Foramen of Winslow herniation is a rare occurrence with a high mortality; it presents a diagnostic challenge with subtle clinical and radiological features. We present a case of caecal herniation through the foramen of Winslow creating a closed loop obstruction which remained undiagnosed until laparotomy. Reduction was achieved with gentle traction after first decompressing the caecum whilst st...

We present the CT, MR, and autopsy findings of central brain herniation in a 9-year-old boy undergoing treatment for diabetic ketoacidosis (DKA). Severe cerebral edema resulting in central brain herniation is an uncommon complication of the treatment of DKA but carries with it high morbidity and mortality. Radiologic imaging and autopsy findings in this case revealed striking infarctions of cen...

The most common cause of lumbar or sacral nerve-root compression probably is herniation of the nucleus pulposus. There are some patients with typical clinical-and even radiological-evidence of ne'rVe root compression, however, in whom no herniation is found at operation; instead the nerve root is compressed by a fold in the posterior longitudinal ligament, and, when this is excised, there is

Intradural lumbar disc herniation (ILDH) is uncommon pathology. In present report, authors present a case of ILDH associated with dorsal herniation of the cauda equina rootlets in a 30-year-old male laborer who had chronic backache since last two years. To the best of our knowledge we are reporting this for first time. Report demonstrates the natural course of ILDH.

STUDY DESIGN Retrospective study. PURPOSE The objective of the study is to evaluate the relationship between the detection rate of lumbar disc herniation and socioeconomic status. OVERVIEW OF LITERATURE Income is one important determinant of public health. Yet, there are no reports about the relationship between socioeconomic status and the detective rate of disc herniation. METHODS In th...

Muscle herniation of the extremity is a rare clinical entity. Here, we report two patients with muscle herniation at different locations. The first case is a 52-year-old man complained of pain, a local mass, and paresthesia on his right cruise, especially occurring during prolonged exercise. He had medical history including accidentally cut his cruris with the saw two years ago, fortunately he ...

BACKGROUND Decompressive hemicraniectomy (DHC) reduces mortality and improves outcome after malignant middle cerebral artery infarction (MMI) but early in-hospital mortality remains high between 22 and 33%. Possibly, this circumstance is driven by cerebral herniation due to space-occupying brain swelling despite decompressive surgery. As the size of the removed bone flap may vary considerably b...

We studied the natural history of extruded lumbar intervertebral discs using MRI. Forty-nine patients with lumbar disc herniation were included in this study. Ages ranged from 19 to 57. On the T2-weighted sagittal MR image, the signal intensity in the herniated mass was measured and the ratio to that in the original nucleus (i.e., nucleus pulposus from which they extruded) was calculated (signa...

In the past few years, hindbrain herniation has become recognized as a frequent feature of the child with syndromic craniofacial dysostosis. The clinical significance of hindbrain herniation in these disorders is unclear. Abnormalities of respiratory control have frequently been reported. The aim of the present study was to document the incidence of obstructive and central respiratory abnormali...