- Head and Neck Anomalies
- Thyroid and Parathyroid Surgery
- Spine and Intervertebral Disc Pathology
- Pulmonary Hypertension Research and Treatments
- Thyroid Cancer Diagnosis and Treatment
- Hernia repair and management
- Vasculitis and related conditions
- Scoliosis diagnosis and treatment
- Transcranial Magnetic Stimulation Studies
- Advanced Neuroimaging Techniques and Applications
- Neurosurgical Procedures and Complications
- Voice and Speech Disorders
- Medical Imaging and Pathology Studies
- Heparin-Induced Thrombocytopenia and Thrombosis
- Vascular Tumors and Angiosarcomas
- Tracheal and airway disorders
- Cardiac tumors and thrombi
- Appendicitis Diagnosis and Management
- Vascular Anomalies and Treatments
- Spinal Fractures and Fixation Techniques
- Dysphagia Assessment and Management
- Cerebral Palsy and Movement Disorders
- Anesthesia and Sedative Agents
- Neurofibromatosis and Schwannoma Cases
- Cerebrospinal fluid and hydrocephalus
Sengkang General Hospital
2020-2024
Singapore General Hospital
2012-2020
SingHealth Duke-NUS Academic Medical Centre
2020
National Neuroscience Institute
2018
In this report, we describe a patient who developed an acute trigeminal neuritis and cervical radiculitis after receiving Pfizer-BioNtech vaccination (tozinameran) against SARS-CoV-2.
The vast majority of intraspinal meningiomas occur in an intradural extramedullary location. A meningioma a purely extradural location the cervical spine as reported here is quite exceptional. Extradural tend to show more aggressive features than and are often confused with malignant neoplasms. We report invasive multi-segmental involvement, extension through neural foramina encasement subjacent vertebral artery, mimicking malignancies such lymphoma sarcoma. Although rare, may demonstrate...
Remote cerebellar hemorrhage (RCH) is a rare yet potentially fatal complication of supratentorial and spinal surgery, where there has been either intentional or accidental breach the dura. We present case RCH following L4-5 decompression laminectomy complicated by an intraoperative dural tear which was detected repaired at time surgery. Despite prompt intra-operative repair dura, persistent cerebrospinal fluid leak as evidenced high subfascial epidural drain output resulted in bilateral...
Orbital aspergillosis is an uncommon but potentially fatal disease. Its initial clinical presentation can be nonspecific and may easily confused with other systemic diseases (such as neoplasms, orbital infections which could include bacterial, mycobacterium fungal infections), vasculitis inflammatory conditions. Use of corticosteroid result in transient symptom relief further delaying the diagnosis. We describe its occurrence a 76-year-old Chinese female underlying rheumatoid arthritis who...
The aim of this study was to identify the ultrasound features which are associated with malignancy in subcentimetre thyroid nodules.This retrospective included 454 nodules <10 mm size 413 patients from 2012 2016, were subjected fine needle aspiration cytology. Each nodule classified according patterns 2015 American Thyroid Association guidelines and high suspicion (solid, hypo-echogenicity, irregular margins, microcalcifications, taller-than-wide, interrupted rim calcifications,...
Background and objectives: It is estimated that 60 million magnetic resonance imaging (MRI) scans are performed annually around the world. Of these, 25% of patients experienced moderate to severe claustrophobia during procedure. The aim this study was determine prevalence interethnic variations requiring sedation due claustrophobia. Another if a wider bore MR scanner helpful in reducing incidence Methodology: This an institutional review board-approved study. We retrieved records for 11,813...
Kimura’s disease is a rare, benign, chronic inflammatory with an unknown etiology, which predominantly affects Asian males. It has predilection for the head and neck region, primarily involves major salivary glands accompanied loco-regional lymphadenopathy. therefore often misdiagnosed gland tumor or lymphadenopathy secondary to metastases, lymphoma tuberculosis. We present case of in middle aged Chinese male patient manifesting as painless lumps over left jaw neck. Based on CT scan,...
The differential diagnoses of a patient presenting with motor weakness is broad and requires systematic approach at the Emergency Department when evaluating its underlying cause. While nitrous oxide neurotoxicity uncommon, it important to consider as possible in patients preceding exposure, treatment readily available. We present case report magnetic resonance imaging images subacute combined degeneration spinal cord due induced vitamin B12 deficiency.
Introduction Inappropriate magnetic resonance imaging (MRI) for low back pain contributes to increased healthcare costs. The American College of Radiology (ACR) appropriateness criteria is a guideline reduce these unnecessary MRIs. Methods Retrospective study the MRI lumbar spine performed investigation in General Hospital from 2016-2017. Divided into six clinical categories. (1) No Red Flags. (2) Low-velocity trauma, osteoporosis, elderly individuals, or chronic steroid use. (3) Suspicion...
Abstract Objective(s) Obstructive sleep apnoea is characterized by repetitive obstruction of the upper airway during sleep. These repeated oxygen desaturations increase cardiovascular and cerebrovascular morbidity mortality significantly. Upper surgery an option for patients who fail continuous positive pressure therapy. Airway collapse usually multilevel hypopharyngeal a challenging area to address. It hypothesized that hyoid expansion with hyomandibular suspension can potentially...