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Biomedical subjects

J Farkashidy

Publications and source records attributed to J Farkashidy.

7 recordsLinked to original sources

Presbycusis: correlations of clinical audiology with morphological changes in the cochlea and the ventral cochlear nucleus.

Five cases of presbycusis are presented. Analysis included audiological tests, cochlear hair cell and ganglion cell counts, assessment of degree of strial atrophy, and ventral cochlear nucleus neuron counts. One case showed a reduction in cochlear nucleus neuron counts without significant cochlear changes, indicating that this pattern of pathological changes is a possible cause of high tone sensorineural deafness.

Aged

Peripheral facial paralysis secondary to metastatic malignant melanoma. A clinicopathologic report.

We report a case of disseminated malignant melanoma in which the initial sign was an isolated peripheral facial palsy on the left side. The cause of the palsy was established five months later, with the appearance of metastatic axillary nodes. The temporal bones demonstrated tumor infiltration within the marrow spaces of the petrous apices bilaterally. The left facial nerve was also extensively involved with melanoma to the level of the geniculate ganglion.

Autopsy

Metastatic tumors in the temporal bone--a pathophysiologic study.

Nineteen temporal bones were examined from 11 patients who had metastatic temporal bone disease from a distant primary. The salient clinical features were: the high incidence of occult temporal bone involvement (7 of the 10 clinically documented cases), the considerable incidence of melanoma (3 of 10) and the variable correlation between clinical findings and pathologic localization of tumor in the temporal bone. Pathologic examination revealed two distinct modes of tumor spread within the temporal bone: 1) vascularosseous (petrous apex, mastoid, middle ear, external canal); and 2) perineural (nerves in IAC branches, labyrinthine endorgans). Every case was involved by one or both or these routes and no case of CSF-borne metastasis to the perilymphatic space was seen. The external canal was involved extensively in spite of an intact tympanic membrane. Since the presence of symptomatic or occult metastases in the temporal bone affects treatment and prognosis, they must be actively sought by the clinician.

Adenocarcinoma

Temporal bone: a tomographic anatomic study.

The complex anatomy of the temporal bone has been illustrated in a tomographic histologic correlative study. All the tomographic cuts were made in AP, basal and lateral projections of temporal bone specimens. These were decalcified, sectioned, stained and then correlated with the original tomographic studies.

Cochlea

Nonlamellar new bone formation in the anterior attic recess.

An area of nonlamellar new bone formation was observed in the anterior epitympanic region of 27 randomly chosen human temporal bones. The donors ranged in age from 9 to 80 years and had no evidence of ear disease or systemic skeletal or metabolic abnormalities. The frequency of this finding suggests that it is a normal feather of the human anterior attic recess.

Adolescent

End-organ and drug-induced vestibular nystagmus.

The occurrence of spontaneous, positional and paroxysmal positional nystagmus was studied in patients with end-organ lesions, and in subjects with drug-induced central vestibular nystagmus. Repeated vestibular examination using electronystagmography for assessment of spontaneous and positional nystagmus in the standard head positions was carried out. The findings indicate that the paroxysmal positional nystagmus is the most frequently seen nystagmus prior to its disappearance in end-organ induced nystagmus and also the most frequently seen in drug-induced nystagmus. The direction changing type of nystagmus was very frequently encountered in end-organ lesions. These findings indicate that the type of horizontal vestibular nystagmus by itself is of no diagnostic value in localizing the site of the lesion and that the various types reflect different degrees of vestibular compensation that occur prior to their disappearance. The value of various classifications of positional nystagmus lies mainly in that they help describe the nystagmus clinically.

Adult