Tuberculosis of the Ear, Nose and Throat

Aural Tuberculosis in Children

“…It should be emphasized that in the majority of these cases the disease in the temporal bone is primary in a clinical and not a pathologic sense.' Myerson (1944) was of the same opinion. He thought that primary tuberculous otitis media was rare, and that 'many cases were considered to be primary before X-ray studies of bones &c. were available'.…”

“…The bony wall of the facial nerve is also eroded by direct infiltration. The mastoid cells are involved by direct spread or by the blood stream, and this too is a painless procedure although Myerson (1944) believes that there may be pain when the periosteum is involved. As the disease extends through the mastoid process cellular structure is invaded and replaced by granulation tissue.…”

Tuberculosis of Sphenoid Sinus: Report of Two Cases

“…3 Maxillary and ethmoid sinuses more commonly affected by tuberculosis than the sphenoid sinuses. 4 Kernan reported the first case of tuberculosis originating in the sphenoid sinus. 5 Clinical presentations of patients with isolated sphenoid sinus disease include headache, nasal obstruction, postnasal drip, visual disturbances, and cranial nerve paresis.…”

Trapped by an incidental finding.

“…It has been reported that bilateral infarcts in the panamedian territory cause gaze dysfunction, confusion, amnesia, and confabulations, a phenomenon called "thalamic dementia." In unilateral involvement of the paramedian territory, transient loss of consciousness or somnolence occurs, which is usually followed by neurologic dysfunction similar to that seen in tuberothalamic infanction [1][2][3][4][5].…”