Used predominantly in the treatment ofmalignant pain in the trunk, pelvis and lower limbs, the most successful of these — dorsal rhizotomy, spinothalamic cordotomy and myelotomy—were considered todemonstrate, invariably in non-randomised case series, good to excellent results in selected patients with nociceptive cancer pain. Pain relief would usually bemaintained through a survival period of 9...

A 17-year-old boy had progressive stiffness of lower limbs and decreased pain and touch sensation on the right, then left, leg for 1 month. He had mild kyphosis, grade IV spasticity, pyramidal pattern of weakness in lower limbs, brisk reflexes, and extensor plantar responses with impaired spinothalamic and posterior column sensation below T7. Imaging suggested Scheuermann disease (figure), whic...

The prevalence of symptomatic syringomyelia in patients with chronic spinal cord injury (SCI) is around 4.5%. It is an important cause of treatable neurologic deterioration, although surgical shunting of the syrinx or arachnoid adhesiolysis of tethered elements have unpredictable results. Classically, syrinx extension causes progressive neuropathic pain, often with dissociated sensory loss due ...

foreign bodies in lower urinary tract may present in a different number of ways. we report four cases of such unusual presentation. physical examination and plain radiograph was sufficient enough to confirm our diagnosis in all cases. the cases belonged to different age groups and three out of four cases were managed by open surgical approach. one foreign body was removed using cystoscope. prom...

The ability of 17 cats to discriminate floor temperatures 2-4 degrees C below the ambient temperature was tested before and after unilateral electrolytic thalamic lesions. The lesions were made contralateral to the paws showing better performance in the temperature discrimination task. They were aimed at one or more of the three main target areas of thermoreceptive-specific lamina I spinothalam...