[Glossopharyngeal neuralgia and syncope].

Background: The causes of neuralgia are usually not known, but the condition can be caused by an underlying condition.

Case Description: A 58-year-old man presented at the accident and emergency department with a 6-week history of continuous nagging pain in the region of his right ear, extending to the lower jaw and the right side of his neck; this worsened in progressive attacks, which were sometimes followed by non-rotatory dizziness and loss of consciousness. This clinical picture lead us to suspect glossopharyngeal neuralgia (GPN) because of the distribution of the pain and the secondary syncope, but the continuous nature of the pain was atypical and a reason for further investigation.

Recognition of heat shock protein 60 epitopes in children with type 1 diabetes.

Background: Treatment with a specific HSP60 epitope in new onset of type 1 diabetes (T1D) patients has been shown to preserve endogenous insulin production. Previously, recognition of pan HLA-DR-binding HSP60 epitopes in various autoimmune diseases was found; this study investigated recognition of these epitopes in newly diagnosed T1D patients and correlated findings to the occurrence of a partial remission.

Methods: Peripheral blood mononuclear cells of 18 children with T1D were prospectively collected at disease onset and a few months after diagnosis.

Reliability of interpretation of CT examination of the larynx in patients with glottic laryngeal carcinoma.

Introduction: Reports in literature suggest that tumor volume, cartilage invasion, and cartilage sclerosis are independent prognostic factors for tumor control in radiotherapy as primary treatment of laryngeal carcinomas.

Objective: Assessment of the interobserver variability and prognostic value in the measurement of tumor volume, cartilage invasion, and sclerosis.

Materials And Methods: Retrospective analysis of 55 CT scans by three independent observers.

Treatment of hypopharyngeal carcinoma: analysis of nationwide study in the Netherlands over a 10-year period.

Objective: To analyse different treatment strategies and treatment results of hypopharyngeal carcinoma in the Netherlands.

Design: Retrospective study.

Setting: Eight head and neck centres in the Netherlands.

[Trigeminal trophic syndrome: 2 patients with a non-healing ulcer on the ala nasi].

Two female patients, aged 74 and 91 years respectively, had a skin ulcer on a nostril and ipsilateral sensory paralysis in the area covered by the N. trigeminus. This is known as trigeminal trophic syndrome.