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F. Dezoteux R. Dubois G. Lefèvre J.P. Lecoutre D. Staumont-Sallé O. Carpentier 《European annals of otorhinolaryngology, head and neck diseases》2019,136(1):47-49
Introduction
Kimura disease (KD) is a chronic lymphoproliferative disorder of unknown etiology that affects the skin and lymph nodes, mostly observed in males of Asian descent. The natural history of asymptomatic epiglottal KD remains unknown. This rare site of KD is often only diagnosed when tumor growth starts to obstruct the upper airways.Observation
A 34-year-old North African male presented with fatigue and multiple, slowly progressive, fluctuating skin nodules in the right mandibular and retroauricular regions. Computed tomography of the head and neck revealed a large soft tissue tumor close to the right mandibular body and unexpected thickening of the epiglottis. Transnasal laryngoscopy confirmed the CT findings and showed thickening of the epiglottis. The diagnosis of KD was based on histological examination of biopsy specimens taken from the right mandibular tumor, a cervical lymph node, and the epiglottis.Discussion
Most cases of KD with epiglottal involvement present with dysphonia and dysphagia. No consensus guidelines are available concerning the complementary investigations that should be performed. This case report raises the question of whether patients with suspected KD should be systematically screened for lesions in unusual and potentially dangerous anatomic sites. 相似文献4.
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Elodie Dubois MD Ion-Andrei Popescu MD MHBA Nadine Sturbois Nachef Frederic Teboul MD Jean-Noel Goubier MD PhD 《Microsurgery》2020,40(3):387-390
Complete femoral nerve palsies are uncommon but devastating injuries when they are caused by large nerve defects. Direct repair is usually not possible and nerve grafting renders uncertain outcomes. Recent studies proposed different peripheral nerve transfers as treatment strategies for large femoral nerve defects. We report a clinical application of a nerve transfer to reinnervate the quadriceps muscle with two motor branches of the obturator nerve in a 48 years-old man that was diagnosed with a femoral nerve palsy after resection of a retroperitoneal schwannoma. The branches supplying the gracilis and adductor longus muscles were transferred to the motor branch of the femoral nerve to the quadriceps muscle at 6 months postinjury. At 34 months of follow-up, knee extension was quoted M4. The presented nerve transfer may be feasible, technically simple, and renders good functional outcomes. 相似文献
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Xin Zhang Tim Zegar Tim Weiser Feda H. Hamdan Benedict-Tilman Berger Romain Lucas Dimitrios-IIias Balourdas Swetlana Ladigan Phyllis F. Cheung Sven-Thorsten Liffers Marija Trajkovic-Arsic Bjoern Scheffler Andreas C. Joerger Stephan A. Hahn Steven A. Johnsen Stefan Knapp Jens T. Siveke 《International journal of cancer. Journal international du cancer》2020,147(10):2847-2861
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Accuracy and Precision of an Ultrasound-Based Device to Measure the Pelvic Tilt in Several Positions
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Monica N. Toba Melissa Zavaglia Caroline Malherbe Tristan Moreau Federica Rastelli Anna Kaglik Romain Valabrgue Pascale Pradat‐Diehl Claus C. Hilgetag Antoni Valero‐Cabr 《Human brain mapping》2020,41(11):2926-2950
White matter bundles linking gray matter nodes are key anatomical players to fully characterize associations between brain systems and cognitive functions. Here we used a multivariate lesion inference approach grounded in coalitional game theory (multiperturbation Shapley value analysis, MSA) to infer causal contributions of white matter bundles to visuospatial orienting of attention. Our work is based on the characterization of the lesion patterns of 25 right hemisphere stroke patients and the causal analysis of their impact on three neuropsychological tasks: line bisection, letter cancellation, and bells cancellation. We report that, out of the 11 white matter bundles included in our MSA coalitions, the optic radiations, the inferior fronto‐occipital fasciculus and the anterior cingulum were the only tracts to display task‐invariant contributions (positive, positive, and negative, respectively) to the tasks. We also report task‐dependent influences for the branches of the superior longitudinal fasciculus and the posterior cingulum. By extending prior findings to white matter tracts linking key gray matter nodes, we further characterize from a network perspective the anatomical basis of visual and attentional orienting processes. The knowledge about interactions patterns mediated by white matter tracts linking cortical nodes of attention orienting networks, consolidated by further studies, may help develop and customize brain stimulation approaches for the rehabilitation of visuospatial neglect. 相似文献