Y P Krespi

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A 66-year-old man presented with a downbeat nystagmus. The underlying cause was unknown. A dolichoectasia of the vertebrobasilar artery was the only identifiable abnormality at Magnetic Resonance Image which also disclosed distortion of the anterolateral aspect of the medulla. Compression of the caudal brain-stem by an enlarged and tortuous vertebrobasilar(More)
A family with three generations of male-to-male transmission of a rare syndrome is presented. The syndrome includes bilateral cervical branchial sinuses, bilateral preauricular sinuses, bilateral malformed auricles and bilateral hearing impairment. Two important aspects of this syndrome are discussed. First, male-to-male transmission rules out a sex-linked(More)
The search for a convenient, rapid manual dexterity examination, which could be used at the time of the otolaryngology resident applicant's interview, led us to assess the following areas: purposeful hand direction, depth perception, tactile discrimination, finger pressure coordination, finger visual tracking of moving objects, spatial visualization, finger(More)
The combined transmandibular-transcervical approach to the skull base ensures a wide field exposure to the lateral and midline compartments of the middle cranial fossa with attendant vascular control. Splitting the lip and mandible in the midline and dividing the floor of the mouth structures along the lateral border of the tongue exposes the parapharyngeal(More)
Surgical exposure of the extracranial surface of the floor of the middle and posterior cranial fossa is difficult using the available techniques of skull base surgery. Considering this problem, cadaver dissections were performed and a new approach to the skull base developed. The parapharyngeal space is entered through a transcervical incision combined with(More)
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