[Recommendations for ambulatory diagnosis of sleep apnea].
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Biomedical subjects
Publications and source records attributed to H W Mahlo.
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The pulsatile tinnitus is a rare sign. It is characterised by a rhythmic sound that is synchronous with the patient's heart beat. The underlying causes vary widely and may be life-threatening. Pulsatile tinnitus may be due to cardiac or vascular malformation, metabolic disorders, hyperdynamic circulatory states, elevated intracranial pressure, and tumours. The diagnostic evaluation includes physical examination, audiologic assessment and often computed image processing for precise topodiagnosis. A case report illustrates our current management of patients with pulsatile tinnitus.
A 30-year-old Vietnamese patient is reported who was admitted with a resistant acute otitis externa, and who complained also of headache and fever. The symptoms were found to be caused by the intracranial complications (epidural abscess and bacterial meningitis) of an aural cholesteatoma. A secondary occlusive hydrocephalus developed in spite of successful otological surgery that preserved hearing and vestibular function.
A radiocinematographic procedure of the pharyngeal examination of snorers is presented. By swallowing, by the production of pharyngeal sounds and by the forced inspiration which produces snoring sounds a dysfunction or an obstruction in the upper respiration tract can be located. This method is a useful diagnostic aid in snoring disease which should precede surgical interventions in the pharynx.