Holdsclaw struggled with depression as a child, in part, she says, due to her difficult home life. Her mother was an alcoholic, so she and her younger brother were raised by her grandmother in a housing project in Queens. Holdsclaw took her anger and frustration to the basketball court, where she realized she had a gift. TitanTV Programming Guide -- What's on TV, Movies, Reality Shows, and Local News. For complete television listings, visit TitanTV.com. WXXI-DT PBS: 21.1 « Globe Trekker Art Trails of the French Riviera (New, TV-PG). Rank Search Query SR Example Snippet WIB Score; 1: go public: 12: Rochester. Includes program guide and information on pledging funds for support. POV airs new independent documentaries on Monday nights during the summer and fall. Dates and times below reflect national PBS broadcasts. To find your local schedule, enter your ZIP code. Public television program, Second Opinion, promotes good health, improves doctor/patient communication and empowers viewers to take charge of their own healthcare. WXXA-TV is the Fox-affiliated television station for Upstate New York's Capital District and Western New England. Licensed to Albany, it broadcasts a high definition digital signal on VHF channel 7 (or virtual channel 23.1 via. She won three NCAA championships with the University of Tennessee, and was the first draft pick for the WNBA in 1. Yet, while she dominated on the court, her personal life was unraveling. In 2. 00. 6, she attempted to take her own life, and in 2. Support for this program has been provided in part by Viking River Cruises. Inspector Lewis, Final Season: Magnum Opus (Episode 2) from Masterpiece. On demand, streaming video from WXXI Public Broadcasting.She was later diagnosed with bipolar disorder. Holdsclaw now travels the country as a mental health advocate, speaking about ending the stigma of mental illness. She's a guest of the National Alliance on Mental Illness, Rochester chapter, but first, she joins us on Connections. Our guests: Chamique Holdsclaw, mental health advocate, WNBA All- Star, and Olympic gold medalist. Pat Sine, executive director for the National Alliance on Mental Illness, Rochester chapter. Kristina Mossgraber, events coordinator for the National Alliance on Mental Illness, Rochester chapter. WXXI Monthly Program Listings.
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Cavernous sinus thrombosis (CST) is the formation of a blood clot within the cavernous sinus, a cavity at the base of the brain which drains deoxygenated blood from the brain back to the heart. The cause is usually from a spreading infection in the nose, sinuses. Definisi Sinusitis berasal dari akar bahasa Latinnya, akhiran umum dalam kedokteran itis berarti peradangan karena itu sinusitis adalah suatu peradangan sinus paranasal. Di sekitar rongga hidung terdapat empat sinus yaitu sinus maksilaris ( terletak di pipi), sinus. Excessive Paranasal Sinuses and Mastoid Aeration as a Possible Cause of Chronic Headache. Department of Otorhinolaryngology, General Hospital of Nikea- Piraeus, Greece. Department of Otorhinolaryngology, “Attikon” University Hospital of Athens, Greece. Copyright . This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The objective of this case report is to present a patient with chronic headache who was diagnosed with excessive aeration of all paranasal sinuses and mastoid air cells using computed tomography imaging. The volume and linear measurements of all of the cavities revealed values greater than the greatest values reported in the literature. To date, this is the second reported case of excessive enlargement of all paranasal sinuses and the first which includes the enlargement of the mastoid air cells. No surgical intervention was required for the patient, but in similar cases, with more severe symptoms, surgical treatment is a challenge for the surgeon and may mandate a multidisciplinary approach. Introduction. Excessive enlargement of the paranasal sinuses is a rare entity with an uncertain aetiology. In the medical literature, it has been described with many terms including hypersinus, pneumocele, pneumatocoele, sinus ectasia, hyperpneumatization, and pneumosinus dilatans. It usually affects the frontal sinus, although any sinus can be pathologically enlarged. We present a case of a patient with chronic headache, diagnosed with excessive aeration of all paranasal sinuses, together with atypical mastoid pneumatization. To the authors’ knowledge, this has not been previously reported in the literature. Case Presentation. A 3. 8- year- old woman was referred for evaluation to the outpatient otorhinolaryngology clinic by the neurology department. The patient complained of intermittent episodes of moderate, nonthrobbing, and severe pressure- like headache since early adulthood. The headache was typically located at the anterior part of the cranium, mainly over the frontal, the anterior parietal, and temporal area. The symptoms usually lasted for hours and were sufficiently relieved by common analgesics such as paracetamol and nonsteroid anti- inflammatory drugs. Chronic and Exotic Sinonasal Disease AJR:189, December 2007 S37 mophilus or Streptococcus species; however, chronic disease may result from a number of disparate organisms. In a study of 94 cases of endoscopically guided ethmoid sinus cultures. Many historical references to the paranasal sinuses exist. The earliest such reference can be dated back to the works of Galen, who described the presence of the ethmoid air cells. The introduction of head and neck CT imaging and the current wider use of this. Effective Date: Price List of CT Scanning The pain was not accompanied by facial swelling and was not related to head position (bending forward, lying down, or sitting up). Palpation of the face and anterior cranium did not reproduce the symptoms and no palpable or visually evident anatomic deformity was noted. Neurologic and ophthalmologic examinations were unremarkable. Routine laboratory parameters were within normal range. Nasal endoscopic examination did not reveal pathologic findings. The nasal septum was slightly deviated while the maxillary and sphenoid ostia appeared patent. Although the frontal sinus ostium could not be visualized endoscopically on either side, no mucosal abnormalities were apparent at the area of the frontal sinus outflow tract. A high resolution CT scan revealed that all the paranasal sinuses and especially the frontal sinuses were excessively enlarged. Similarly, the mastoid air cells showed bilaterally excessive pneumatization. No signs of bony erosion or thinning were evident in the CT scan. The frontal sinus extended posteriorly and laterally, encroaching the ophthalmic bulb. The frontal lobe appeared to be smaller in size, due to the posterior enlargement of the frontal sinus. No other abnormalities were found, apart from a retention cyst in the right maxillary sinus (Figures 1–4). Figure 1: Linear measurements of frontal sinus in the coronal plane (RW: width of the right sinus, LW: width of the left sinus, RH: height of the right sinus, and LH: height of the left sinus). Figure 2: (a) Linear measurements of frontal sinus in the axial plane (RL: anteroposterior length of the right sinus and LL: anteroposterior length of the left sinus). Linear measurements of maxillary sinus (RW: width of the right sinus, LW: width of the left sinus, RH: height of the right sinus, and LH: height of the left sinus). Measurements of the linear dimensions of the frontal sinuses were performed according to the procedure described by Tatlisumak et al. The width, height, and anteroposterior length of each frontal sinus and the total width of both sinuses were calculated (Figures 1 and 2). Volumes of the frontal, sphenoid and maxillary sinuses, and mastoid air cells were calculated according to the method used by Karakas and Kavakli . The area of each sinus was measured in every axial CT image (Figure 2) and multiplied by the slice thickness. The sum of all measurements was equal to the volume of the sinus. The type of extensive maxillary sinus pneumatization (EMSP) was determined according to the classification of Kalavagunta and Reddy . Discussion. Terms like pneumosinus dilatans, pneumatocele, hyperpneumatization, sinus ectasia, sinus hypertrophy, and aerocele have been used in the literature to describe a hyperpneumatized paranasal sinus. An intuitive and simplified classification has been suggested by Urken et al. Hypersinus refers to an enlargement of a well- aerated frontal sinus which develops within the normal boundaries of the frontal bone. Pneumosinus dilatans differentiates from Hypersinus because the sinus abnormally extends either anteriorly, causing frontal bossing, or posteriorly and laterally, displacing the adjacent anatomic structures like the ophthalmic bulb and the frontal lobe. A pneumatocele is the third type of hyperpneumatization which is characterized by focal erosion or generalized thinning of the bony walls, while in the first two types the sinus walls are normal. Although this classification was developed for the description of frontal sinus anatomic variations, it has been used in the literature for all paranasal sinuses. According to this classification, the present case is described as “pneumosinus dilatans of the frontal sinuses” since the bony walls were intact and the frontal sinus expanded posteriorly and laterally, causing an enlargement of the frontal bone and a reduction in the frontal lobe size. Additionally, the patient was diagnosed with “Hypersinus” of the sphenoid and maxillary sinuses and “Hyperaeration” of the mastoid air cells. It is widely accepted that headache is one of the symptoms of sinonasal diseases. The term “sinus headache” refers to a secondary headache associated with sinusitis that occurs when the sinuses become congested and obstructed because of paranasal sinus pathology. Cases with pneumosinus dilatans complicated with sinus pathology and presenting with sinus headache have been reported in the literature . The present case in which headache was the first and only symptom of the patient does not fall within the diagnostic criteria of “sinus headache” due to the absence of sinus obstruction and mucosal pathology. To the authors’ knowledge, this is the second reported case of excessively aerated frontal sinus that presents with symptoms of headache but without signs and symptoms of sinus disease . The relief of symptoms by treating the patient with oral analgesics supports the “tension headache” diagnosis. Under this thought one may argue that the hyperaeration of the paranasal sinuses is an incidental finding and not the cause of the patient’s symptoms. However, it has been suggested that hyperaeration itself may play a role in the development of headache symptoms (migraine, cluster of tension type), either by affecting the mucociliary clearance or due to disturbance of ventilation, which in turn causes vacuum headache . Different researchers, however, have used different measuring methodologies. In the present study, the linear dimensions of the frontal sinus were measured according to Tatlisumak et al. In order to compare the findings of the present case, the results of Pond. Despite the differences in methodology, all of the above- mentioned studies used CT scans of the head and paranasal sinuses for measuring dimensions and volumes. It is interesting to note that all linear (Table 1) and volumetric measurements (Table 2) in all sinuses and mastoid air cells in the present case were higher than the highest reported in the literature. The pattern of extensive maxillary sinus pneumatisation (EMSP) was “moderate - type II” according to the Kalavagunta classification . The present case is the second reported case of excessive enlargement of all paranasal sinuses . This is not always the case in other similar cases of sinus expansion. Complications of pneumosinus include cosmetic deformities due to the bossing of the facial bones . We believe that in similar rare cases of abnormal sinus or mastoid air cells expansion, the treatment should be individualized and address the patients cardinal symptoms. An algorithm on surgical management of pneumosinus dilatans of the frontal sinus has been described by Patel et al. If the main symptoms are caused by obstruction of the sinuses ostia, Functional Endoscopic Sinus Surgery (FESS) may restore normal drainage. However, the surgeon should be aware that anatomic landmarks may be altered in similar cases. If a FESS procedure was to be performed in the present patient, access to the frontal sinus would be extremely difficult due to the presence of numerous frontoethmoidal air cells (Figure 4). Operating in the sphenoid would also be a challenge, since the optic nerves were exposed bilaterally in the superior part of the sinus (Figure 3). If bossing of the frontal or maxillary area causes cosmetic deformity, an open procedure with bone removal, reshaping and repositioning, with or without obliteration of the underlying sinus, can be performed. Similarly, orbital and optic nerve decompression can be achieved with an endoscopic, open or combined procedure . School Concert Event Program Template - Microsoft Word Template. School is a location where students acquire schooling but children get uninterested if there is no other interesting activity. To keep interest of students and build up their imagination, school administration planned many functions for kids. These events are of special kinds like test, cricket, craft sale, farewell party, bake sale, art exhibition, balloon race, etc. These events are not for kids only but their parents can also participate in every event. After organization of such kind of school programs, this school concert event program template can be used.
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