Unusual cause of acute sciatica

Unusual cause of acute sciatica

This 32-year-old-man was admitted to the emergency department because of S1 left acute sciatica. An emergency CT-scan showed a highly probable appearance of herniated disc in L5-S1 level (A). The patient was operated without finding disc herniation, but an aspect of anterior and posterior epidural abscess compressing the dural sheath at L5-S1. Medullary MRI showed after the up and the down exte...

An unusual but important cause of sciatica.

An uncommon cause of sciatica.

A 67-year-old male patient underwent a left nephrectomy for a renal cell carcinoma. Thirty-eight months later, he presented with right sided lower backache, radiating to the posterior aspect of his thigh, calf and foot, paraesthesiae and numbness in the distribution of the right S1 and S2 dermatomes. The presumptive diagnosis was of nerve root entrapment secondary to a disc prolapse. MRI scan o...

Acute shortness of breath: an unusual cause.

A case of cold induced pulmonary oedema in a scuba diver is described. This is rare, but with the increasing popularity of the sport it is important for accident and emergency staff to be aware of the condition. Treatment is symptomatic and the outlook is good.

Unusual cause of acute chest pain.

A 70-year-old lady presented with retrosternal chest pain and recurrent retching for 4 h. She had history of reflux disease with no prior history of coronary artery disease, hypertension or diabetes. On examination, the patient was in acute distress. Investigations revealed a normal hemogram. ECG showed sinus tachycardia with no ST or T wave changes. Cardiac enzymes were normal. Echocardiograph...