BACKGROUND Intraspinal dermoid cysts are rare and benign tumors that occur primarily due to the defective closure of the neural tube, an ectodermal derivative, during the process of development. They are slow-growing tumors manifesting in the second and third decades of life. CASE PRESENTATION We present here a case of a 14-year-old Sindhi boy with a six-month history of paraparesis of the lo...

Carpal tunnel syndrome (CTS), the most frequent type of entrapment neuropathy, is caused by compression of the median nerve inside the tunnel formed by the wrist bones and the carpal annular ligament. This condition affects between 1% and 3% of the population, and it is 4 times more common in women than in men. Incidence peaks between the fourth and sixth decade of life, and more than 50% of ca...

BACKGROUND Neuropathic pain has been little studied in leprosy. We assessed the prevalence and clinical characteristics of neuropathic pain and the validity of the Douleur Neuropathique 4 questionnaire as a screening tool for neuropathic pain in patients with treated leprosy. The association of neuropathic pain with psychological morbidity was also evaluated. METHODOLOGY/PRINCIPAL FINDINGS Ad...

OBJECTIVE To present an evidence-based case report on the prognosis of a patient with sciatica. CASE A 43-year-old man presented with right-sided buttock and lower extremity pain and numbness of 10 weeks' duration. Magnetic resonance imaging revealed a lumbosacral disc herniation. Straight leg raise testing provoked the patient's right sciatic pain, and neurologic examination revealed a dimin...

INTRODUCTION Intracranial schwannomas unrelated to the cranial nerves are uncommon. We report a new case of tentorial schwannoma unrelated to the cranial nerves, with extension into the pons. A literature review with discussion of the most relevant pathogenetic aspects is also performed. CASE PRESENTATION A 42-year-old Caucasian man was admitted with right-sided paresthesias and weakness of h...

BACKGROUND Trigeminal neuralgia (TN) related to multiple sclerosis (MS) is more difficult to manage pharmacologically and surgically. OBJECTIVE This article aims to evaluate the safety and efficacy of Gamma Knife surgery (GKS) in this special group of patients. METHODS Between July 1992 and November 2010, 43 cases with more than 1 year of follow-up were operated with GKS for TN related to M...

Disk fragment relocation is commonly limited to the anterior epidural space, although posterior epidural movement of a sequestrated disk piece to the posterior epidural space is infrequent. We present an uncommon case of dorsal extradural sequestration of lumbar disk herniation. A 77-year-old man presented with severe leg pain, low back pain, and urinary incontinence. Deep tendon reflexes were ...

INTRODUCTION Metastasis to the oral cavity can be located in both the soft and bony tissues and comprise only 1% of all oral malignancies; however, it is clinically significant because it indicates widespread metastatic disease and an unfavorable prognosis. A numb chin is an important presentation of oral metastasis, but other dental and systemic pathology may be involved. PRESENTATION OF CAS...

BACKGROUND Kampo medicines are traditional Japanese medicines produced from medicinal plants and herbs. Even though the efficacy of Kampo medicines for controlling cancer-related symptoms is being reported, their actual nationwide clinical use has not been comprehensively investigated. We aimed to investigate physicians' recognition of Kampo medicines and their clinical use for cancer patients ...

STUDY DESIGN  Case report. OBJECTIVE  To describe a case of spinal cord transection in a 6-year-old child. BACKGROUND INFORMATION  Non-missile injury of the spinal cord is not common and its incidence varies according to the country. In addition, to our knowledge, there are no published reports of spinal cord injury (SCI) from a penetrating nail. Here, we report the case of a child who deve...