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Biomedical subjects

A Leiberman

Publications and source records attributed to A Leiberman.

At least 73 records · Page 4Linked to original sources
PubMed1987

Pseudoaneurysm of the internal carotid artery secondary to tonsillectomy.

A case of pseudoaneurysm of the cervical internal carotid artery secondary to tonsillectomy is presented and the pathogenesis of this vascular abnormality is discussed. Due to morphologic and inflammatory changes in the lateral pharyngeal wall, the entrapment aneurysm was maintained. The internal carotid artery was initially occluded above the carotid bifurcation. The transcatheter occlusion of the distal stump of this vessel, by steel coils, replaced a mutilating approach for exposure and ligation near the base of the skull.

Adolescent↗
PubMed1986

Low grade mucoepidermoid tumour of the bronchus in childhood: a therapeutic dilemma.

Bronchial mucoepidermoid tumours (MET) are rare in children. Only 11 cases have been reported in the literature, all of them of the low grade type. A cure is achieved by complete surgical removal of the tumour and bronchoscopy is only used for detection and biopsy. The case of a 12-year-old boy with MET in the bronchus intermedius posed a therapeutic dilemma. In this case, non-intentional removal of the tumour was achieved by bronchoscopy and the patient had no further surgery. Repeated bronchoscopies failed to show recurrence of the tumour after 2.5 years.

Bronchial Neoplasms↗
PubMed1986

Pachymeningitis presenting feature of posterior sinus infection.

Pachymeningitis may be the presenting symptom of an adjacent paranasal sinus or ear infection. Inflammatory disease of the posterior sinuses (sphenoid and posterior ethmoid cells) may not clinically be apparent and might be overlooked. We report three patients presenting with symptoms and signs of pachymeningitis due to posterior sinus infection. Surgical and/or medical treatment of the local disease results in resolution of the pachymeningitis.

Adolescent↗
PubMed1986

Digital signal processing of stridor and snoring in children.

Stridor and snoring are common signs of upper airway obstruction. The nature and characteristics of the stridor and snoring depend upon the site of obstruction. Sophisticated analysis of these sounds may provide important information concerning the source of the sound helping to assess the patient more objectively. The preliminary results of computerized digital analysis of stridor and snoring sounds are presented in 5 children. Two main programs were applied to analyse the signal: the Power Spectral Density (PSD) function and the Estimated Cross-sectional Area (ECSA). A consistent pattern according to the site of the produced sound was seen. Further acoustical analyses are needed to standardize this method and to program the computer to indicate the various sites of lesions.

Child, Preschool↗
PubMed1986

Untreated persistent middle ear effusion.

Seventy-nine children have been followed with persistent middle ear effusion (MEE). They were scheduled for myringotomy and insertion of ventilating tubes (VT). Several factors delayed elective surgery for two-and-a-half years in a closed population. After that period, the children were again examined otomicroscopically and hearing tests were performed. MEE persisted in 69 per cent of the ears, but was absent in 31 per cent. Atelectasis appeared in 26 per cent of the ears; in only a very few cases did severe atelectasis develop. Complications following delay of myringotomy and introduction of VT are minor.

Audiometry↗
PubMed1985

Obstructive sleep apnoea probably related to a foreign body.

A 2-year-old child was admitted because of sudden onset of symptoms compatible with obstructive sleep apnoea. Physical examination revealed slightly hypertrophic tonsils. A polygraphic study showed 150 apnoeic episodes of obstructive type during 8 h night sleep. A foreign body consisting of a piece of a celophane candy wrapper was found by surgery. Removal of the foreign body, the adenoids and tonsils resulted in a complete recovery. A second polygraphic study performed 4 months after surgery gave entirely normal results. A foreign body should be considered in the aetiology of obstructive sleep apnoea of sudden onset in children.

Adenoidectomy↗
PubMed1984

A small osteoma of the frontal sinus causing headaches.

Osteomas of the frontal sinus are usually symptomless. When they enlarge they may produce pressure symptoms such as headaches. Small osteomas developing near the fronto-ethmoidal duct may interfere with the patency of the duct and impair the aeration of the sinus. This is a report of a case in which a small osteoma was found to be the cause of severe chronic headaches.

Adult↗
PubMed1983

Silent mastoiditis and bilateral simultaneous facial palsy.

Silent mastoiditis is a common complication of acute otitis media since the advent of antibiotics. Although most pediatric middle ear inflammations manifest themselves in both ears, otitic facial palsy almost always presents unilaterally. We report an unusual case of bilateral simultaneous facial palsy occurring during the course of a persistent otitis media in a 7-month-old child. Appropriate antibiotic therapy and insertion of ventilating tubes cleared the infectious inflammatory process, resulting in full recovery from nerve dysfunction.

Acute Disease↗
PubMed1983

Cisplatin-induced bradycardia.

A patient who had repeated episodes of bradycardia while on cisplatin therapy is described. Cisplatin-induced bradycardia has not been reported previously. Deposition of cisplatin in the sinoatrial-node area might explain this cardiotoxic effect.

Bradycardia↗
PubMed1982

Tracheobronchial foreign bodies: the impact of a postgraduate educational program on diagnosis, morbidity, and treatment.

Aspirated foreign bodies (FBs) may remain undetected and cause serious complications. As part of a postgraduate educational program, results of a local survey were presented to the local medical staff in order to increase its awareness of this diagnostic possibility. The present study was carried out in order to evaluate the management of children with tracheobronchial FBs during two 2-year periods, before and after teaching sessions held in December 1976. In comparison with the previous two years during the 1977-1978 period, the percentage of cases in which a positive history of aspiration was obtained increased from 47.6% to 84.0%; the mean number of hospitalizations due to tracheobronchial FBs decreased from 1.9 to 1.04 per infant, and the mean number of hospital days required for final diagnosis decreased from 17.6 to 5.3. The postgraduate educational program had a positive effect on physician performance and patient care.

Bronchi↗
PubMed1979

Subglottic mucocele in an infant.

A subglottic mucocele caused partial obstruction of the upper airways. The radiologic findings were asymmetrical narrowing of the subglottic area with a mass arising from its posterior wall simulating a subglottic hemangioma. Surgical treatment was successfull.

Glottis↗
PubMed1975

Unilateral deafness with subsequent vertigo.

The association between the characteristic clinical picture of endolymphatic hydrops and pre-existent profound sensori-neural hearing loss of long duration, has not been previously reported. Several cases are reported to illustrate this clinical syndrome. Labyrinthectomy was found to be curative. A plea is made for better recognition of this clinical entity.

Adult↗