Manu Malhotra

Pulmonary tuberculosis is the most common form of tuberculosis reported in India. Primary tuberculous myositis is a rare entity and involvement of sternocleidomastoid and anterior scalene muscle together has rarely been reported in literature. This diagnosis is very frequently missed due to its rarity and atypical clinical presentation, which leads to delay in treatment. A high suspicion index and a prompt intervention is a must for such a rare clinical presentation of extra pulmonary tuberculosis. This entity should be considered as differential diagnosis for the neck swellings. Here we present a report of three cases of primary tubercular pyomyositis of sternocleidomastoid muscle with one case involving anterior scalene as well. Keywords: Tubercular pyomyositis sternocleidomastoid extrapulmonary Tuberculosis.

Salivary gland tumors compromises Keywords: Pleomorphic adenoma, Salivary gland tumor, Submandibular gland tumor.

Introduction: Cochlear implantation is the most acceptable procedure in rehabilitating a child with profound hearing disability who has gained no benefit from hearing aids. Cerebro-spinal fluid (CSF) gusher from the cochleostomy site is the most common complication faced intra-operatively, however it has been rarely reported in cases with normal radiological anatomy. Case Report: We present a 4 year old boy taken up for right cochlear implantation for congenital bilateral profound sensorineural hearing loss. A severe CSF gusher was noticed which was identified and successfully managed. Conclusion: CSF gusher can be seen in cases with normal radiology and hence surgeons must anticipate the same. Meticulous handing and a systematic approach can help us control the leak and also have good surgical outcomes. Keywords: CSF gusher, CSF leak, Cochlear implantation.

Introduction: Nasal glial heterotropia is a rare developmental anomaly in which normal mature glial tissue presents as intranasal and/or extranasal masses. It can present in all ages, though it is more commonly diagnosed in paediatric age groups. Only a limited number of cases are reported worldwide. Aim: To report a rare case of intra- nasal glial heterotropia in an infant. Case Description: The authors here report the first case from Himalayan region in India. The condition presented in an infant and was diagnosed with the help of clinical, ultraonographic Doppler, Computerised Tomographic Scans and histopathology. The case was treated with complete surgical excision. Conclusion: Nasal glial heterotropia, though rare, should be considered in the differential diagnosis of a nasal mass in a young paediatric patient. The diagnosis can be reached with clinical, radiological (Sonography Scans /CT/MRI) and histopathological methods, including immunohistochemistry. Finally, complete surgical excision is the treatment of choice. Keywords: Nasal glial heterotropia, Nasal glioma, Encephalocele, Nasal mass, Glial fibrillary acidic protein.