JIBI INKOKA TEMBO
Online ISSN : 1883-6429
Print ISSN : 0386-9687
ISSN-L : 0386-9687
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Volume 58, Issue 5
Displaying 1-7 of 7 articles from this issue
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FEATURE ARTICLE
ORIGINAL PAPERS
  • A CASE OF MYASTHENIA GRAVIS WITH A FATAL OUTCOME THAT WAS DIFFICULT TO DIAGNOSE
    Tomonori Endo, Kaori Suzuki, Daiya Asaka, Hiromi Kojima
    2015 Volume 58 Issue 5 Pages 249-254
    Published: October 15, 2015
    Released on J-STAGE: October 15, 2016
    DOIhttps://doi.org/10.11453/orltokyo.58.5_249
    JOURNAL FREE ACCESS
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    　We report the case of an 81-year-old man who visited the department of otorhinolaryngology of our hospital with the chief complaint of dysphagia, and was later diagnosed as having myasthenia gravis. The diagnosis in itself was challenging. At the beginning, the patient presented with only mild swallowing difficulty; however, the dysphagia progressed rapidly in severity, resulting in repeated episodes of aspiration pneumonitis. The patient was finally diagnosed as having myasthenia gravis.
    　With the recent popularization of video endoscopic examination of swallowing, patients with a variety of diseases are often referred to us from other departments for this examination. While evaluating dysphagia, myasthenia gravis should be kept in mind as a possible underlying cause.
    　Patients with advanced dysphagia should be examined in detail, bearing in mind the possibility of myasthenia gravis. For the diagnosis of myasthenia gravis, it is important to perform a series of careful examinations, including the serological test for anti-AChR antibody, the Tensilon test, and the repetitive nerve stimulation test.
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  • A CASE OF BRANCHIAL CYST ARISING FROM THE PARAPHARYNGEAL SPACE
    Yukitaka Tanaka, Masato Nagaoka, Yohei Morishita, Susumu Okano, Hiroki ...
    2015 Volume 58 Issue 5 Pages 255-259
    Published: October 15, 2015
    Released on J-STAGE: October 15, 2016
    DOIhttps://doi.org/10.11453/orltokyo.58.5_255
    JOURNAL FREE ACCESS
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    　Occurrence of a second branchial cleft cyst in the parapharyngeal space is extremely rare. We report the clinical findings and management of a parapharyngeal cyst. The patient was a 21-year-old woman who presented with a swelling on the left side of the pharynx, suspected to be a cyst.
    　Based on the CT and MRI, the cyst was determined to be located in the parapharyngeal space.
    　We performed an external incision, without any surgical complications. Pathological examination revealed that the tumor was a branchial cyst. No recurrence was observed until the follow-up carried out 11months later.
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