BACKGROUND AND OBJECTIVES: Otogenic cerebrospinal fluid (CSF)fistula referrs to the abnormal communication between the CSF and the middle ear space due to defects in the inner ear, and is one of the causes of recurrent meningitis. MATERIALS AND METHODS: We report on five children with congenital otogenic CSF fistula, presented by recurrent meningitis and confirmed by surgical exploration. We also propose diagnostic steps for detecting otogenic fistula in the children based on our experiences and paper review. RESULTS: We used the metrizamide CT in the diagnostic procedure for most cases, although not all. The temporal bone CT was an useful initial diagnostic step for clinically suspicious cases. CONCLUSION: No one test or combination of specific tests were found to accurately predict the presence or absence of CSF fistula. It is thought that the only way to diagnose the CSF fistula is by surgical exploration. If the CSF fistula was suspected, aggressive diagnostic evaluation was needed in order to prevent recurrence.
Cerebrospinal Fluid ; Child* ; Diagnosis* ; Ear, Inner ; Ear, Middle ; Fistula* ; Humans ; Meningitis* ; Metrizamide ; Recurrence ; Temporal Bone

OBJECTIVES: The study investigated the role of prenatal testosterone on the development of sexually dimorphic psychological phenotype. Finger length ratio (2nd digit/ 4th digit, 2D/4D), especially on the right hand, is thought to be influenced by prenatal exposure to testosterone. We evaluated the relationship between 2D/4D and psychological characteristics in college students. METHODS: Participants were 137 college students who completed 3 self-report measures : the Emotional Empathy Scale, Aggression Scale, and Bem Sex Role Inventory (BSRI). After copying right ventral surface of the participant's hand, we measured the lengths of the 2nd and 4th fingers, from basal crease to tip, using vernier calipers. We performed statistical analyses using correlation tests and t-tests to examine the relationship between 2D/4D and psychological characteristics (empathy, aggression, and sex role) RESULTS: We observed significant correlations between sex differences and average 2D/4D ratio. Men had a lower 2D/4D ratio than women, confirming the typical sex difference in digit proportions. In women, there was a significant correlation between 2D/4D ratio and empathy. Women with higher, more feminine, finger length ratios had higher empathy scores. We found no correlation between 2D/4D and aggression or sex role. CONCLUSION: There was a positive correlation between 2D/4D and empathy, but in women only. Low prenatal testosterone might play important role in the development of an essential, typically feminine, psychological phenotype (empathy), in women.
Aggression ; Coat Protein Complex I ; Empathy ; Female ; Fingers ; Gender Identity ; Hand ; Humans ; Male ; Phenotype ; Sex Characteristics ; Testosterone

Triggering of the flexor tendon at the wrist is a rare phenomenon. The triggering can be caused by many different conditions, including anomalous muscle, thickened synovium, rheumatoid disease and tumors. We report the case of a 34-year-old man with triggering at the wrist and carpal tunnel syndrome caused by a fibroma of the flexor tendon.
Carpal Tunnel Syndrome ; Fibroma ; Muscles ; Synovial Membrane ; Tendons ; Wrist

BACKGROUND AND OBJECTIVES: Delayed facial nerve palsy (DFNP) following a middle ear surgery is an uncommon event, and is defined to develop 48 or 72 hours after surgery. The pathogenesis of DFNP is not known clearly, but it is presumed to inflammation, neuronal edema or reactivation of herpes virus. The purposes of this study were to provide the clinical aspect of DFNP after middle ear surgery and to discuss the prognostic factors and treatment plan. MATERIAL AND METHOD: From January 1985 to August 1999, in the course of over 5,670 middle ear surgeries, we experienced 12 ipsilateral delayed facial nerve palsies. We analyzed the course of DFNP according to several clinical factors retrospectively. Degree of facial palsy was evaluated with the House-Brackmann grade (HBG). RESULTS: DFNP was developed from 3 day to 14 day after middle ear surgery. The initial degree of facial palsy was HouseBrackmann grade (HBG) II in 6, HBG III in 4, and HBG IV in 2 patients. All patients were treated with steroid and volume expander. The final recovery were HBG I in 11 of the twelve patients. Remaining one patient was found to be HBG Il after a 5-year follow up. In the group who recovered within 1 month, the initial HBG were II or III. CONCLUSION: We obtained satisfactory results with steroid therapy in most patients. The courses of DFNP after middle ear surgery are favorable. The better initial HRG and HBG at 2 weeks are, the earlier recovery can be expected.
Ear, Middle* ; Edema ; Facial Nerve* ; Facial Paralysis ; Follow-Up Studies ; Humans ; Inflammation ; Neurons ; Paralysis* ; Retrospective Studies