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Biomedical subjects

P J Sherwen

Publications and source records attributed to P J Sherwen.

4 recordsLinked to original sources
PubMed1987

Bilateral facial nerve palsy: a case study and literature review.

Facial diplegia is a rare clinical finding and can be the presenting complaint in a wide spectrum of diseases. This paper describes a case of bilateral facial palsy occurring in a diabetic patient. Electroneurographic studies demonstrated severe acute denervation of both facial nerves and a widespread polyneuropathy. A gallium scan revealed hilar and paratracheal lymphadenopathy. Heerfordt's syndrome was suspected; however, histological confirmation of sarcoidosis has not been obtained. The patient was treated with high dose steroid therapy and has made an almost complete recovery after six months. A review of the literature is discussed with particular reference to the differential diagnosis in this patient.

Diabetes Mellitus↗
PubMed1986

Transseptal, transsphenoidal surgery: a subjective and objective analysis of results.

Transseptal, transsphenoidal surgery in British Columbia is performed as a joint procedure between otolaryngology and neurosurgery. We analysed the 84 procedures performed on 78 patients between 1978 and 1983 at St. Paul's Hospital in Vancouver. A questionnaire was completed by 66 patients (85%) which examined the patients' subjective assessment of the success of the surgery. A postoperative review demonstrated 18 postoperative nasal complications (21%) consisting of seven septal perforations (8%), 10 synechiae (12%) and one septal abscess (1%). The majority of these complications were asymptomatic. Subsequent modifications of the operative technique are discussed. Our assessment of the overall success of this surgery was confirmed by the fact that 97% of respondents stated that they would undergo the primary surgery again, 17% of these with some reservations. Only 3% would now refuse the primary surgery.

Acromegaly↗