Open Access Case Study

The Aicardi Syndrome: Case Report about a 3-month-old Infant

Ouajid Bakkali, A. Radi, M. Kmari, A. Ourrai, A. Hassani, R. Abilkassem, A. Agadr

Asian Journal of Case Reports in Medicine and Health, Page 1-7

Aicardi syndrome, exclusively occurring female patient, was originally characterized by triad: agenesis of the corpus callosum, distinctive chorioretinal lacunae, and infantile spasms. Besides the triad, several other findings are present in patients with this condition. We here shortly report the case of a 3-month-old female infant with Aicardi syndrome, who had non-consanguineous parents. Triad was seen: infantile spasm with abnormal EEG, agenesis of corpus callosum revealed by MRI, and chorioretinal lacunae of the posterior pole. We diagnosed this condition as Aicardi syndrome. After treatment with vigabatrin and psychomotor sessions at the age of 3 months, it is noted that the attacks were reduced and psychomotor development was normal at the age of 5 months. We summarized the clinical characteristics of this syndrome based on the literature survey.

Open Access Case Study

Dual Cholesteatoma in a Non-operated Ear: A Rare Presentation

W. K. Smith, H. K. Subrahmanyam

Asian Journal of Case Reports in Medicine and Health, Page 8-12

Objective: We report an interesting case where two cholesteatomas were found simultaneously in a non-operated ear. The presentation, management and implications for other patients with cholesteatoma are discussed.

Case Report: A 49-year-old male with a unilateral mixed hearing loss was found to have two cholesteatomas. Only one was suspected clinically, in the anterior attic, the other a large congenital cholesteatoma in the mastoid tip as an incidental finding on non echo-planar diffusion weighted image (Non-EPI DWI) MRI scan. The radiological findings were confirmed at surgery (combined approach tympanoplasty).

Conclusion: Congenital cholesteatoma in the mastoid process is extremely rare and multiple cholesteatomas occurring simultaneously in a non-operated ear is also rare. Non-EPI DWI MRI is increasingly used as a non-invasive technique for detecting recurrent or residual cholesteatomas post-operatively. This case supports extending the role of non-EPI DWI MRI scanning pre-operatively in primary disease to exclude additional cholesteatomas and to assess the suitability of permeatal endoscopic surgery.

Open Access Case Study

Primary Squamous Cell Carcinoma of Parotid Gland- Case Report

Anil Pandey, Saurabh Varshney, Manu Malhotra, Amit Kumar Tyagi, Amit Kumar

Asian Journal of Case Reports in Medicine and Health, Page 13-17

Malignant neoplasms of salivary glands are rare, accounting for 6% of all head and neck malignancy. Incidence of primary squamous cell carcinoma of parotid gland is 0.3% to 1.5%. Squamous cell carcinoma of parotid gland is an aggressive malignancy seen mostly in adults in their 5th or 6th decade of life. Here we report a case of primary squamous cell carcinoma of parotid gland in a 29 years old, male patient. He hadaninfra-auricular swelling on right side of face progressively increasing in size since the age of 6 years and he had facial nerve paralysis since 10 years of age. Patient was diagnosed with squamous cell carcinoma of parotid gland at the age of 29 years. He underwent total parotidectomy without neck dissection elsewhere. Recurrence of tumour was there at the primary site within five months of the treatment of primary tumour. Recurrent tumour was treated successfully by wide local excision with level I-V neck dissection. Reconstruction was done with pectoralis major myo-cutaneous flap and patient had post-operative radiotherapy and chemotherapy.         

Open Access Case Study

Prostate Cancer Presenting as Left Supraclavicular Lymphadenopathy and a Review of the Literature

Hanzali Jumastapha, Sakina Ghauth

Asian Journal of Case Reports in Medicine and Health, Page 18-25

Aims: Patients presenting with a neck mass are commonly seen by the ENT surgeon. They are also usually related to head and neck tumours. However, cervical node involvement from the prostate is rare, especially as an initial presentation of the disease. We report a case of prostate carcinoma presenting with a left supraclavicular lymph node.

Presentation of Case: A 61-year-old gentleman presented to our clinic with a rapidly growing left sided neck mass. Fine needle aspiration cytology (FNAC) of the neck mass was interpreted as metastatic carcinoma. It was later revealed by the patient that he had been experiencing lower urinary tract symptoms (LUTS). PSA was 1331 ng/ml. He was referred to our urology service and was treated as metastatic prostate cancer.

Discussion: Prostate cancer commonly spreads to the regional lymph nodes, pelvic organs, or the axial skeleton. Distant metastases to the cervical nodes are rare and accounts for 0.3-1% of cases.

Conclusion: In male patients presenting with left supraclavicular mass, it is important for the clinician to keep in mind of the possibility of metastases from prostatic malignancy.

Open Access Case Study

A Curious Case of Accidental Foreign Body Ingestion with a Mini-review of the Literature

Budumuri Gautam V. Kumar, Prasanna Kumar, Ashok Kumar, Rohit Gupta

Asian Journal of Case Reports in Medicine and Health, Page 26-30

Foreign body ingestion is a frequently occurring event. Pediatric patients and mentally handicapped are at high risk of foreign body ingestion than adults. Most patients get away with conservative management only. However, some complicated cases require surgical interventions. We report an interesting case of foreign body ingestion.