Malignant neoplasms of salivary glands are rare, accounting for 6% of all head and neck malignancy. Incidence of primary squamous cell carcinoma of parotid gland is 0.3% to 1.5%. Squamous cell carcinoma of parotid gland is an aggressive malignancy seen mostly in adults in their 5...
Objective: We report an interesting case where two cholesteatomas were found simultaneously in a non-operated ear. The presentation, management and implications for other patients with cholesteatoma are discussed. Case Report: A 49-year-old male with a unilateral mixed hearing lo...
Aicardi syndrome, exclusively occurring female patient, was originally characterized by triad: agenesis of the corpus callosum, distinctive chorioretinal lacunae, and infantile spasms. Besides the triad, several other findings are present in patients with this condition. We here...
A 68 yr old male presented with hearing loss due to an obstructing mass in his ear canal. A CT scan confirmed a non-erosive mass, which was biopsied. A diagnosis of Diffuse Large B-Cell Lymphoma was made. Following 6 courses of intra-thecal methotrexate the patient is asymptomati...
Background and Aim: Guillain-Barré syndrome (GBS) is considered as an inflammatory postmanifestation of infectious, which acute ascending motor weakness, hyporeflexia or areflexia and sometimes sensory loss are hallmarks of this clinical syndrome. It is an acute polyradiculoneuro...
The post neurosurgical ventriculitis caused by Acinetobacter baumannii (A. baumannii) is an important problem disorder in neurosurgical patients that can lead to serious medical complications, or even to death. This is because A. baumannii frequently can develop multi-drug resist...
Isolated XIITH Cranial Nerve Palsy is an uncommon presentation. When it presents in isolation, it can be diagnostically challenging. We report a 43 year old male presenting with Unilateral Hypoglossal Nerve palsy marking the beginning of ongoing metastasis. This case report focus...
Monoparesis is most commonly caused by dysfunction of the lower motor neurons (LMNs) which innervates the affected limb. This includes lesion affecting the anterior nuclei, ventral nerve roots, lumbosacral plexus, or peripheral nerve. Nevertheless, it can also be due to upper mot...
The present case study describe the pulmonary tuberculosis and intercostal zona complicating abusive corticosteroid therapy. Corticosteroids have changed the history and prognosis of most inflammatory diseases by the effectiveness and speed of their action. Far from being a unive...
Habits are defined as acquired, repetitive, involuntary and body focused, stereotyped motor acts. Tics have the same attributes, but are characterised by muscle spasm additionally. So far, the emphasis in the literature is that the habits are acquired. There is no reference in th...
In Sri Lanka WHO estimates 3.1% of the population to have alcohol used disorder and predicts that nearly 50% of them can present with alcohol withdrawal syndrome. We describe a 51 year old male with the back ground history of alcohol abuse for 20 years duration and series of adve...
Rhabdomyolysis is a clinical condition of potentially life threatening destruction of skeletal muscles caused by diverse mechanisms including drug and toxins. Opioid is one of the encountered drug which cause rhabdomyolysis in association with renal failure. Paraparesis is one of...
Epithelioid Sarcoma of the hand is a rare, high grade soft tissue sarcoma. It accounts for less than 1% of soft tissue sarcoma. It is often misdiagnosed and is a great mimicker of multiple diseases due to its deceptively harmless appearances during the initial stages of the disea...
Objective: Detection of minor (p190) BCR-ABL fusion protein in a CML patients. Case Report: A 26-year-old female presented with complaints of pain abdomen and episodes of vomiting. On examination her vitals were stable and there was moderate splenomegaly. The peripheral blood and...
Rubinstein – Taybi syndrome (RTS) otherwise called as Broad Thumb-Hallux syndrome is considered to be a genetic disorder characterized by facial dysmorphism mental deficiency and growth retardation. Presented here is a case report of the patient with RTS with comprehensive oro-de...