A 32- year- old patient with seizures experienced decreased right- ear hearing during electrocortical stimulation mapping of the left lateral superior temporal gyrus. Audiometric testing under headphones confirmed a r...A 32- year- old patient with seizures experienced decreased right- ear hearing during electrocortical stimulation mapping of the left lateral superior temporal gyrus. Audiometric testing under headphones confirmed a reversible, moderate unilateral hearing loss. Under binaural listening conditions, auditory comprehension was impaired at the same site, whereas word repetition, environmental sound recognition, naming, and spontaneous speech remained intact.展开更多
患者男,35岁,1991年5月28日因发热伴腮腺肿痛6天入院。既往体健。入院前未作特殊治疗。查体:体温39℃,双侧有以耳垂为中心肿胀、压痛、局部皮温高的肿块。双耳听力正常。全身检查无特殊。诊断:流行性腮腺炎。经抗腮腺炎针、聚肌胞、青...患者男,35岁,1991年5月28日因发热伴腮腺肿痛6天入院。既往体健。入院前未作特殊治疗。查体:体温39℃,双侧有以耳垂为中心肿胀、压痛、局部皮温高的肿块。双耳听力正常。全身检查无特殊。诊断:流行性腮腺炎。经抗腮腺炎针、聚肌胞、青霉素及对症治疗,体温恢复正常,腮腺区肿痛消退。住院第14天,出现右侧颞顶部麻木,伴耳鸣、眩晕,右耳听力进行性减退。五官科会诊:右耳鼓膜正常,Rinnc’s test右耳弱阳性,Weber’s test 偏左,Schvoabach’s test右耳骨导缩短,右耳纯音测听高频区听力下降。到上级医院行头颅CT扫描无异常。展开更多
Background. Metastatic bone involvement in vulvar squamous carcinoma is very rare. Here, we present a case of primary adenocarcinoma of the Bartholin’s gland giving rise to isolated skull metastasis. Case. A 74- year...Background. Metastatic bone involvement in vulvar squamous carcinoma is very rare. Here, we present a case of primary adenocarcinoma of the Bartholin’s gland giving rise to isolated skull metastasis. Case. A 74- year- old woman was referred with a diagnosis of primary vulvar adenocarcinoma of the right labium minus. A right hemivulvectomy was performed with ipsilateral inguinofemoral lymphadenectomy, revealing a primary adenocarcinoma of the Bartholin’ s gland and metastatic involvement in 6 out of 13 lymphnodes. During chemotherapy administration, the patient started complaining of a worsening of right hypoacousis. CT scan and MRI of the brain showed the presence of a metastatic lesion on the right side of the skullbone. The diagnosis was metastatic poorly differentiated adenocarcinoma. Conclusion. In adenocarcinoma of the Bartholin’ s gland at an advanced stage of disease, a bone scan or survey in the preoperative as well as follow up staging procedures could be useful.展开更多
文摘A 32- year- old patient with seizures experienced decreased right- ear hearing during electrocortical stimulation mapping of the left lateral superior temporal gyrus. Audiometric testing under headphones confirmed a reversible, moderate unilateral hearing loss. Under binaural listening conditions, auditory comprehension was impaired at the same site, whereas word repetition, environmental sound recognition, naming, and spontaneous speech remained intact.
文摘患者男,35岁,1991年5月28日因发热伴腮腺肿痛6天入院。既往体健。入院前未作特殊治疗。查体:体温39℃,双侧有以耳垂为中心肿胀、压痛、局部皮温高的肿块。双耳听力正常。全身检查无特殊。诊断:流行性腮腺炎。经抗腮腺炎针、聚肌胞、青霉素及对症治疗,体温恢复正常,腮腺区肿痛消退。住院第14天,出现右侧颞顶部麻木,伴耳鸣、眩晕,右耳听力进行性减退。五官科会诊:右耳鼓膜正常,Rinnc’s test右耳弱阳性,Weber’s test 偏左,Schvoabach’s test右耳骨导缩短,右耳纯音测听高频区听力下降。到上级医院行头颅CT扫描无异常。
文摘Background. Metastatic bone involvement in vulvar squamous carcinoma is very rare. Here, we present a case of primary adenocarcinoma of the Bartholin’s gland giving rise to isolated skull metastasis. Case. A 74- year- old woman was referred with a diagnosis of primary vulvar adenocarcinoma of the right labium minus. A right hemivulvectomy was performed with ipsilateral inguinofemoral lymphadenectomy, revealing a primary adenocarcinoma of the Bartholin’ s gland and metastatic involvement in 6 out of 13 lymphnodes. During chemotherapy administration, the patient started complaining of a worsening of right hypoacousis. CT scan and MRI of the brain showed the presence of a metastatic lesion on the right side of the skullbone. The diagnosis was metastatic poorly differentiated adenocarcinoma. Conclusion. In adenocarcinoma of the Bartholin’ s gland at an advanced stage of disease, a bone scan or survey in the preoperative as well as follow up staging procedures could be useful.
