[Recognition of nasopharyngeal carcinoma].

In two patients the presenting symptoms of nasopharyngeal carcinoma were non-specific: a woman aged 35 years born in Hong-Kong with unilateral hearing loss, and a man aged 59 years with acute otitis media who later developed cranial nerve palsy. The woman was successfully treated with chemotherapy and radiotherapy, the man was in a poor general condition and refused treatment; he died within 9 weeks. Nasopharyngeal carcinoma is rare and can occur at any age.

Management of large vestibular schwannoma. Part I. Planned subtotal resection followed by Gamma Knife surgery: radiological and clinical aspects.

Object: In large vestibular schwannoma (VS), microsurgery is the main treatment option, and complete resection is considered the primary goal. However, previous studies have documented suboptimal facial nerve outcomes in patients who undergo complete resection of large VSs. Subtotal resection is likely to reduce the risk of facial nerve injury but increases the risk of lesion regrowth.

An unusual cause of transient neurologic deficits: compression of the carotid artery by a thyroid cystic nodule.

We report a case of a 93-year-old man, who presented with limb-shaking transient ischemic attacks (TIAs) after orthostatic position change or turning his head to the left. The limb-shaking TIAs resulted from external compression of the carotid artery. Contrast-enhanced magnetic resonance angiography of the head and neck and Doppler ultrasound examination of the thyroid gland revealed a large cystic nodule in the right thyroid lobe, resulting in compression and posterior displacement of the right common carotid artery.

Laryngeal tuberculosis presenting as a supraglottic carcinoma: a case report and review of the literature.

Introduction: Laryngeal tuberculosis used to be a common complication in advanced pulmonary tuberculosis. However, it has become a rare occurrence in developed countries since the introduction of antituberculous agents. Moreover, the pattern of the disease has changed over the years.

Follow-up assessment of vestibular schwannomas: volume quantification versus two-dimensional measurements.

Introduction: A conservative treatment strategy is often proposed as a primary treatment option in the management of vestibular schwannomas (VS). In this "wait and scan" policy, audiovestibular symptoms are monitored regularly, and VS growth is measured on consecutive magnetic resonance images (MRI). The aim of this study is validation of two-dimensional versus volume MRI assessment in the longitudinal follow-up of VS and to define tumor growth beyond measurement error.

Clinical impact of short tau inversion recovery MRI on staging and management in patients with cervical lymph node metastases of head and neck squamous cell carcinomas.

Background: We investigated the incremental diagnostic value of short tau inversion recovery (STIR) MRI to detect cervical nodal metastases in head and neck squamous cell carcinoma.

Methods: Thirty-six patients with cervical nodal metastases underwent MRI preceding neck dissection. Two readers evaluated MRI versus MRI with STIR.

Persistent trigeminal artery associated with trigeminal neuralgia: hypothesis of neurovascular compression.

Introduction: The aim of this study was to determine the prevalence of persistent trigeminal artery (PTA) associated with trigeminal neuralgia (TN).

Methods: From January 1998 to January 2004, 288 MRI scans of patients examined for trigeminal deficits were retrospectively evaluated. MRI was performed at 1.