Bipolar hypertrophic herpes: an unusual presentation of acyclovir-resistant herpes simplex type 2 in a HIV-infected patient.

Hypertrophic pseudo tumoral herpetic lesion is an uncommon presentation in immunocompromized hosts that can be refractory to established therapies. We describe bipolar anal and tonsilar herpetic tumoral lesions related to acyclovir-resistant HSV-2 in a human immunodeficiency virus-infected patient. Treatment with valacyclovir, cidofovir, and thalidomide failed and surgical excision was required.

The reporting of randomized clinical trials using a surgical intervention is in need of immediate improvement: a systematic review.

Objective: To assess the reporting of surgical interventions, care providers, and number of centers in randomized clinical trials.

Methods: Systematic review was performed to assess reports of randomized controlled trials assessing surgical procedure published in 2004. A standardized abstraction form was used to extract data.

Intraneural reticular perineurioma of the neck.

Perineuriomas are infrequent tumors that may be intraneural or extraneural in soft tissue with no apparent relation with a nerve. Some cases of soft tissue perineurioma may have a retiform pattern, but this pattern has not been described to date in intraneural perineurioma. We report a case of a unique perineurioma arising in a nerve of the neck that had a distinctive reticular pattern and was intraneural.

Rhinoscleroma with orbital extension: CT and MRI.

We describe the MRI features of a rhinoscleroma with orbital extension. This benign bacterial and granulomatous lesion of the paranasal sinuses gave homogeneous low intensity on T2-weighted images and enhanced with gadolinium. It could simulate a malignant sinonasal tumour or a fungal sinusitis; the diagnosis must be considered in patients from endemic areas.

[Test of electrical stimulation of the round window. Diagnostic and prognostic value of the rehabilitation of total deafness by cochlear implant].

The round window electrical stimulation (RWES) test has been performed in 708 cases of total deafness. Among them 244 have successfully benefited with a cochlear implant. Electrical Brain Stem Evoked (EBSE) potential elicited by this stimulation have been registrated in 283 cases, 113 of them during general anesthesia necessary in children.