1.An Unexpected Cause of Hoarseness of Voice in a Healthy Teenager
Siong Lung Wong ; Zainal Abidin Ibrahim
Malaysian Journal of Medical Sciences 2010;17(1):52-55
Laryngeal amyloidosis is a rare cause of stridor in a healthy young adult. We report a case
of localised laryngeal amyloidosis, including our MRI findings, which included a necrotic centre that
has not previously been described. This case also highlights the need for a high index of clinical
suspicion to achieve the correct histopathological interpretation
2.Observation of Ureteric Diameter in Negative Intravenous Urogram in Hospital Universiti Kebangsaan Malaysia
Siong Lung Wong ; Hamzaini Abdul Hamid
Malaysian Journal of Medical Sciences 2010;17(2):4-9
Background: This study observed the widest ureteric diameter in negative intravenous
urogram (IVU) examinations using low osmolar contrast media.
Methods: We reviewed a total of one hundred and eighty four ureters from 92 negative
IVUs.
Results: The results show a mean diameter for the abdominal ureter of 4.19 mm with an SD
of 1.27 mm and a mean pelvic ureteric diameter of 4.45 mm with an SD of 1.37 mm. The upper limits
for abdominal ureter and pelvic ureter based on a confidence interval of 95% were 4.37 mm and 4.64
mm, respectively.
Conclusions: There was no significant difference between the right and left ureteric diameter
in both female and male subjects. There was no significant correlation between ureteric diameters
and the age of subjects, from the second to the eighth decades.
3.A Gluteal Mass Of Langerhans Cell Histiocytosis Mimicking Malignancy In A Two-Year-Old Boy: A Case Report
Zainal Abidin Ibrahim ; Wong Siong Lung ; Pan Kok Long
Malaysian Journal of Medical Sciences 2009;16(1):48-50
Langerhans cell histiocytosis is a disease primarily affects the bone. More than 50 percent of the
disease occurs between the age of 1 and 15. We reported a case of a 2 year old boy who presented with
a gluteal mass. Radiographic imaging showed an osteolytic lesion suspicious of malignancy. However,
the histological diagnosis was Langerhans cell histiocytosis.
4.Atretic Cephalocele — An Uncommon Cause of Cystic Scalp Mass
Siong Lung Wong ; Huong Ling Law ; Suzet Tan
Malaysian Journal of Medical Sciences 2010;17(3):61-63
A 6 year-old girl presented with a midline parietal scalp swelling that had been gradually
enlarging since birth. Magnetic resonance imaging revealed communication of the cyst with the
subarachnoid space through a calvarial defect, with concomitant findings of vertically positioned
straight venous sinus and subependymal grey matter heterotopia. A diagnosis of atretic cephalocele
was thus made based on these classical imaging findings.
5.Endolymphatic sac tumour
Mohammad Zulkarnaen ; Ing Ping Tang ; Siong Lung Wong
The Malaysian Journal of Pathology 2012;34(1):53-55
We present a case of a papillary tumour at the cerebellopontine angle in a 41-year-old man. He
presented with left-sided facial and ear pain associated with dizziness, nystagmus and hearing
loss. CT scan of the temporal bone showed a destructive tumour at the left cerebellopontine angle.
Surgical excision was performed and the diagnosis of the endolymphatic sac tumour was made.
Endolymphatic tumour is a low grade adenocarcinoma that originates from the endolymphatic
sac. The defi nitive diagnosis requires a combination of clinical features, radiological fi nding and
pathological correlation.
6.Computed tomographic findings of cerebral fat embolism following multiple bone fractures.
Huong Ling LAW ; Siong Lung WONG ; Suzet TAN
Singapore medical journal 2013;54(2):e28-30
Fat embolism to the lungs and brain is an uncommon complication following fractures. Few reports with descriptions of computed tomographic (CT) findings of emboli to the brain or cerebral fat embolism are available. We report a case of cerebral fat embolism following multiple skeletal fractures and present its CT findings here.
Accidents, Traffic
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Embolism, Fat
;
diagnosis
;
diagnostic imaging
;
Femoral Fractures
;
complications
;
diagnostic imaging
;
Humans
;
Intracranial Embolism
;
diagnosis
;
diagnostic imaging
;
Male
;
Radiography, Thoracic
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Tomography, X-Ray Computed
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Treatment Outcome
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Young Adult