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The management of 319 cases with nonmissible depressed skull fractures is discussed. The majority of these injuries (75%) resulted from assaults and more than 90% were compound fractures. Of these, 35 cases were excluded from the series; these were patients who died before investigation or treatment could be instituted, or whose major injury was an… (More)
For relief of meralgia paresthetica the authors have developed a suprainguinal ligament approach for decompression of the lateral femoral cutaneous nerve of the thigh. This proximal approach offers an alternative to the standard infraligament methods. Its chief advantage is that identification of the nerve trunk is easy and accurate. This avoids the tedious… (More)
Bacterial intracranial aneurysms are an important cause of mortality and morbidity in patients with infective endocarditis. Early recognition and appropriate treatment of these aneurysms can yield good results in an otherwise devastating and often fatal neurological illness.
A case is described of a child presenting with an extremely large orbital tumour, which had an alveolar pattern on histological examination. The differential diagnosis, which included alveolar rhabdomyosarcoma, alveolar soft-part sarcoma and non-chromaffin paraganglioma, could only be made on electron microscopic examination. Exact diagnosis was important… (More)
Five cases of localized interhemispheral suppuration are reported. A short description of the 'falx syndrome' is given. The angiographic features of the cases are described.
Wermer's syndrome (or multiple endocrine adenomatosis type I) is a hereditary condition characterized by tumours or hyperplasia involving multiple endocrine organs. Most commonly the pituitary and parathyroid glands and the pancreas are involved. We record a further case, the patient presenting with acromegaly due to a pituitary adenoma, hypercalcaemia due… (More)
The clinical notes of 148 patients who were admitted with head injuries and died were studied retrospectively and compared with the results of a postmortem examination. Risk factors predicting the presence of extracranial injuries were sought. Fourteen per cent of patients admitted with head injuries died. Two risk factors predicted the presence of… (More)