简介:Objective:Toevaluateunusualpossiblecausesandclinicalpresentationsofhemifacialspasm(HFS).Methods:Theauthorsreviewed1642casesofHFS.Assessmentswerebasedonclinicalfeatures,3-dimensionaltime-of-flightmagneticresonanceangiography,andsurgicalfmdings.Causesotherthanneurovascularcompressionattherootexitzoneofthefacialnervewereinvestigatedandunusualclinicalpresentationswerenoted.Results:Nine(0.5%)patientshadasecondarycausativestructurallesion,7patientshadatumor,andtheremaining2hadavascularmalformation.Directcompressionbydolichoectaticvertebrobasilararterywasnotedin
简介:手由五籽骨组成。他们中的二个在metacarpophalangeal(MCP)是在场的姆指的关节。姆指的籽骨骨头的骨折是稀罕损害,光线的方面上的文学很少被报导。我们在姆指的MCP关节与光线的籽骨的破裂报导了一个病人的一个案例以便关于这类损害增加注意。一个44岁的男、高级体操的训练员,当他向右姆指的MCP关节汇报了一处伸直过度损伤时,在锻练期间正在帮助他的运动员之一。在损伤以后的一个星期,他介绍了给在它的手掌的方面上在MCP联合水平抱怨痛苦的姆指的手外科医生。标准A-P和侧面的X光揭示了光线的籽骨的破裂,破裂与一根藤条被对待3个星期。他对有能力6个星期在损害以后恢复了他的全部工作。籽骨破裂伸直过度损害并且有时的大小的指示物与MCP关节的手掌的板系带的眼泪被联系。并且认出系带损害的失败可以在拧上导致长期的伸直过度不稳定性。
简介:AbstractLymph node metastasis is common in differentiated thyroid cancer especially papillary thyroid cancer. Presence of lymph node metastasis does not have an impact on survival in younger patients. Therapeutic central and lateral neck dissection in the presence of clinically or radiologically evident lymph nodes has resulted in good overall survival. However, disease persistence in the lymph node/early recurrences may be seen in patients owing to lymph nodes that may be missed during the initial neck dissection. These observed locations are retropharyngeal and parapharyngeal nodal location, retro carotid location, sublingual, axillary, and intraparotid locations, supraclavicular and superficial to the sternothyroid muscle. We aim to highlight these locations with the goal to minimize persistence or early recurrence of disease at these locations.
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简介:Editor'sNote:DorjeZhaxiinGarzePrefecture,SichuanProvince,usedtobethelivingBuddhaoftheZuqenMonastery,numbertwomonasteryoftheNyingmaSect.Buthedidn'tresideinthemonastery,insteadspendinghistimeintheTagongGrasslandhelpinghiswelfareschoolandBuddhistinstitutes.Peoplecallhim“LivingBuddhaDorjeZhaxi”.
简介:IntheareasofViminaciumandNaisfourrareandunusualvotivededicationswereidentified.ThesearethededicationsDeusAeternus,DiiAngeli,Hero(Viminacium),andAtta(Naissus).ThededicationsDeusAeternusandDiiAngelimayperhapsindicateChristianity,whilethededicationsHeroandAttamayindicatesettlersofGreekorigin.ThededicationtogoddessAttacouldhavebeenmadebyafreedman,sincehercultwastoanextentrelatedtothecultofHeracleswho,thankstohisloyalservicetoOmphale,wherehewastorepenthissins,wasfreedfromslavery,andthuswasalsoaprotectoroffreedman.Mainmethodologicalapproachinthispaperistheanalysisofcultsaswellastheirbackgroundsasconditionsfortheirrealisation.UntilnowfortheterritoryofSerbiatherewasnotcorpusofanalyzingcults.ThereisonlycorpusofgraveandvotivemonumentsfortheterritoryofSerbiawithveryrareandsporadiccommentsofcult.So,themaintopicofthisarticleisanalyzingofcults.Itincludesthemainmeaningofthecult,dateingofmonumentsandhistoricalandarcheologicalbackgroundsofthecults.Atthesametimeitwasthemainmethodintheanalyzingofthementionedvotivemonuments.BythismethodastheresultappearedthedateingofthemonumentsandimprovementofexistingGreeksettlers.Atthesametimetherewerethemainresearchquestionswhichshouldbeensolved.ForensolvedthedateingofthemonumentswasusedthesystemofanalyzingsyllabicformulaeandfortheimprovementofexistingGreeksettlersthemethodof“healtymind”andconnectionsofanalogies.AsaresultthedateingofmonumentsofDeusAeternus,DiiAngeli,andHerowasearly2-ndcentury,andforAttafromthebeginningof2-ndtotheendof3-rdcentury.
简介:Pneumatosis肠(PI)不平常的疾病被定义为充满气体的包囊在墙中被发现胃肠(官方补给)道。PI的准确原因仍然是不清楚的,但是它可以把疾病与共存联系了例如一些官方补给的混乱,结缔组织疾病,某药和药,并且很少恶意。最普通的本地化是小肠。对恶意第二等的胃的PI很少被记录了。我们在一个94岁的人上报导,胃的PI与在十二指肠局部性的不能实行的腺癌联系了。gastrojejunostomy和choledochojejunostomy绕过的追随者,他改进的一般条件和PI由于差的表演地位和恶意消失了,但是他死了6瞬间以后。我们建议在与PI介绍的病人,恶意应该在微分诊断被考虑。
简介:Hepaticinvolvementinaggressivesystemicmastocytosis(ASM)isrelativelycommon,andthemainclinicalfeaturesofthisdiseaseincludehepatomegaly,portalhypertension,ascites,andfibrosis.CirrhosisisarareASMsymptom.WereportanASMcasethatinitiallymimickedcirrhosisbasedonclinicalandradiographicanalyses.Theportaltractwasexpandedbymononuclearinflammatorycells,andanincreaseincollagenamountwasobservedinroutinehistologicalsectionsofthebiopsiedliver.Adiagnosisofsystemicmastocytosis(SM)wasmadeafterancillarytestsformastcellsusingbonemarrowaspirates.Extensiveinvolvementoftheliverandgastrointestinaltractwasobserved.CliniciansandpathologistsneedtoconsiderASMasadiagnosisordifferentialdiagnosisinaclinicalcaseofcirrhosiswithunknownetiology.Thediagnosiscanbeconfirmedordisregardedbyimmunohistochemicalstainingandmolecularanalysis.
简介:AbstractWe present an unusual and, until now, unreported case of vesicoallantoic cyst associated with multiple malformations in a fetus. A differential diagnosis is discussed, including the hypothesis of a genetic disorder.
简介:PERSPECTIVESOFTROPICALCYCLONEUNUSUALMOTIONS──THEDIFFICULTIESINCURRENTTROPICALCYCLONEFORECASTINGChenLianshou(陈联寿)ChineseAcadem...