Learning objectives
Introduce classic eponymous ENT diseases with a brief discussion of the doctor/scientist behind the condition.
Demonstrate relevant head and neck anatomy as pertains to select eponymous head and neck diseases.
Illustrate common imaging findings that aid in diagnosis of these eponymous head and neck diseases.
Outline relevant imaging findings and their effect on definitive management and follow up.
Background
The head and neck is prone to diverse infective/inflammatory,
malignant and endocrine pathology.
Many conditions have been studied by prominent physicians whose names they bear.
Increased availability and quality of imaging studies has resulted in better and more accurate diagnosis,
treatment and follow up.
Five eponymous ENT cases and their accompanying imaging (US,
CT,
MR and NM) will be presented to demonstrate classical ENT pathology.
Specific learning points and radiological signs will be provided for each case.
This will demonstrate the importance of multi-modality imaging...
Findings and procedure details
Hashimoto's thyroiditis
Hashimoto’s thyroiditis is an autoimmune disorder of the thyroid gland,
in which lymphocytic infiltration destroys the stromal architecture,
ultimately leading to symptoms and signs of hypothyroidism.
However,
in approximately 5-10% of cases,
patients can present with initial hyperthyroidism - "Hashitoxicosis".
This disease was first described by Dr.
Hakaru Hashimoto (Fig 1),
a Japanese physician of Kyoto Imperial University in 1912.
While examining the histology of thyroid tissue at the University,
he noticed a new pathological appearance of thyroid tissue in four middle aged...
Conclusion
Radiology has great importance in diagnosis and management of these eponymous ENT conditions.
Often,
multiple modalities will be required and the clinical context is paramount.
Imaging can help suggest or confirm the clinical diagnosis and will play an important role in the decision of medical and surgical management.
References
(1) Hashimoto's Disease and Dr.
Hakaru Hashimoto. Nobuyuki,
Amino,
et al. 4,
Osaka: Endocrine Journal,
2002,
Vol.
49.
(2)Historical Annotation: Robert James Graves,
Physician,
Eduator,
Scientist. Whitehead,
Richard W. 6,
Denver: Circulation,
1969,
Vol.
39.
(3) Lemierre's syndrome: more than a historical curiosa. Riordan,
T. Wilson,
M. Postgraduate medical journal,
2004,
vol.
80. Issue 944.
(4)Multiple Endocrine Neoplasia Type 1 (MEN1) Syndrome. Marini,
Francesca,
et al. Florence: Cancer Syndromes,
2008.
(5)Genetic aspects of adenomatosis of endocrine glands. Wermer,
Paul. 3,
New York: The American Journal...