Nontraumatic spinal epidural hematoma (NSEH) is a rare but potentially serious spinal disease, which progresses inexorably to a catastrophic neurological situation if left untreated. Nine patients (5 males and 4 females, mean age 59.8 years) with NSEH were admitted to our hospital between 1987 and 1997. Clinical data, imaging, and operative results of these patients were analyzed retrospectivel...

The traumatic rupture of the thoracic aorta is a severe and life-threatening entity. The incidence of penetrating trauma to the aortic arch is not known, because most patients die of haemorrhage even before they receive adequate treatment. Clinical signs of such injuries include external or internal haemorrhage, bruit, distal pulse deficit, neurological deficit and shock. We present a 42-year o...

A 13-month-old female presented to the emergency department with acute neurological deficit. Her parents stated that she had awoken that morning at approximately 6:30 am only looking to the right, with left-sided mouth droop, and weakness on the left side. They reported that the child hit her head earlier that same evening after falling backwards against the wall. She did not lose consciousness...

AIM This paper reports a literature review to examine the effectiveness of inducing hypothermia to decrease neurological deficit after out-of-hospital cardiac arrest. BACKGROUND After cardiac arrest, severe neurological impairment is a major problem. Outcome after anoxic brain injury following cardiac arrest varies from normal function to brain death. However, a large proportion of these pati...

Retinal artery pressure was measured by ophthalmodynamometry in 15 patients with occlusion of the internal carotid artery in its extracranial part. Nine of the patients had severe neurological deficit whereas the remaining six had slight or intermittent symptoms. Retinal artery pressure was reduced on the side of the internal carotid artery occlusion in all patients studied. Near-zero low diast...

Spinal congenital dermal sinus (CDS) is a rare entity which supposedly results from the failure of the neuroectoderm to separate from the cutaneous ectoderm during the process of neurulation. The lesions are most frequent at the lumbosacral followed by the occipital region. CDS of the thoracic region is very rare. The patients with spinal CDS present with meningitis and/or mass effect from the ...

Routine use of prophylactic antibiotics reduces the risk of postcesarean fever and infections by over 50% in both nonelective and elective (scheduled) procedures. Although anaphylaxis to prophylactic antibiotics is rare, potentially fatal complications might occur. Herein, we present a case where disseminated intravascular coagulation and reversible ischemic neurological deficit complicated ana...

AIM To compare the clinical results of different transcortical approaches for the removal of third ventricular colloid cysts (CC). MATERIAL AND METHODS Records of 41 colloid cyst patients who underwent transcortical conventional microsurgical, microsurgical with the aid of stereotactically guided cylindrical retractor (minitubular), and endoscopic removal between 1999 and 2015 were retrospect...

Objectives: The purpose of the study is to describe the radiological features of spinal tuberculosis on MRI (magnetic resonance imaging) and plain radiograph and the role of MRI in assessing the extent of disease, to assess the degree of cord/ thecal sac compression and to correlate with neurological deficit. Methods: This study was done on prospective basis in 30 patients with clinical suspici...

The treatment of arteriovenous malformations (AVMs) depends on the efforts of a multidisciplinary team whose ultimate goal is to achieve better results when compared to the natural history of the pathology. The role of adjuvant treatment modalities such as radiosurgery and endovascular embolization is discussed. Treatment strategies and surgical results from a personal series of 344 patients op...