Aneurysm at the bifurcation of the left common carotid artery in a man aged 41 years with B.P. 115/70 and evidence of generalized arteriosclerosis (Major G. B. L. LAffiD, R.A.M.C., Medical Specialist). Right submandibular lymphadenopathy for diagnosis (Captain W. CUNNINGHAM, R.A.M.C., Venereologist, and Captain JOHN BUTLER, R.A.M.C.). Sphenopalatine neuralgia (Lieutenant G. FREEMAN, R.A.M.C., O...

Hepatic Angiosarcoma is an extremely rare malignant neoplasm of the vascular or lymphatic endothelium accounting for about 2% of all sarcomas. It is considered idiopathic in up to 70% of cases. We describe the case of a 32-year female transferred to our center for evaluation of intractable gastrointestinal bleeding. Definitive diagnosis remained elusive despite multiple endoscopic assessments w...

OBJECTIVES/HYPOTHESIS Juvenile nasal angiogibroma (JNA) is a relatively rare, benign neoplasm generally seen in prepubertal and adolescent males. In the past, surgical management included lateral rhinotomy, transpalatal and transmaxillary routes, and midface degloving approaches. Endoscopic approaches have become the treatment of choice, especially for tumors limited by size and location criter...

In March of 2000, my family and I moved to Mbale, Uganda, to help Children’s United Rehabilitation Effort International (CURE) International develop a neurosurgical hospital for children. It became immediately apparent that hydrocephalus was an enormous problem in this part of the world. Based on the numbers of infants younger than 1 year of age presenting to our hospital with hydrocephalus fro...

The sphenopalatine ganglion block has been utilized over the last century for a wide variety of maladies. This paper provides a brief history of the use of the sphenopalatine ganglion block, a review of the sphenopalatine ganglion anatomy, and the diagnoses which currently warrant its use. The traditional transnasal sphenopalatine ganglion block is described and our modification of the traditio...

Introduction: Endoscopic endonasal is one of the technological advances used as a supporting examination for diagnosis and therapy. This procedure often to evaluate medical problems nose sinuses, such functional endoscopic sinus surgery or FESS (functional surgery), turbinoplasty, septoplasty. Surgery can be difficult manage because there bleeding due large supply blood vessels in area. study a...

JNA (Juvenile nasopharyngeal angiofibroma) is a benign but highly vascular and aggressive tumor that takes its origin in the basisphenoid region close to the sphenopalatine foramen. It occurs invariably in male teenagers. Surgery is the treatment of choice. In the past, external transfacial approaches were recommended. Nowadays endonasal endoscopic approach is performed by experienced teams eve...