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Imaging Quiz Case 1
Arch Otolaryngol Head Neck Surg. 1998;124:340-343.
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A 12-YEAR-OLD boy was referred to the pediatric otolaryngology outpatient clinic owing to the absence of the sense of smell. He and his parents denied any history of recent upper respiratory tract infection, head trauma, or any chronic disease. The findings of an examination of the nasal cavity, nasopharynx, and oropharynx were unremarkable. Radiologic workup included Caldwell and Water sinus views, which revealed no abnormalities, and magnetic resonance imaging (MRI) of the brain (Figure 1 and Figure 2).
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Figure 1.
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Figure 2.
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What is your diagnosis?
Yoram Stern, MD;
John Egelhoff, DO;
Sally R. Shott, MD
Cincinnati, Ohio
Imaging Diagnosis: Absence of the olfactory bulb and tracts consistent with Kallmann syndrome
Disorders of smell are uncommon in children. The most common cause of temporary anosmia is nasal obstruction associated with upper respiratory tract infections. Obstruction of the nasal airway by enlarged adenoids,1 nasal and nasopharyngeal tumors, or nasal polyps can also cause a decrease in olfactory function. Head trauma, endocrine disorders . . . [Full Text of this Article]
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