The nasal septa present different three-dimensional morphologic patterns between the patients with alveolar clefts only and those with alveolopalatal clefts. This difference should be considered when performing surgical treatments for these patients.

No abstract

A 49-year-old woman presented with left-sided sudden hearing loss and tinnitus 1 (Day 1). Audiometric testing revealed a downsloping sensorineural hearing loss and 25% speech discrimination scores at 50 dBHL. She was diagnosed with left idiopathic sudden sensorineural hearing loss (SSNHL) and was managed with intravenous prednisolone administration (beginning at 60 mg/d).On Day 2, she experienced vertigo and, in the emergency department, was found to have a left-beating nystagmus with a torsional component and no other cerebellar signs or symptoms. On Day 6, she reported a worsening leftsided occipital headache. This was accompanied by mild ataxia, numbness of her right upper and lower extremities, FIG. 1. Magnetic resonance imaging (axial) 7 days (AYC) and 15 days after onset of SSNHL (DYF). A and D, T2-weighted imaging. B and E, Fluid attenuation inversion recovery. C and F, Diffusion-weighted imaging. An infarction of medulla (arrows) and cerebellum (arrowheads) are shown.