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Amritsar, India

Piplani S.,SGRDIMS and Research | Manjari M.,SGRDIMS and Research | Sarin V.,SGRDIMS and Research | Lalit M.,Chintpurni Medical College
Journal of Clinical and Diagnostic Research | Year: 2011

Neurilemmoma, also known as schwannoma, is a benign neoplasm which originates from the Schwann cells which cover the myelinated nerve fibres. The most common site is the tongue while palatal schwannomas are even rarer. A case of schwannoma which was clinically diagnosed as a tonsillar mass (tonsillar hyperplasia) which caused obstructive symptoms in a young male child has been reported here. The patient presented with repeated episodes of sore throat, fever and difficulty in and pain on swallowing, of 6 months duration, along with a recent episode of high grade fever, which subsided with antibiotics. On local examination, it was observed that there was bilateral hypertrophy of the tonsils with congested pillars and that the right tonsil appeared to be more enlarged in size than the left one. The right side anterior pillar could not be separately differentiated from the tonsil. The tonsilolingual sulcus on the right side was obliterated and it was assumed that the palatine tonsil was enlarged and intermingled with the lingual tonsil. Bilateral tonsillectomy was perfomed and the tissue was sent for histopathological examination. The right sided mass turned out to be Neurilemmoma. This case was worth reporting as it highlighted the importance of including schwanomma as an important differential diagnosis whenever a treating physician encountered a tonsillar mass or a mass of unexplained aetiology in the oral cavity, which caused a diagnostic dilemma. A detailed clinical history, physical examination, cytology and radiological assessment helps in differentiating schwanomma in such settings.

Lalit M.,Chintpurni Medical College | Lalit M.,SGRDIMS and Research | Lalit M.,Government of Punjab | Lalit M.,SGRDIMS and Research | And 16 more authors.
Journal of Clinical and Diagnostic Research | Year: 2011

The 'Atlas' is first cervical vertebra, supporting the "globe" of the head. The sound knowledge of of the Atlas vertebra is a well established entity in Anatomy. In a number of 30 atlas vertebrae, 60 superior articular facets were studied for the presence of a constriction or a groove and a tendency to separate i.e complete or incomplete separation. On the basis of this, different shapes of the superior articular facets were also studied This study was performed in the Department of Anatomy, Government Medical College, Amritsar. The results were compared with those of other studies and were statistically analysed. The clinical significance of this study has been thus discussed with a reference to its possible effect on the restriction of the neck at the atlanto-occipital joint.

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