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Overlapping syndrome of recurrent anti-N-methyl-D-aspartate receptor encephalitis and anti-myelin oligodendrocyte glycoprotein demyelinating diseases: A case report.

BACKGROUND: Anti-N-methyl-D-aspartate receptor encephalitis (NMDARe) is capable of presenting a relapsing course and coexisting with myelin … ssive agents (mycophenolate mofetil), and the symptoms were relieved. The patient was admitted for "hoarseness and double vision" for the third time on August 23, 2019. Re-examination of cranial MRI showed abnormal signals in the medulla oblongata and right frontal lobe, and synoptophore examination indicated concomitant esotropia. The patient's visual acuit …

[Effect of gonadotropin-releasing hormone analog combined with stanazolol on final height in girls with idiopathic central precocious puberty and apparent decrease of linear growth].

OBJECTIVE: To evaluate the effect of combined use of stanazolol (ST) on the final adult height (FAH) in girls with idiopathic central precocious puberty (ICPP) and apparently decreased linear growth during gonadotropin-releasing hormone analog (GnRHa) therapy. METHOD: Sixty-three girls with ICPP and decreased velocity of growth of height (HV<4 cm/yr) during GnRHa therapy were divided into 3 groups based on the following types of interventions:group 1 (n = 20), GnRHa+ST [25-30 µg/(kg·d) every 3-month followed by 3-month discontinuation], group 2 (n = 21), GnRHa+recombinant human growth hormone

[Preventing laryngeal anterior commissure adhesion after operation: a study in canines].

OBJECTIVE: To explore the better operational methods by the laser surgery to treat diseases involving the laryngeal anterior commissure. It … tion, we could see the adhesion in the anterior commissure obviously. Four groups were all appeared hoarsenesses, the most slightly in group A, secondly in B and C, the worst in D. The analysis of vocal cord length of 4 groups, we used matched-pairs t-test, A, B, C groups' P>0.05, the vocal cord length didn't become shorter than before obviously. Group D's P …

Inhaled corticosteroids as combination therapy with beta-adrenergic agonists in airways disease: present and future.

Inhaled corticosteroid (ICS) therapy in combination with long-acting beta-adrenergic agonists represents the most important treatment for ch … ng the induction of pro-inflammatory mediators. Local side effects of ICS include oral candidiasis, hoarseness and dysphonia, while systemic side effects, such as easy bruising and reduction in growth velocity or bone mineral densitometry, are usually restricted to doses above maximally recommended doses. Use of LABA alone in patients with asthma increases t …

[Bronchial carcinoma--an overview].

UNLABELLED: The incidence of lung cancer has exploded in this century. The disease is most commonly diagnosed in the 65-75 year age group bu … ppetite. Respiratory Symptoms: Haemoptysis, symptoms (and signs) of intrathoracic spread of tumour (hoarseness, pleuritis or pleural effusion, paralysed diaphragm, dysphagia, superior vena cava obstruction, Pancoast s syndrome. Symptoms from extrathoracic metastases: (mediastinal supraclavicular and neck), liver, brain, adrenals, bone and contralateral lung, …

[Risk factors for contralateral central lymph node metastasis in unilateral papillary thyroid carcinoma].

Objective: To explore the risk factors for contralateral central lymph nodes (Cont-CLNs) metastasis of unilateral papillary thyroid carcinom … ci showed an AUC of 0.794. The patients were followed up until January 2025. Excluding 3 cases with hoarseness caused by recurrent laryngeal nerve invasion before the operation and 3 cases with resection and reconstruction of invaded recurrent laryngeal nerves discovered during the operation, there were no patients with permanent recurrent laryngeal nerve pa …

Acute Calcific Tendonitis of the Longus Colli: An Uncommon Cause of Neck Pain in the Emergency Department.

The longus colli muscle has three major parts that originate and insert in the upper cervical and thoracic spine. It is a weak flexor of the … set of sore throat that woke her up from sleep at 3:00 am. Associated with the sore throat, she had hoarseness of her voice, difficulty breathing and felt that her throat was closing. She forced herself to vomit and then felt better. She denied any fevers or chills. Later, the patient mentioned that she had chronic neck pain from a prior accident and had bee …

Laryngo-tracheo-oesophageal clefts.

A laryngo-tracheo-esophageal cleft (LC) is a congenital malformation characterized by an abnormal, posterior, sagittal communication between the larynx and the pharynx, possibly extending downward between the trachea and the esophagus. The estimated annual incidence of LC is 1/10,000 to 1/20,000 live births, accounting for 0.2% to 1.5% of congenital malformations of the larynx. These incidence rates may however be underestimated due to difficulty in diagnosing minor forms and a high mortality rate in severe forms. A slightly higher incidence has been reported in boys than in girls. No specific

Delays in diagnosis, referral and management of head and neck cancer presenting at Kenyatta National Hospital, Nairobi.

BACKGROUND: The most important prognostic factor in head and neck cancer is the stage of the disease at presentation. Early cancer has an ex … s 4-6 cm. In 14% of the cases the tumour size was over 6 cm. The most common presenting symptom was hoarseness followed by swelling. The majority of the patients attended a public health facility nearest them. For most patients the facility lay within 5 km and could be accessed by walking. However, most of the patients went through multiple referrals to get …

[The applicability of the ProSeal laryngeal mask airway for laparotomies].

OBJECTIVE: The ProSeal laryngeal mask airway (PLMA) has some design features, which in contrast to the classic LMA allow separation of the r … oup and 23 of the tube group mentioned postoperative throat symptoms. The most frequent symptom was hoarseness (11 PLMA- and 18 intubated patients). There was no significant difference between PLMA- and tracheal tube application with regard to the total number of patients with pharyngolaryngeal morbidity and the frequency of single symptoms. The same is true …

Localized mucosal leishmaniasis due to Leishmania (Leishmania) infantum: clinical and microbiologic findings in 31 patients.

The clinical and microbiologic characteristics of 31 patients with mucosal leishmaniasis due to Leishmania (Leishmania) infantum are describ … en. The localization of the lesions determined the symptomatology of the disease. Symptoms included hoarseness, difficulty swallowing, and nasal obstruction. The disease presentation was usually protracted, with a mean time from the onset of symptoms to diagnosis of 13 months (range, 3 wk-4.5 yr), and the clinical diagnosis was usually mistaken for neoplasia …

[Functional long-term results following hemipharyngo-hemilaryngectomy and microvascular reconstruction using the radial forearm flap].

BACKGROUND: The surgical treatment of advanced hypopharyngeal carcinomas with infiltration of the laryngeal skeleton often includes total la … s satisfactory, although there was a different impairment of the voice (quite normal up to a marked hoarseness). During follow-up (up to 10 years) 4 patients developed a local recurrence, in 3 cases a secondary metastasis after neck dissection occurred. In 3 patients a second primary was detected (oropharynx 2, esophagus 1), 3 patients died with lung metasta …

Respiratory Symptoms of Exposure to Substances in the Workplace among Bulgarian Dental Students: a Self-report Questionnaire Survey.

BACKGROUND: Dental students are at high risk of developing adverse respiratory reactions as a result of their practical work during their dentistry degree program when they come into contact with multiple airborne irritants and allergens. AIM: To estimate the prevalence of respiratory symptoms of exposure to substances in the workplace and associated risk factors in Bulgarian dental students. RESULTS: The prevalence of self-reported respiratory symptoms related to the pre-clinical and clinical training courses of the dentistry program was 12.4%. According to logistic regression analysis, the

The importance of symptom assessment in the surgical treatment of gastroesophageal reflux disease and Barrett's esophagus.

The "art" and science of symptom assessment in the evaluation of patients with gastroesophageal reflux disease has been under emphasized. In fact, it is critical to judgements regarding surgical versus non-surgical therapy and is much more difficult than meets the eye. Many symptoms thought to be secondary to gastroesophageal reflux are not, and some, such as asthma cough and chest pain, which are commonly thought secondary to other causes, are indeed symptoms of reflux. Diagnostic studies are helpful but far from perfect, ultimately requiring the clinician's expert judgement as the key factor

[A clinical study of transoral endoscopic thyroidectomy vestibular approach for papillary thyroid carcinoma with tumor diameter >2 cm].

Objective: To evaluate the feasibility of the transoral endoscopic thyroidectomy vestibular approach (TOETVA) for papillary thyroid carcinom … ir PTH levels normalized at the 1-month postoperative follow-up. Two patients experienced transient hoarseness,all of whom recovered within 6 months after surgery. During follow-up,1 patient was diagnosed with lateral cervical lymph node metastasis at 1-year postoperative re-examination and underwent lateral cervical lymph node dissection; no tumor residue o …

Dual Diagnosis of Thyroid Amyloidosis and Lipomatosis: An Uncommon Concurrence.

Lipoid lesions of the thyroid are extremely rare. Adipose changes can be seen in both malignant (carcinomas) and benign conditions. The two … nd subclinical hyperthyroidism. A 72-year-old male presented to Danbury Hospital with complaints of hoarseness of voice and reduced neck movement. His past medical history was significant for Crohn's disease, ankylosing spondylitis, monoclonal gammopathy of undetermined significance (MGUS), and AA amyloidosis involving bilateral kidneys with end-stage kidney …

[Surgical characteristics of endoscopic and da Vinci robot-assisted thyroidectomy and the clinical outcomes of thyroidectomy via the unilateral axillary gasless approach].

Objective: To analyze the surgical characteristics of da Vinci robotic and endoscopic-assisted thyroidectomy and compare the clinical outcom … horter [(87.4±35.3) vs (127.1±40.2) min], and they had a lower incidence of temporary postoperative hoarseness [1.13% (6/531) vs 3.89% (6/154)] compared to the endoscopic group (both P<0.05). There was no significant difference in postoperative scar satisfaction between the two groups (P>0.05). Conclusions: The gasless unilateral transaxillary approach and u …

Assessing Associations Between COVID-19 Symptomology and Adverse Outcomes After Piloting Crowdsourced Data Collection: Cross-sectional Survey Study.

BACKGROUND: Crowdsourcing is a useful way to rapidly collect information on COVID-19 symptoms. However, there are potential biases and data … s: abdominal and bladder pain (Group 1); flu-like symptoms (loss of smell/taste/appetite; Group 2); hoarseness and sputum production (Group 3); joint aches and stomach cramps (Group 4); eye or skin dryness and vomiting (Group 5); and no symptoms (Group 6). The risk factors for adverse COVID-19 outcomes differed for different symptomology groups. The only ris …

Nebulised deoxyribonuclease for viral bronchiolitis in children younger than 24 months.

BACKGROUND: Bronchiolitis is one of the most common respiratory problems in the first year of life. The sputum of infants with bronchiolitis … events. These included temporary desaturation, temporary coughing, increased coughing, facial rash, hoarseness, dyspnoea and bad taste, reported in a total of 11 patients from both treatment groups. AUTHORS' CONCLUSIONS: The results based on the three included studies in this review did not support the use of nebulised rhDNase in children under 24 months of …

Ultrasound-Guided Interscalene Brachial Plexus Block for Pathological Humerus Fracture due to Multiple Myeloma with Systemic Manifestation: Useful Option for Management in Low-Income Countries.

Anesthetic management of pathological fracture due to multiple myeloma with systemic manifestation poses a perioperative challenge especially in low-resource setups like Nepal. Regional anesthesia using ultrasound-guided block can improve the accuracy, reduce complications, and improve overall perioperative management of pathological fractures due to malignancy with systemic spread in resource-deprived setups. We present a case of a 53-year-old lady with pathological fracture of left humerus shaft, a diagnosed case of multiple myeloma with compression fracture of multiple lumbar spine with che

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… Dyspnea, hoarseness of voice, hiccups, or features of Horner's syndrome were not noted. The patient was sedated using propofol injection at a rate of 50 mcg/kg/min via an infusion pump, and supplemental oxygen was given via facemask at 5 L/min. … IBPB was performed with isolating superior trunk and limiting potential spread to the phrenic nerve, and the recurrent laryngeal nerve has demonstrated less subjective dyspnea, hand immobility, and hoarseness with high patient satisfaction scores postoperatively [ 16 ]. …