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Acute necrosis after Gamma Knife surgery in vestibular schwannoma leading to multiple cranial nerve palsies.

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We discuss a rare acute complication after Gamma Knife therapy (Elekta AB, Stockholm, Sweden) in a single patient. A 52-year-old woman presented with vertigo, facial weakness and hearing loss emerging 48hours following Gamma Knife radiosurgery for a right-sided vestibular schwannoma. Neurological

A Case of Incus Necrosis Following Oral and Intratympanic Steroid Administration for Sensorineural Hearing Loss

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Objective: Intratympanic (IT) steroid injections are often used for the treatment of inner ear pathologies, including sudden sensorineural hearing loss. IT steroids are also commonly used in conjunction with or in case of systemic steroid

A Case of Incus Necrosis Following Oral and Intratympanic Steroid Administration for Sensorineural Hearing Loss

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Surgical techniques in radiation induced temporal lobe necrosis in nasopharyngeal carcinoma patients.

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BACKGROUND Radiation induced brain injury ranges from acute reversible edema to late, irreversible radiation necrosis. Radiation induced temporal lobe necrosis is associated with permanent neurological deficits and occasionally progresses to death. OBJECTIVE We present our experience with surgery on

Serum oxidative stress, inflammatory response and platelet activation in patients with vascular vertigo.

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The aim of this study was to investigate the correlation and clinical significance of oxidative stress and inflammatory response in vascular vertigo (VV). The subjects were divided into three groups: vascular vertigo (group A), non-vascular vertigo (group B) and controls (group C). The serum levels

Value of computed tomography in patients with persistent vertigo after stapes surgery.

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OBJECTIVE The value of computed tomography was evaluated in 14 patients with persistent vertigo after otosclerosis operation. METHODS High-resolution computed tomography was performed with 1-mm slice thickness and table feed in the axial and coronal planes. RESULTS Computed tomography scans showed

The Role of Oxidative Stress and Inflammatory Mediators in Benign Paroxysmal Positional Vertigo.

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OBJECTIVE Benign paroxysmal positional vertigo (BPPV) is the most common peripheral cause of vertigo. It can be defined as transient vertigo induced by rapid changes in head position associated with a characteristic paroxysmal positional nystagmus. The aim of this study was to search for the

[A case of progressive systemic sclerosis associated with a hemorrhagic infarction of the cerebellum].

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Central nervous system is rarely involved in progressive systemic sclerosis (PSS) unless there are concomitant abnormalities in renal or lung function or hypertension. A 72-year-old woman with typical PSS developed cerebellar bleeding. Medical history records revealed, she had noted the onset of

Revision stapedectomy: an analysis of 201 operations.

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BACKGROUND Recurrent or persistent conductive hearing impairment as well as vertigo or tinnitus after a stapes operation can be treated by means of stapes revision surgery. We analyzed stapes revisions performed during the last 15 years at our institution. The aim was to ascertain the causes that

Revision stapes surgery.

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OBJECTIVE Surgery for otosclerosis has a highly satisfactory hearing outcome, for both the patient and the otologic surgeon. However, subsequent conductive hearing loss, dizziness/vertigo, or sound distortion could necessitate revision surgery. The aim of the present study is to evaluate the

[Current concepts in the surgical management of otosclerosis].

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Otosclerosis can be of viral origin and in 25-50% of cases a familiar accumulation can be seen. Typically patients develop a progressive middle ear hearing loss which starts in young adulthood and which can affect one as well as both ears in up to 80% of cases. The surgical procedures of choice are

Preclinical and clinical studies of unrelieved aural fullness following intratympanic gentamicin injection in patients with intractable Ménière's disease.

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OBJECTIVE To clarify whether gentamicin affects vestibular dark cells in guinea pigs and relieves patients of aural fullness with intractable Ménière's disease following intratympanic administration. METHODS Purified gentamicin-Texas Red (GTTR) was injected intratympanically in guinea pigs that were

Subependymomas: clinicopathologic study of 14 tumors, including comparative MIB-1 immunohistochemical analysis with other ependymal neoplasms.

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BACKGROUND Subependymomas are uncommonly encountered ependymal tumors, which are important to distinguish from ordinary ependymomas because of their generally better prognosis. OBJECTIVE To review the clinicopathologic features and MIB-1 labeling indices (marker of cell proliferation) of 14

Pathodiagnostic parameters for meningioma grading.

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Meningiomas are usually slow-growing benign tumors, for which complete removal can be difficult and recurrence is an issue. In this study the relationship between pathodiagnostic parameters, histological grade, and MIB-1 monoclonal antibody expression in meningioma diagnosed over 10 years in Shohada

Surgical and medical management for complications in 475 consecutive pediatric cochlear implantations.

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OBJECTIVE The purpose of this study is to assess complications occurring after cochlear implantation (CI) in children and to discuss revision surgeries and medical interventions occurring during follow-up. METHODS Retrospective study of 475 consecutive pediatric cochlear implantations at a tertiary

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