José Jarjura Jorge Júnior

An uncommon presentation of an VIII nerve tumor

Vestibular Shwannomas are responsible for 80-90% of the cerebelar-pontine angle tumors and their incidence is of 0.8 to 20.5% of all tumors. Unilateral and progressive hearing loss is the most frequent and premature symptom, and tinnitus is the second most common complaint. Only 5% of the patients have normal audiograms. In this case the patient complained of ipsilateral facial numbness and weak blink, posterior pinna hypoesthesia (Hitzelberger +), tear reduction and positive Romberg test. He also had mouth twisting but no other involvement of other cranial nerves. Hearing acuity was normal.

Tumor do VIII nervo com apresentação incomum

Vestibular Shwannomas are responsible for 80-90% of the cerebelar-pontine angle tumors and their incidence is of 0.8 to 20.5% of all tumors. Unilateral and progressive hearing loss is the most frequent and premature symptom, and tinnitus is the second most common complaint. Only 5% of the patients have normal audiograms. In this case the patient complained of ipsilateral facial numbness and weak blink, posterior pinna hypoesthesia (Hitzelberger +), tear reduction and positive Romberg test. He also had mouth twisting but no other involvement of other cranial nerves. Hearing acuity was normal.

Síndrome de Kartagener: relato de caso

The Kartagener Syndrome is a rare recessive autossomical disease including the triad: chronical sinusitis, bronchiectasis and situs inversus with dextrocardia. The incidence of this genetical disorder is estimated about 1/25,000. Our purpose in this case report is to include new informations for who search about this syndrome. Tomography of chest, abomen and cranium, audiometry, impedance and nasopharyngoscopy were done.

Broncoespasmo de repetição causado por corpo estranho de laringe

INTRODUCAOCorpos estranhos (CE) de laringe e traqueia produzem usualmente quadros alarmantes, com possibilidade de morte por obstrucao total da via respiratoria. Essa ocorrencia nao e comum (2-11% dos CE de vias respiratorias). Sao mais frequentes em criancas, de 6 meses a 4 anos, justi-ficado pela imaturidade do mecanismo neuromuscular da degluticao e fase de oralizacao. Em geral, a aspiracao do CE provoca uma crise de tosse e sufocacao, podendo ocorrer cianose, asfixia, sudorese, vomitos e disfonia. Papilomatose laringea deve ser descartada, pois pode simular o quadro descrito

Laryngeal foreign body causing bronchial spasm.

Foreign bodies (FB) in the larynx and trachea usually lead to alarming circumstances, with death by complete obstruction of the respiratory tract as its utter consequence. Incidence rates are not high (2-11% of respiratory tract foreign bodies). Children from 6 months to 4 years of age are the most frequently affected, as expected due to their yet immature swallowing neuromuscular mechanism and the oral stage. In general terms, inhaling FB produces intense coughing and suffocation, and possibly cyanosis, asphyxia, sweating, vomiting, and dysphonia. Larynx papillomatosis must be ruled out as it may present similar findings .