: Rare Metals September 20, 2007 AVALONS RARE METALS FOCUS: Leveraged to advances in high-technology and clean energy generation Materials science is increasingly exploiting the unique properties of rare metals

317 views • 28 slides
and daily life: The Balancing Act of the Rare Disease Community Avril Daly, EURORDIS

and daily life: The Balancing Act of the Rare Disease Community Avril Daly, EURORDIS

Juggling care and daily life: The Balancing Act of the Rare Disease Community Avril Daly, EURORDIS Vice-President 17 th October 2017 Launch event of the Parliamentary Advocates for Rare Diseases #ParliamentAdvocate4Rare Rare diseases A rare

833 views • 26 slides
CME / CE Rare Disease Clinical Trials Module: Rare Pulmonology Clinical Trials Timothy Craig,

CME / CE Rare Disease Clinical Trials Module: Rare Pulmonology Clinical Trials Timothy Craig,

CME / CE Rare Disease Clinical Trials Module: Rare Pulmonology Clinical Trials Timothy Craig, DO Penn State Health Rare Hematologic Conditions Rare Pulmonology Conditions What is a rare disease? A rare disease is any disease affecting

405 views • 14 slides
Gene Therapies for Rare Diseases September 13, 2018 Rare Disease Scientific Workshop Everylife

Gene Therapies for Rare Diseases September 13, 2018 Rare Disease Scientific Workshop Everylife

Gene Therapies for Rare Diseases September 13, 2018 Rare Disease Scientific Workshop Everylife Foundation for Rare Diseases Washington, DC Wilson W. Bryan Office of Tissues and Advanced Therapies (OTAT) Center for Biologics Evaluation and

510 views • 20 slides
ISBT WORKING PARTY ON RARE DONORS INDIA Have a national Rare Donor Program: No. Number of Donors

ISBT WORKING PARTY ON RARE DONORS INDIA Have a national Rare Donor Program: No. Number of Donors

ISBT WORKING PARTY ON RARE DONORS INDIA Have a national Rare Donor Program: No. Number of Donors in Database: ----- Definition of Rare: Lacking high incidence antigens or lacking a combination of common antigens Number of Frozen Rare Cells:

156 views • 3 slides
ISBT WORKING PARTY ON RARE DONORS USA American Rare Donor Program (ARDP)- in 2011 - 82 members

ISBT WORKING PARTY ON RARE DONORS USA American Rare Donor Program (ARDP)- in 2011 - 82 members

ISBT WORKING PARTY ON RARE DONORS USA American Rare Donor Program (ARDP)- in 2011 - 82 members 51,576 rare donors in database Shipped 2131 rare units; 16 international Members maintain inventories; respond to requests ISBT WORKING PARTY ON

230 views • 6 slides
An introduction to Dr Nicolas Sireau, Co-founder and Chairman 7000 rare diseases of which 80%

An introduction to Dr Nicolas Sireau, Co-founder and Chairman 7000 rare diseases of which 80%

An introduction to Dr Nicolas Sireau, Co-founder and Chairman 7000 rare diseases of which 80% are very rare and only 200 have approved treatments Source: Rare Disease UK 3.5 million people affected in the UK, hundreds of millions worldwide

599 views • 30 slides
A Rare Cutaneous Adnexal Tumour with a Rare Presentation 1* 1 Vijayalaxmi S. Patil , Surekha U.

A Rare Cutaneous Adnexal Tumour with a Rare Presentation 1* 1 Vijayalaxmi S. Patil , Surekha U.

JKIMSU, Vol. 5, No. 2, April-June 2016 ISSN 2231-4261 CASE REPORT A Rare Cutaneous Adnexal Tumour with a Rare Presentation 1* 1 Vijayalaxmi S. Patil , Surekha U. Arakeri 1 Department of Pathology, BLDE University's Shri B.M.Patil Medical

282 views • 4 slides
Silent ACTHoma: A subclinical presentation of Cushings disease in a 79 year old male Meenal

Silent ACTHoma: A subclinical presentation of Cushings disease in a 79 year old male Meenal

International Journal of Collaborative Research on Internal Medicine & Public Health 575 Silent ACTHoma: A subclinical presentation of Cushings disease in a 79 year old male Meenal Malviya 1 , Navneet Kumar 1* , Naseer Ahmad 2 1 MD;

402 views • 6 slides
Colon Cancer and Polyps Robin B. Mendelsohn MD Clinical Director, Gastroenterology, Hepatology

Colon Cancer and Polyps Robin B. Mendelsohn MD Clinical Director, Gastroenterology, Hepatology

Colon Cancer and Polyps Robin B. Mendelsohn MD Clinical Director, Gastroenterology, Hepatology and Nutrition Service Co-director, Center for Young Onset Colorectal Cancer Center Department of Medicine Memorial Sloan Kettering Cancer Center

647 views • 47 slides
Salivary Gland Cytology and The Milan System for Reporting Dina R. Mody, MD Director of Cytology

Salivary Gland Cytology and The Milan System for Reporting Dina R. Mody, MD Director of Cytology

Salivary Gland Cytology and The Milan System for Reporting Dina R. Mody, MD Director of Cytology laboratories The Ibrahim Ramzy Chair in Pathology Houston Methodist Hospital Professor of Pathology and Laboratory Medicine Weill Cornell

6.13k views • 86 slides
GI Cancer Screening Is It Worth It? Stephen G. Abshire, MD Gastroenterologist Life is a

GI Cancer Screening Is It Worth It? Stephen G. Abshire, MD Gastroenterologist Life is a

GI Cancer Screening Is It Worth It? Stephen G. Abshire, MD Gastroenterologist Life is a sexually transmitted disease, and the mortality rate is 100% . . . J.D. Laings________(?) With this sentiment in mind, the purpose of

318 views • 5 slides
Corporate Presentation v August 2017 Safe harbor statement This presentation contains

Corporate Presentation v August 2017 Safe harbor statement This presentation contains

Corporate Presentation v August 2017 Safe harbor statement This presentation contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of

370 views • 34 slides
Case #4 21yo WF with acute RUQ pain PMHx: Aplastic anemia, CNI-induced renal failure,

Case #4 21yo WF with acute RUQ pain PMHx: Aplastic anemia, CNI-induced renal failure,

6/11/2015 Case #4 21yo WF with acute RUQ pain PMHx: Aplastic anemia, CNI-induced renal failure, morbid obesity Meds: Tacrolimus, high dose OCP Exam: Peritonitis with shock Imaging Outside imaging: AVM CT:

663 views • 20 slides
Clinicopathological Presentation of Solitary Nodule in Our Setup AMEER AFZAL, TOOBA MAHMOOD GHOHAR,

Clinicopathological Presentation of Solitary Nodule in Our Setup AMEER AFZAL, TOOBA MAHMOOD GHOHAR,

ORIGINAL ARTICLE Clinicopathological Presentation of Solitary Nodule in Our Setup AMEER AFZAL, TOOBA MAHMOOD GHOHAR, NASIR NASIM, HAFIZ MUHAMMAD ASIF, ABISHEK CHAUDHRY, MUHAMMAD AZIM KHAWAJA ABSTRACT Introduction: Most patients present with an

287 views • 3 slides
Case 4: Brain Tumors Eyas M Hattab, MD, MBA AJ Miller Professor and Chair Department of

Case 4: Brain Tumors Eyas M Hattab, MD, MBA AJ Miller Professor and Chair Department of

XXXII International Academcy of Pathology Congress King Hussein Bin Talal Convention Centre Amman, Jordan Day 3: Wednesday, October 17 th , 2018 18-SS-4: Contribution of Immunohistochemistry in Diagnostic Pathology Case 4: Brain Tumors Eyas M

444 views • 43 slides

More recommend