Journal of Paediatric Respirology and Critical Care President Vice

Total Page:16

File Type:pdf, Size:1020Kb

Journal of Paediatric Respirology and Critical Care President Vice Volume 2 No. 4, December 2006 Journal of Paediatric Journal of Paediatric Respirology and Critical Care (JPRCC) is the official peer-reviewed Respirology and Critical Care publication of the Hong Kong Society of Paediatric Respirology, and is published quarterly by Medcom Limited. ISSN 1814-4527. Website: www.hkspr.org. Printed in Hong Kong. An official Publication of The opinions expressed in the JPRCC are those of the authors and do not necessarily reflect the Hong Kong Society of Paediatric official policies of the Hong Kong Society of Paediatric Respirology, the institutions to which the Respirology authors are affiliated, or those of the publisher. Copyright @2006 by the Hong Kong Society of Paediatric Respirology. All rights reserved. No part Editor of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written Dr. Daniel NG permission of the editor or the publisher. Advertisements Enquiries should be addressed to: Dr. Daniel KK Ng, Department of Paediatrics, Editorial Board Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong. Email: [email protected]. Dr. Ka-Li KWOK Prof. Ting-Fan LEUNG Subscription JPRCC is distributed to members of the Hong Kong Society of Paediatric Respirology. It is also available to non-members on subscription. The price of four issues is HK$400 for delivery Dr. Sou-Chi SIT within Hong Kong or US$100 for airmail delivery outside Hong Kong. Subscription enquiries should Dr. Nai-Shun TSOI be address to Dr. Daniel KK Ng, Department of Paediatrics, Kwong Wah Hospital, 25 Waterloo Dr. Tat-Kong WONG Road, Kowloon, Hong Kong. Email: [email protected]. Dr. Tak-Wai WONG Instructions to Authors Council of Hong Kong Society of Paediatric JPRCC publishes original research papers, review articles, also be given. Up to three academic degrees for each author case reports, editorials, commentaries, letters to the editor are allowed. If an author’s affiliation has changed since the Respirology and conference proceedings. Topics of interest will include all work was done, list the new affiliations as well. subjects that relate to clinical practice and research in Abstract and Key words President paediatrics and child health. The abstract should be no more than 150 words summarising the purpose, methods, findings and conclusions. Authors Dr. Daniel NG Manuscripts are accepted on the condition that they are should provide no more than five key words to assist with cross- submitted solely to the JPRCC and have not been published indexing of the paper. Key words should be taken from Index Vice-President elsewhere previously and are not under consideration by Medicus. another journal. A complete report following presentation or Introduction Dr. Ting-Yat MIU publication of preliminary findings elsewhere can be Methods considered. Results Hon. Secretary Discussion Categories of articles include the following: References Dr. Pok-Yu CHOW Number references in the order they appear in the text. Original Articles The text should not usually exceed References should follow the Vancouver style and should Hon. Treasurer 5,000 words; the number of tables, figures, or both should appear in the text, tables and legends as arabic numerals in normally be not more than six, and references not more than 50. Dr. Grace CHAN superscript. Journal titles should be abbreviated in accordance Review Articles Reviews are usually invited systematic critical with Index Medicus. List all authors and/or editors up to six; if assessments of literature. more than six, list the first six and “et al”. Immediate Past President Case Reports Length should not exceed 1,500 words; the number of tables or figures used should not be more than two, Tables Dr. Alfred TAM and references should not be more than 10. Type or print out each table double-spaced on a separate sheet Commentaries Commentary on current topics are welcome. of A4 paper. Number tables consecutively in the order of their Council Members Length should not exceed 1,200 words; no tables or figures first citation in the text and supply a brief title for each. Give allowed, and references should not be more than 20. each column a short or abbreviated heading. Place explanatory Dr. Wa-Keung CHIU Letters to the Editor Letters discussing a recent article in matter in footnotes, not in the heading. Vertical rules and Dr. Siu-Ngan CHOW the JPRCC are welcome. Original letters that do not refer to horizontal rules should be omitted. Dr. Ellis HON an JPRCC article may also be considered. Letters should not exceed 500 words and have no more than five references. Illustrations (Figures) Dr. Daniel Wai-Tai KO Published letters may be edited. Submit 3 complete sets of figures. Illustrations include Dr. Ping LAM photographs, photomicrographs, charts and diagrams, and Dr. Tony LAU Manuscript Preparation these should be camera-ready. Freehand or typewritten 1. Use Arabic numerals for numbers above nine, for lettering is unacceptable. Illustrations should be sharp, glossy Prof. Ting-Fan LEUNG designators (e.g. case 5, day 2, etc.) and for units of black-and-white photographic prints, and no larger than 210 x Dr. Alexander Wang-Cheong MAK measure; numbers should be spelled out if below 10, at 297 mm. Letters, numbers and symbols should be clear and Dr. Sou-Chi SIT the beginning and end of sentences, and for fractions below of sufficient size to retain legibility when reduced. Titles and one. detailed explanations should be confined to legends and not Dr. Kwan-Tong SO 2. Manuscripts should be word-processed or typed double- included in illustrations. Costs of colour printing will be charged Dr. Nai-Shun TSOI spaced on one side of good quality A4 (210 x 297 mm) to authors. Dr. Tak-Wai WONG paper. Pages should have margins of 1 inch (25 mm). Three copies of the manuscript should be sent. If possible, a floppy Number illustrations consecutively according to the order in Dr. Tat-Kong WONG disc (preferably 3.5") prepared on IBM-compatible personal which they have been first cited in the text. Each figure should Prof. Gary Wing-Kin WONG computer can be sent as well. Authors must use a common be identified clearly on the back with a label which states its software program. Discs should be labelled with: manuscript number, name of first author, short form of title, and an arrow Hon. Legal Advisor number; author names; manuscript title; program and file to show orientation. Photomicrographs must have internal scale name. markers and include magnification. Photographs of persons Miss Kitty SO 3. Do not use abbreviations in the title or abstract and limit must be retouched to make the subject unidentifiable, or be their use in the text. Standard abbreviations may be used accompanied by written permission from the subject to use Hon. Auditor and should be defined on first mention in the text unless it the photograph. is a standard unit of measurement. Mr. Kai-Man WONG All illustrations require legends, typed on a separate page, Ethics double-spaced and with arabic numbers corresponding to the Ethical considerations will be taken into account in the illustrations. Explain the internal scale and identify the method Address assessment of papers that have experimental investigations of staining in photomicrographs. of human or animal subjects. An appropriate institutional review Department of Paediatrics board approval should be obtained. Correspondence Queen Elizabeth Hospital All manuscripts, correspondence and subscription should be The manuscript should usually be arranged as follows: addressed to:- 30 Gascoigne Road Title page Dr. Daniel KK Ng, Department of Paediatrics, Kwong Wah Kowloon This page should include the full names, and affiliations of all Hospital, 25 Waterloo Road, Kowloon. Fax: (852) 3517 authors. A short title of no more than 40 characters should 5261, email: [email protected] 1 Editorial Journal of Paediatric Respirology and Critical Care Entering the 10th year Daniel Kwok-Keung NG Department of Paediatrics, Kwong Wah Hospital, Hong Kong This is the second Christmas issue of our Journal, Your Society has established two prizes for the I would like to wish all members a peaceful Christmas best paediatric respiratory medicine essay for the and a rewarding 2007. Our society was founded in medical undergraduates from the two universities. 1997 and next year will be our tenth year of existence. This year, Mr. John Li is the winner from the University We will celebrate this with an enhanced education of Hong Kong and his essay “Neonatal respiratory program. In the November CME meeting, the topic distress syndrome: a review of current understanding was "Childhood pneumonia" and it attracted a large and new concept" is published in the current issue. audience. The success of this particular meeting Dr. Tak-wai Wong shared with us his collection suggests that the way forward for the monthly CME of unusual neck masses. This case report would meetings is to target a larger audience in a bigger certainly help decrease the unnecessary venue when the topic is believed to be of a more investigations often associated with these masses. general interest. We could probably host this Our statisticians, Mr. Wilfred Wong et al, have enhanced CME meeting every three to four months. prepared some raw data, available in the society's For the 2007 calendar, the interesting topics would website, for the readers to analyze after reading probably include the new guideline for childhood their article on regression. I believe this hands-on snoring led by the Sleep Focus Group under Dr. PY experience is important for the clinicians to learn Chow and the new asthma guideline led by the more about statistics. Asthma Focus Group under Dr. Gary Wong.
Recommended publications
  • IJV Phlebectasia: an Approach Algorithm
    International Surgery Journal Rao KN et al. Int Surg J. 2017 Oct;4(10):3570-3572 http://www.ijsurgery.com pISSN 2349-3305 | eISSN 2349-2902 DOI: http://dx.doi.org/10.18203/2349-2902.isj20174543 Case Report IJV Phlebectasia: an approach algorithm Karthik N. Rao*, Shrinivas S. Chavan, Vitthal D. Kale, Amol Hekare, Archana Sylendran, Abhishek Khond Department of Otolaryngology and Head Neck Surgery, Grant Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India Received: 15 August 2017 Accepted: 07 September 2017 *Correspondence: Dr. Karthik N. Rao, E-mail: [email protected] Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Internal jugular venous (IJV) Phlebectasia are rare disorders. It is generally diagnosed at an early age, usually unidentified or misdiagnosed or ignored because of the scarcity of the knowledge on the disorder. We encountered a case of 7-year-old child with a right sided intermittent neck swelling which mimicked as an external laryngocele. But, the diagnosis of IJV Phlebectasia was made on “dynamic” ultrasound (USG) doppler study. Cervical adenopathy, mediastinal masses, tuberculosis and certain syndromes of connective tissue disorders were ruled out. The child was managed conservatively with parents and the child being educated about disorder. Keywords: IJV, Phlebectasia INTRODUCTION compressible, more pronounced on Valsalva manoeuvre (Figure 1). Internal Jugular vein Phlebectasia is one of the rare clinical entities, more commonly encountered during childhood.1 The knowledge regarding this unusual clinical disorder is sparse amongst the medical fraternity.
    [Show full text]
  • Internal Jugular Phlebectasia: Diagnosis by Ultrasonography, Doppler and Contrast CT
    Case Report DOI: 10.7860/JCDR/2013/5578.3085 Internal Jugular Phlebectasia: Diagnosis ection S by Ultrasonography, Doppler and adiology R Contrast CT MANASH KUMAR BORA ABSTRACT mass. Its treatment is controversial. Presently, a conservative Jugular phlebectasia is an isolated saccular or fusiform dilation of approach to unilateral or bilateral asymptomatic phlebectasia is a vein without tortuosity. Its aetiology remains controversial. It is recommended. Symptomatic phlebectasia requires surgery. The infradiagnosed, as it is generally asymptomatic. However, it has diagnosis is suggested by clinical features which can be confirmed been increasingly recognized in recent years due to the better by noninvasive radiology. This paper is reporting a case of unilateral imaging techniques which are available. Phlebectasia of the right internal jugular phlebectasia in a 12 year old female patient who Internal Jugular Vein (IJV) is a rare disease. It is mostly unilateral complained of an intermittent, right sided neck swelling, where we and it involves only the right side. It is usually a childhood disease used UltraSonoGraphy(USG) with Doppler and Contrast enhanced which is diagnosed during the study of an intermittent neck CT(CECT) to evaluate the lesion. Key Words: Phlebectasia, Internal jugular vein, Contrast enhanced CT, USG Doppler INTRODUCTION Phlebectasia is the abnormal sacculofusiform dilatation (without tortuosity) [1] of a vein, which may affect any vein [2]. Its aetiology remains unknown [3] and it is seen usually in the paediatric age
    [Show full text]
  • Bilateral Internal Jugular Vein Ectasia: a Report of Two Cases
    The Journal of Laryngology and Otology March 1994, Vol. 108, pp. 256-260 Bilateral internal jugular vein ectasia: a report of two cases B. S. GENDEH, M.S.*, M. K. DHILLON, M.S.f, M. HAMZAH, M.S.* Abstract Internal jugular vein ectasia is a venous anomaly commonly presenting as a unilateral neck swelling in children and adults. Literature reports of bilateral presentation are rare. Bilateral Doppler ultrasonography is the diagnostic investigation of choice. The possible pathology, aetiology and management are discussed. Conservative management of bilateral cases is recommended in uncomplicated cases. Key words: Jugular veins, internal, Ultrasonography Introduction clavicle with a mean enlargement measuring 5.4 mm which Internal jugular vein ectasia was first described by Harris (1928). It is a rare condition in which there is a fusiform or saccular dila- tation of the internal jugular vein. Only two cases of bilateral neck swelling has been reported (Leung et al., 1983; Walsh etal., 1992) whereas 32 cases of unilateral swellings have been reported under a variety of names including venous cyst, venous aneurysm, venectasia, venous ectasia, aneurysmal varix and venoma. Case reports Case 1 A healthy four-year-old Chinese boy presented with a two- month history of painless recurrent bilateral neck swelling which was noticeable on exertion (Figure 1). There was no history of dysphagia or previous neck trauma. Examination during Val- salva manoeuvre revealed a soft, nontender bilateral mass in the lower anterior triangle of the neck which disappeared at rest. A venous hum was not detectable on auscultation. The transillum- ination test was negative. Ultrasonography of the neck revealed a nontortuous dilatation of the distal segment of the right and left jugular vein with mean enlargement measurements of 5.2 and 4.8 mm respectively on Valsalva manoeuvre (Figure 2).
    [Show full text]
  • Insights on Pulmonary Tumor Thrombotic Microangiopathy: a Seven-Patient Case Series
    Case Report Insights on pulmonary tumor thrombotic microangiopathy: a seven-patient case series Rohit Godbole1, Rajan Saggar2, Alexander Zider2, Jamie Betancourt3, William D. Wallace4, Robert D. Suh5 and Nader Kamangar2,6 1Division of Pulmonary and Critical Care Medicine, University of California, Irvine, CA, USA; 2Division of Pulmonary and Critical Care Medicine, University of California, Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA; 3Division of Pulmonary and Critical Care Medicine, West Los Angeles Veterans Affairs Medical Center, Los Angeles, CA, USA; 4Department of Pathology and Laboratory Medicine, University of California, Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA; 5Department of Radiological Sciences, University of California, Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA; 6Division of Pulmonary and Critical Care Medicine, Olive View-UCLA Medical Center Abstract Pulmonary tumor thrombotic microangiopathy (PTTM) is a disease process wherein tumor cells are thought to embolize to the pulmonary circulation causing pulmonary hypertension (PH) and death from right heart failure. Presented herein are clinical, laboratory, radiographic, and histologic features across seven cases of PTTM. Highlighted in this publication are also involvement of pulmonary venules and clinical features distinguishing PTTM from clinical mimics. We conducted a retrospective chart review of seven cases of PTTM from hospitals in the greater Los Angeles metropolitan area. Patients in this series exhibited: symptoms of cough and progressive dyspnea; PH and/or heart failure on physical exam; laboratory abnormalities of anemia, thrombocytopenia, elevated LDH, and elevated D-dimer; chest computed tomography (CT) showing diffuse septal thickening, mediastinal and hilar lymphadenopathy and nodules; elevated pulmonary artery pressures on transthoracic echocardiogram and/or right heart catheterization; and presence of malignancy.
    [Show full text]
  • Breathless: a Case of Pulmonary Tumor Thrombotic Microangiopathy?
    Netherlands Journal of Critical Care Submitted April 2018 Accepted July 2018 CASE REPORT Breathless: a case of pulmonary tumor thrombotic microangiopathy? S. Henderson1, K. de Nie2, E. Hamoen2, J. Maas1, L. Speet3 1Department of Intensive Care Medicine, 2Department of Internal Medicine, 3Department of Pathology, Leiden University Medical Center, Leiden, the Netherlands Correspondence S. Henderson - [email protected] Keywords - pulmonary hypertension; pulmonary tumor thrombotic microangiopathy Abstract Clinical presentation Pulmonary hypertension (PHT) in the ICU is mostly seen in Shortness of breath on exertion had been present for seven cardiac surgery patients, in patients with acute respiratory months. She had no chest pain, no haemoptysis, nausea, distress syndrome or pulmonary embolism. However,there is vomiting, or abdominal complaints. On initial examination, a broad differential diagnosis. In this case report we present a the patient was tachypnoeic, tachycardic (105 beats/min), and patient, who rapidly developed PHT with right sided heart failure hypertensive (177/123 mmHg), with no notable jugular venous and who was unresponsive to medical therapy. The diagnosis distension. Pulse oximetry measured 85% corresponding to of "Pulmonary Tumor Thrombotic Microangiopathy (PTTM)" blood oxygen saturation. The lung fields were clear, and no was suspected. PTTM is a fatal, cancer-related pulmonary murmurs were heard on cardiac auscultation. complication, characterized by progressive dyspnoea, pulmonary hypertension and right-sided heart failure. Diagnostics Laboratory testing revealed a normal blood cell count, troponin Introduction T (31 ng/l) and creatine kinase (149 U/l), and an elevated Pulmonary tumour thrombotic microangiopathy (PTTM) is D-dimer of >5000 ng/ml. An ECG showed a right axis, S in I, a rare complication of metastatic cancer, with a prevalence of signs of right atrial strain in V1, new negative T waves in II, 1.4%.
    [Show full text]
  • COVID-19 Vaccine Astrazeneca (Other Viral Vaccines) EPITT No:19683
    24 March 2021 EMA/PRAC/157045/2021 Pharmacovigilance Risk Assessment Committee (PRAC) Signal assessment report on embolic and thrombotic events (SMQ) with COVID-19 Vaccine (ChAdOx1-S [recombinant]) – COVID-19 Vaccine AstraZeneca (Other viral vaccines) EPITT no:19683 Confirmation assessment report 12 March 2021 Preliminary assessment report on additional data 17 March 2021 Adoption of first PRAC recommendation 18 March 2021 1 Administrative information Active substance (invented name)Error! AZD1222 (COVID-19 Vaccine AstraZeneca) Bookmark not defined. Marketing authorisation holder AstraZeneca Authorisation procedure Centralised Mutual recognition or decentralised National Adverse event/reaction: embolic and thrombotic events Signal validated by: BE Date of circulation of signal validation 11 March 2021 report: Signal confirmed by: Belgium Date of confirmation: 12 March 2021 PRAC Rapporteur appointed for the Jean-Michel Dogné (BE) assessment of the signal: Signal assessment report on embolic and thrombotic events (SMQ) with COVID-19 Vaccine (ChAdOx1-S [recombinant]) – COVID-19 Vaccine AstraZeneca (Other viral vaccines) EMA/PRAC/157045/2021 Page 2/50 Table of contents Administrative information ........................................................................................... 2 1. Background ............................................................................................. 4 2. Initial evidence ........................................................................................ 4 2.1. Signal validation ..................................................................................................
    [Show full text]
  • Tumoral Pulmonary Hypertension
    SERIES PULMONARY HYPERTENSION Tumoral pulmonary hypertension Laura C. Price1, Michael J. Seckl2, Peter Dorfmüller3,4 and S. John Wort1 Number 2 in the Series “Group 5 Pulmonary Hypertension” Edited by Yochai Adir and Laurent Savale Affiliations: 1National Pulmonary Hypertension Service, Royal Brompton Hospital, Imperial College London, London, UK. 2Charing Cross Gestational Trophoblastic Disease Centre, Molecular Oncology, CR-UK Laboratories, Hammersmith Hospital Campus of Imperial College London, London, UK. 3Pulmonary Vascular Pathology, University Hospital Giessen, Marburg, Germany. 4Justus-Liebig-University, Giessen, Germany. Correspondence: Laura C. Price, Pulmonary Hypertension Service, Royal Brompton Hospital, Sydney Street, London, SW3 6NP, UK. E-mail: [email protected] @ERSpublications Tumoral PH includes pulmonary tumour micro-embolism and pulmonary tumour thrombotic microangiopathy. Diagnosis is difficult and often delayed, with high mortality. Improved survival is reported with some cancer therapies so early recognition is imperative. http://ow.ly/slAn30mLDW7 Cite this article as: Price LC, Seckl MJ, Dorfmüller P, et al. Tumoral pulmonary hypertension. Eur Respir Rev 2019; 28: 180065 [https://doi.org/10.1183/16000617.0065-2018]. ABSTRACT Tumoral pulmonary hypertension (PH) comprises a variety of subtypes in patients with a current or previous malignancy. Tumoral PH principally includes the tumour-related pulmonary microvascular conditions pulmonary tumour microembolism and pulmonary tumour thrombotic microangiopathy. These inter-related conditions are frequently found in post mortem specimens but are notoriously difficult to diagnose ante mortem. The outlook for patients remains extremely poor although there is some emerging evidence that pulmonary vasodilators and anti-inflammatory approaches may improve survival. Tumoral PH also includes pulmonary macroembolism and tumours that involve the proximal pulmonary vasculature, such as angiosarcoma; both may mimic pulmonary embolism and chronic thromboembolic PH.
    [Show full text]
  • Right Internal Jugular Vein Ectasia in African Woman: a Report of 2 Cases
    Surgical Science, 2015, 6, 437-441 Published Online October 2015 in SciRes. http://www.scirp.org/journal/ss http://dx.doi.org/10.4236/ss.2015.610062 Right Internal Jugular Vein Ectasia in African Woman: A Report of 2 Cases Seydou Togo1, Moussa Abdoulaye Ouattara1, Sékou Koumaré2, Mody Abdoulaye Camara3, Sadio Yena1 1Thoracic and Vascular Surgery Department, Hospital of Mali, Bamako, Mali 2Surgery “A” Department, Point G Hospital, Bamako, Mali 3Radiology Department, Hospital of Mali, Bamako, Mali Email: [email protected] Received 14 September 2015; accepted 18 October 2015; published 21 October 2015 Copyright © 2015 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/ Abstract Internal jugular vein (IJV) ectasia is a rare benign disease. It commonly presents as a unilateral, soft, compressible neck swelling that mostly involves the right side. It is usually a childhood dis- ease and believed to be of congenital origin. Accurate diagnosis from careful history, physical ex- amination and radiological study can be made. We report here two cases of IJV ectasia in African adults with right lateral neck mass dilating when increase intrathoracic pressure. Because of its rarity, this entity is frequently ignored or misdiagnosed. This case report intends to stress the importance of keeping IJV ectasia as differential diagnosis in mind in case of lateral neck swellings to avoid invasive investigations and inappropriate treatment. The asymptomatic case manage- ment of IJV ectasia is conservative with long-term surveillance. Keywords Jugular Vein, Ectasia, Adults, Management 1.
    [Show full text]
  • Volume-10-Number-1.Pdf
    About MFP The Malaysian Family Physician is the official journal of the Academy of Family Physicians of Malaysia. It is published three times a year. Circulation: The journal is distributed free of charge to all members of the Academy of Family Physicians of Malaysia and the Family Medicine Specialist Association. Complimentary copies are also sent to other organisations that are members of the World Organization of Family Doctors (WONCA). Subscription rates: Local individual rate: RM60 per issue Local institution rate: RM120 per issue Foreign individual rate: USD60 per issue Foreign institution rate: USD120 per issue Advertisements: Enquiries regarding advertisement rates and specimen copies, should be addressed to the Secretariat, Academy of Family Physicians of Malaysia. Advertisements are subject to editorial acceptance and have no influence on editorial content or representation. All correspondence should be addressed to: The Editor The Malaysian Family Physician Journal Academy of Family Physicians of Malaysia, Suite 4-3, 4th Floor, Medical Academies of Malaysia, 210, Jln Tun Razak, 50400 Kuala Lumpur, Malaysia Email: [email protected] Tel: +60340251900 Fax: +60340246900 MFP is indexed by: DOAJ, EBSCOHOST, EMCARE, Google Scholar, Open J-Gate, MyAIS, MyCite, Proquest, PubMed Central, Scopus, WPRIM Editorial Board Editor Professor Dr Chirk Jenn Ng ([email protected]) Associate Editors Professor Dr Harmy bin Mohamed Yusoff ([email protected]) Dr Say Hien Keah ([email protected]) Professor Dr Ee Ming Khoo ([email protected]) Associate Professor Dr Ping Yein Lee ([email protected]) Associate Professor Dr Su-May Liew ([email protected]) Professor Dr Cheong Lieng Teng ([email protected]) Professor Dr Seng Fah Tong ([email protected]) Dr Zainal Fitri bin Zakaria ([email protected]) Local Advisors Professor Datin Dr Yook Chin Chia ([email protected]) Professor Dr Wah Yun Low ([email protected]) Associate Professor Datuk Dr D M.
    [Show full text]
  • Neck Swelling in a Child: Now You See It, Now You Don’T?
    CASE REPORT Neck Swelling in A Child: Now You See it, Now You Don’t? Ikram Hakima, Goh Bee Seea, Hamzaini Abd Hamidb a Department of Otorhinolaryngology and Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur, Malaysia. bDepartment of Radiology, Universiti Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur, Malaysia. ABSTRACT Jugular Ectasia is a rare benign swelling due to dilatation of jugular vein, which can occur in the internal, external or an anterior jugular vein. It is characterized by painless, soft, compressible unilateral swelling appeared on Valsalva maneuver. A 3-year-old boy presented with 2 months history of prominent mass over the right side of the neck on Valsalva maneuver is subjected to Doppler ultrasonography (USG) of the neck. Doppler Ultrasonography (USG) of the neck revealed prominent right jugular dilatation during Valsalva without any focal lesion with the normal caliber of the left internal jugular vein. Jugular ectasia should be included in the differentials of a benign neck swelling in children despite infrequently encountered. Dilated jugular vein on ultrasound Doppler on Valsalva maneuver is pathognomic of jugular ectasia. Early diagnosis with serial follow up can reduce parent’s anxiety and will reduce complications. Keywords: Venous Phlebectasia, Internal jugular vein, Ectasia, Doppler Ultrasonography, Paediatric neck mass INTRODUCTION Venous ectasia or phlebectasia is a condition of up is recommended for this condition, although venous dilatation. It is a challenging diagnosis due to surgical resection has been reported for the limited resources among the medical fraternity. symptomatic patient. Jugular vein ectasia commonly presented as soft, unilateral compressible swelling on the neck, CASE REPORT which will appear more obvious during increase intrathoracic pressure, such as crying, straining, A 3-year-old boy premorbid healthy presented to the sneezing or coughing and Valsalva maneuver.
    [Show full text]
  • Influence of Chronic Cerebrospinal Venous Insufficiency on Demyelinating Diseases
    PERIODICUMBIOLOGORUM UDC57:61 VOL.114,No3,387–392,2012 CODENPDBIAD ISSN0031- 5362 Overview Influence of chronic cerebrospinal venous insufficiency on demyelinating diseases Abstract PAOLO ZAMBONI1 SANDRA MOROVI]2 Weanalyzed all the arguments against chronic cerebrospinal venous ins- 1 ufficiency (CCSVI) as a medical entity, and its association with a disabling Vascular Diseases Center demyelinating disease, multiple sclerosis (MS). We revised all the findings University of Ferrara, Italy suggesting a possible connection between these two entities. By comparing 2 Department of Neurology the results obtained by different study groups, we noted a great variability in Polyclinic Centre Aviva prevalence of CCSVI in MS patients, ranging from 0 to 100%. Overall the Nemetova 2, Zagreb, Croatia reported prevalence is respectively 70% in MS vs. 10% in controls, and a Correspondence: recent meta-analysis assessed an over 13 times increased prevalence in MS. Professor Paolo Zamboni, MD Postmortem studies show a higher prevalence of intraluminal defects in the Vascular Diseases Center main cerebral extracranial vein in MS patients respect to controls. Several University of Ferrara, Sant’Anna Hospital pathophysiological studies demonstrate correlation between CCSVI and Co. Giovecca 203, 44100 Ferrara, Italy neglected vascular aspects of MS. Particularly, global hypo-perfusion of the E-mail address: [email protected] brain, as well as reduced cerebral spinal fluid dynamics in MS was shown to be related to CCSVI. After careful review of all obtained data we can conclude that great variability in prevalence of CCSVI in MS patients can Key words: Chronic Cerebrospinal Venous be a result of different methodologies used in vein assessment, training, Insufficiency, Demyelinating Diseases, application of unapproved diagnostic criteria, or different approach to the Multiple Sclerosis, Etiology Of Multiple Sclerosis, Venous Anomalies, Intraluminal problem itself.
    [Show full text]
  • The Diagnostic Approach to the Vascular Malformations Is A
    1 DRAFT FOR PRINTING ISVI-IUA Consensus Document Diagnostic Guidelines of Vascular Anomalies: Vascular Malformations and Hemangiomas Lee BB, Antignani PL, Baraldini V, Baumgartner I, Berlien P, Blei F, Carrafiello GP, Grantzow R, Ianniello A, Laredo J, Loose D, Lopez Gutierrez JC, Markovic J, Mattassi R, Parsi K, Rabe E, Roztocil K, Shortell C, Tamburini M, Vaghi M Corresponding Author: Byung-Boong (B.B.) Lee, M.D., PhD, F.A.C.S. Professor of Surgery & Director, Center for Lymphedema and Vascular Malformation, George Washington University School of Medicine Address: Division of Vascular Surgery, Department of Surgery, George Washington University Medical Center, 22nd and I Street, NW, 6th Floor, Washington, DC 20037, USA EDITORIAL COMMITTEE Chairman: Byung-Boong (B.B.) Lee, MD, PhD, FACS Professor of Surgery and Director, Center for Vein, Lymphatics, and Vascular Malformation, Division of Vascular Surgery, Department of Surgery Georgetown University School of Medicine, Washington DC, USA Co-Chairman: Pier Luigi Antignani, MD, PhD Professor of Angiology Director, Vascular Center – Villa Claudia, Rome, Italy Faculty Members: Vittoria Baraldini, MD Vascular Anomalies Unit, Pediatric Surgery Department Children’s Hospital "V.Buzzi" - ICP, Milan, Italy Iris Baumgartner, MD Professor and Chair, Swiss Cardiovascular Center, Division of Angiology Inselspital, University Hospital Bern, Switzerland Peter Berlien, MD Professor of Laser and Surgery, Director Department of Lasermedicine, Evangelische Elisabeth Klinik, Berlin, Germany Francine Blei, MD 2 Medical Director, Vascular Birthmark Institute of New York Mt. Sinai Roosevelt Hospital, New York, New York, USA Gianpaolo Carrafiello, MD Associate Professor of Radiology, Director of Research Centre in Interventional Radiology, Chief of Interventional Radiology Unit, University of Insubria Varese, Italy Rainer Grantzow, MD Professor of Pediatric Surgery Kinderchirurgische Klinik der Ludwig-Maximilians Universität, Munich, Germany Andrea Ianniello, MD Radiologist, Department of Radiology Hospital G.
    [Show full text]