Rare Diseases Symptoms Automatic Extraction
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Applications of the marchbanks transcranial-cerebral sonography technique in neurootology: preliminary report.
[hydrocephalus with stenosis of the aqueduct of sylvius]
Transcranial-
cerebral
sonography
(
TCCS
)
is
a
noninvasive
technique
that
allows
clinicians
to
detect
nanoliter
(
billionths
of
a
liter
)
displacements
of
the
tympanic
membrane
.
This
technique
was
developed
to
assess
cerebrospinal
fluid
(
CSF
)
pressure
in
cases
of
shunted
hydrocephalus
;
it
takes
advantage
of
the
CSF
connection
to
the
inner
ear
through
the
cochlear
aqueduct
.
The
movements
of
the
tympanic
membrane
that
are
observed
in
TCCS
are
those
evoked
by
the
acoustic
stapedius
reflex
and
those
spontaneous
movements
generated
by
intracranial
arterial
,
venous
,
and
respiratory
pulses
transmitted
through
the
inner
ear
to
the
stapes
and
thence
to
the
tympanic
membrane
.
Analysis
of
the
amplitude
and
direction
of
these
displacements
has
enabled
neurosurgeons
and
neurologists
to
estimate
CSF
pressures
accurately
in
patients
evaluated
by
TCCS
.
TCCS
allows
for
applications
in
neurootology
,
particularly
in
those
patients
who
present
with
symptoms
of
pulsating
tinnitus
,
dizziness
and
imbalance
,
or
hearing
loss
.
This
preliminary
report
describes
the
test
and
its
application
in
a
series
of
patients
whose
diagnoses
included
pulsating
tinnitus
,
idiopathic
intracranial
hypertension
,
Ménière
's
disease
,
perilymphatic
fistula
,
perilymphatic
hypertension
,
arterial
stenosis
,
and
Arnold
-
Chiari
syndrome
.
We
conclude
that
TCCS
is
a
valuable
addition
to
the
armamentarium
of
neurootologists
.
Diseases
Validation
Diseases presenting
"hypertension"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
aniridia
aromatase deficiency
cadasil
child syndrome
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cushing syndrome
cystinuria
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
fabry disease
familial hypocalciuric hypercalcemia
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kallmann syndrome
kindler syndrome
lamellar ichthyosis
lymphangioleiomyomatosis
pendred syndrome
primary effusion lymphoma
scrub typhus
severe combined immunodeficiency
sneddon syndrome
typhoid
von hippel-lindau disease
well-differentiated liposarcoma
werner syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
This symptom has already been validated