Background: Postural instability is considered one of the most incapacitating motor symptoms and a primary cause of falls in Parkinson’s disease (PD), compromising patients’ autonomy and well-being. The traditional clinical examination used to evaluate this symptom designed by pull test is difficult to standardize and is not sensitive to subtle but significant postural changes. Inertial measurement units have e...
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Case report of a 12 year old female child, with complaints of otalgia and left ear otorrhea with 3 months of evolution. Physical examination revealed a polypoid lesion that completely obliterated the external auditory canal (EAC). Computed tomography of the ear showed an extensive soft tissue mass, which occupied and enlarged the EAC, with remodeling and erosion of the walls, aspects compatible with external au...
Relata-se o caso de uma mulher de 68 anos, com história de tumefação nasolabial direita, com 5 anos de evolução e com intercorrências infeciosas associadas. Ao exame objetivo apresentava uma lesão com cerca de 2,5cm, regular, móvel, não aderente aos planos profundos, com procidência e obstrução do vestíbulo nasal, elevação da cartilagem alar nasal e do lábio superior homolaterais. A tomografia comput...
Unilateral sensorineural deafness may be caused by different lesions in the inner ear or in the central nervous system, including congenital malformations.We describe a 45 years-old woman with unilateral deafness and occasional tinnitus, noted since childhood. The otoscopy was normal. The tonal audiograms showed moderated sensorineural deafness and the magnetic resonance (MRI) revealed cochlear nerve aplasia.Th...
Acute supraglottitis, which include acute epiglottitis, is a bacterial infection of the supraglottic structures that may result in a life-threatening upper airway obstruction, eventually fatal.This study aims to study the clinical presentation and treatment in patients with infectious supraglottitis.The clinical charts of patients who were admitted with supraglottitis diagnosis between the years of 2004 and 200...
Introduction: Infectious mononucleosis is a disease caused by Epstein Barr virus and has diverse clinical manifestations. In children it is usually asymptomatic whereas in adolescents and adults it classically appears with fever, pharyngitis and lymphadenopathy. Although typically self-limited, occasionally it can complicate with a wide variety of neurologic, hematologic, hepatic, respiratory and psychological ...