WEMJ Volume 115 No.4 - December 2016
Introduction
Professor Peter Dunn has excelled himself again with more fascinating information about perinatal medicine. Two articles from his unpublished archive and a new article from Williams, A.N. and O’Dell, F.J., to which Peter has contributed.
Then a fascinating case of Otogenic lateral sinus thrombosis and remarkably good imaging followed by two student reports.
Another bumper issue just in time for Christmas!
Seasons greetings to all!
2) Congenital Sternomastoid Torticollis: aetiology, diagnosis and management.Peter M. Dunn, WEMJ Volume 115 No.4 Article 2 December 2016
Congenital sternomastoid torticollis is a congenital postural deformity arising from obstruction to the venous drainage from that muscle by persistent pressure on the shoulder during late fetal life. It occurs in 1 in 300 births
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3) The ‘Gosset’ Icterometer: a brief history: Williams, A.N., O’Dell, F.J., Dunn, P.M. WEMJ Volume 115 No 4 Article 3 December 2016
Dr Isaac Henry Gosset (1907-1965) was the first consultant paediatrician for Northampton, with responsibilities which included both general and neonatal care. In 1954 for neonatal use he designed the ‘Gosset Icterometer’. Made of Perspex it allowed a rough estimation of serum bilirubin without requiring a blood test. Two successful clinical trials were published in the Lancet, these were amongst the earliest such papers in neonatal care. The ‘Gosset’ icterometer is no longer used in UK neonatal practice, however sixty years after inventing his device it is still in use in various countries around the world.
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4) Otogenic lateral sinus thrombosis: Alenezi AO, Surana S.K., Walla, Khaled Shawky F.A., Al-Refai D, Mahesh Baj^. CT and MRI imaging features WEMJ Volume 115 No 4 Article 4 December 2016
In this case report, we present a case of acute otitis media complicated by lateral venous sinus thrombosis and discuss the relative merits of the imaging investigations.
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5) Service Evaluation: Bronchoscopic lung volume reduction using endobronchial valves for the symptomatic improvement of emphysema: Saveria Di Gerlando,(Medical Student, University of Bristol) WEMJ Volume 115 No 4 Article 5 December 2016
The r e s u l t s demonstrate significant improvement in clinical outcomes at 4 to 6 week follow up in those with total or sub-total target lobe collapse.
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6) Myasthenia-like paraneoplastic syndrome secondary to suspected ovarian cancer: Ornjira Angkanawatana (Medical Student, Bristol University) WEMJ Volume 115 No 4 Article 6 December 2016
A 67-year-old woman presented with gradual onset non-fatigable slurred speech with dysphagia, diplopia, bilateral ptosis, and a right-sided facial droop and weakness particularly in her right arm.