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AIRhead Medical Review

Improbable diagnoses, techniques, and research

compiled by Bertha Vanatian, MD

 

Catz: Got Your Tongue

“Lingual Ischemia Following Tongue Entrapment in a Glass Bottle,” S. John Guha and N. Daniel Catz, vol. 15, no. 5, Journal of Emergency Medicine, September 10, 1997, pp. 637-8. The authors explain that:

A 10-year-old, previously healthy female presented to the emergency department via emergency medical service transport, with her tongue tightly entrapped inside a glass bottle (9 oz, Yoohoo brand of chocolate drink). The tongue was massively edematous and ecchymotic due to impaired venous return from constriction by the neck of the bottle. After repeated attempts at mechanically reducing the tongue out of the bottle, a professional glazier was contacted, who was able to remove the bottle in the operating room with a steel glass cutter. Needle evacuation of a small hematoma was then performed to decrease the pressure ischemia to the tongue, which began to improve quickly.


In the Head: Too Long in the Tooth

“Dracula’s Teeth Syndrome,” D.E. Jacome, Headache, vol. 41, no. 9, October 2001, pp. 892-4. (Thanks to John Simmonds for bringing this to our attention.) The author is at the Franklin Medical Center, Greenfield, Massachusetts. He explains the case thusly:

A 52-year-old woman with history of migraine without aura for 40 years... reported a daily sensation of having two extra upper canine teeth pressing on her tongue, simulating vampire’s (“Dracula’s”) teeth.... Her computerized tomography studies, brain magnetic resonance imaging, and cranial electrophysiological testing were normal. Conclusion: This patient with chronic migraine had atypical cranial dystonia beginning after a dental procedure. Her dystonia was complicated by the unusual phenomenon of phantom supernumerary teeth.


Location, Location, Location

“Anatomical Location of Bitemarks and Associated Findings in 101 Cases From the United States,” I.A. Pretty and D. Sweet, Journal of Forensic Sciences, vol. 45, no. 4, 2000, pp. 812-4. (Thanks to David Harris for bringing this to our attention.)

We welcome your suggestions for this column. Please enclose the full citation (no abbreviations!) and, if possible, a photocopy of the paper.

This HotAIR feature first appeared in AIR Volume 8 Issue 6. For a complete list of strangely fascinating featured articles elsewhere on this web site, see What's New.


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