Neurosurgery is not widely used to complement pharmacological treatment of Parkinson’s disease. Pallidotomy, a procedure involving heating of malfunctioning brain tissue with an electrode, is the method which has received greatest attention during the 1990s. Several uncontrolled studies have shown that pallidotomy reduces symptoms such as hyperkinesia (involuntary movement), rigidity (stiffness...

We describe a case of painful snapping in the medial aspect of the knee of a 40-year-old man, following a knee hyperflexion injury. Dynamic real-time ultrasonography determined that the snapping was due to the distal tendon of sartorius passing over a medial meniscal cyst. The patient subsequently underwent arthroscopic decompression of the cyst instead of an inappropriate hamstring tendon harv...

Progressive hepatic fibrosis with the development of cirrhosis is a feature of almost all chronic liver diseases. Liver biopsy is currently considered the gold standard for assessing hepatic fibrosis. However, it is an invasive and painful procedure, with rare but potential life threatening complications, limiting its acceptance and repetition in usually asymptomatic patients.1,2 ABSTRACT REZUM...

A 25-year-old man presented with hook nail and painful atrophic pulp over the tip of the terminal phalanx of the right thumb 3 months following a crush injury. Lateral nail folds were poorly defined and the nail was curved. The patient was unable to pick up objects with a precision pinch. Reconstruction was performed with Atasoy antenna procedure. One year later, normal pulp contour of the inju...

STIFF-PERSON syndrome (SPS) is a rare autoimmune central nervous system disorder characterized by fluctuating rigidity and paroxysmal painful spasms of axial and/or limb muscles, due to spinal cord hyperexcitability. Exacerbations of SPS can be triggered by abrupt tactile or auditory stimulation, movement, and stress or surgery. We present a case of a woman with SPS who had an acute exacerbatio...

Bezoar is the foreign body material in the digestive tract. Primary colonic lithobezoar is rarely reported in childhood and is usually associated with the history of iron deficiency anemia, pica or psycho-social disorders. [1] These cases may present with chronic constipation, recurrent abdominal pain, and painful defecation. Evacuation under anesthesia is the usual treatment, but surgery can b...

high. Only distal muscular responses would be accepted. We would be interested to know more about patient acceptance of the procedure, as penetration of the pectoral muscle with a thin needle is sometimes painful. What about a large 17 or 18G Tuohy needle? Although sophisticated methods may be helpful in some circumstances, we believe no device will ever replace good training in the ®eld of per...