INDIAN PEDIATRICS 653 VOLUME 43JULY 17, 2006 pole of the right orbital globe with thinning of the optic nerve and atrophy of extraocular muscles. The CT features were suggestive of sequelae of an infarct involving right internal carotid artery (Fig. 2). The patient’s specific IgG antibody (by ELISA) against varicella, obtained on 2 occasions two months apart showed rising titres. Specific IgM v...

We report a case of an internal carotid artery (ICA)-ophthalmic artery aneurysm with penetration of the opticnerve. In addition, this case penetrated the falciform ligament, which severely disturbed optic canal unroofing during surgery. This is the first reported case in which penetration of the optic nerve and falciform ligament has been shown. To remove the anterior clinoid process in this ca...

We describe two original cases of internal carotid artery dysgenesis associated with a malformative spectrum, which includes transsphenoidal encephalocele, optic nerve coloboma, hypopituitarism, and hypertelorism. Cephalic neural crest cells migrate to various regions in the head and neck where they contribute to the development of structures as diverse as the anterior skull base, the walls of ...

Dolichoectasia of the distal internal carotid arteries and the proximal anterior cerebral arteries is a well recognized abnormality. The angiographic and computed tomographic (CT) findings have been described [1-8]. Arterial enlargement has been implicated in chiasmal and optic nerve syndromes [1, 3-9]. We report a symptomatic patient with chiasmal deformity and associated arterial dolichoectas...

Face transplantation is a novel treatment for the reconstruction of massive facial defects. To date 13 cases have been performed. The technical aspects of a composite lower face transplantation including the tongue, floor of the mouth, and most of the mandible are detailed. The transplantation was performed in August 2009 in an HIV-positive, postoncologic patient. A preparatory surgery for nerv...

SUMMARY We report the MR findings of parapharyngeal branchial cleft cyst manifesting as multiple, lower cranial nerve palsies in a 35-year-old woman. On MR images, a well-marginated cystic mass was detected in the right parapharyngeal space, with displacement of both the right internal carotid artery and the right internal jugular vein on the posterolateral side. The cyst contained a whitish fl...

PURPOSE To review patients who have presented with acute strokes from a middle cerebral artery occlusion in whom in addition to the middle cerebral artery thromboembolus, an internal carotid artery occlusion has been present, and in whom angioplasty of these totally occluded internal carotid arteries has bee n successful. METHODS We reviewed retrospectively our experience in treating a cute s...

Nine cases of carotid body tumor chemiodectomas in seven Patients are presented and diagnostic and therapeutic problems discussed Similar to other reports, many cases undergo operative exploration without correct preoper.ativ.e diagnosis or ability of the surgeon to handle such lesions. The most important factor for correct diagndsis is including carotid body in differential diagnosis of latera...

Objective: To provide rationale for the clinical application of endoscopic optic nerve decompression based on anatomical and imaging studies. Methods: The anatomy of optic nerve canal and its adjacent structures of 20 facial sides of human cadaver heads were examined by multislice spiral CT scanning and imaging workstations. Anatomical and imaging measurements were compared. Results: The follow...