Although a metastatic presentation of an occult prostatic adenocarcinoma is not uncommon, the majority of these patients present with bone metastasis affecting the axial skeleton. Cranial metastases to the paranasal sinuses are extremely rare. A 56-year-old man presented with loss of vision and numbness of the right side of the face. Computed tomography (CT) scan and cranial magnetic resonance ...

This article studies peculiarities of the anatomical and histological structure aortic valve cusps in Baikal seal age 3-3.5 years. Topographically, takes a central position is located between atrioventricular valves, cranial - pulmonary valve. Projectively, placed above level but below The ostium has marked sinuses, two coronary one septal, forming bulb. shown by septal right left semilunar cus...

A 27-year-old woman with headache and right peripheral facial nerve paresis persisting for over 25 days, and left hemiparesis for 2 days, which had all been gradually improving, was admitted to our hospital as she suddenly developed horizontal and vertical diplopia. She had right fourth and sixth cranial nerve pareses, papilledema, and right orbital venous congestion, and also experienced a sei...

PURPOSE To define the variations of the courses of the cranial nerves and the inferior petrosal sinuses as they enter and traverse the jugular foramen. METHODS Thirty-nine cadaveric specimens containing the jugular foramen were scanned with 1-mm contiguous axial and coronal CT sections. Each specimen was dissected to evaluate the position of the cranial nerves and inferior petrosal sinus as t...

A 72 year old gentleman was referred for an MRI study of the brain for evaluation of long standing trigeminal neuralgia and right sided 6th nerve paralysis of more than 2 year duration. He had a history of deep venous thrombosis of the lower limbs for which he had been on warfarin which was later discontinued. There were no findings suggestive of raised intracranial pressure. MRI revealed throm...

Infection is the commonest cause of serious neurologic sequelae of neuraxial anesthesia. The incidence depends on operator skill and patient population. Meningitis, a complication of dural puncture, is usually caused by viridans streptococci. The risk factors are dural puncture during labor, no mask and poor aseptic technique, vaginal infection and bacteremia. Epidural abscess is a complication...

Scoliosis is defined as lateral curvature of the spine. This condition is found in 2% of the population worldwide with a two-fold higher prevalence in women than in men [1]. The challenges faced by anesthesiologists in providing neuraxial analgesia for parturients with scoliosis are inability to identify the epidural space, multiple attempts before catheter insertion, long insertion time, patch...

CLINICAL CASE Craneal sinuses stenosis can appear in patients with idiopathic intracranial hypertension. Neuroimaging techniques revealed a right transverse sinus stenosis. As the pressure gradient between both sides of the stenosis was small and response to conservative treatment good, angioplasty was not indicated. DISCUSSION Lateral sinus stenosis in patients with idiopathic intracranial h...

BACKGROUND Placement of an intrathecal drug delivery system (IDDS) may provide substantial benefit to certain patients. However, placement of these devices is not without complications, and minimal data exist describing the rates of these complications. Specifically, there is a paucity of data describing the incidence of post dural puncture headache (PDPH) following IDDS placement. OBJECTIVES...

BACKGROUND Some anesthesiologists consider combined spinal epidural (CSE) analgesia as superior alternative to continuous labor epidural (CLE) analgesia. However, during CSE, even small doses of intrathecally administered local anesthetics with opioids induce almost instant analgesia that precludes the testing of epidural catheters as well as early appreciation of failed epidural catheters. To ...