A 66-year-old woman presented with intermittent paraparesis and generalized tonic-clonic seizure. Cerebral angiography demonstrated dural arteriovenous fistula (AVF) involving superior sagittal sinus (SSS), which was associated with SSS occlusion on the posterior one third. The dural AVF was fed by bilateral middle meningeal arteries (MMAs), superficial temporal arteries (STAs) and occipital ar...

Thoracic Epidurals: Anatomic Explanation Central neuraxial block has a low incidence of major complications, many of which resolve within 6 months. During attempts to insert a spinal needle into the lumbar subarachnoid space, patients occasionally experience paresthesia, with a reported incidence of 13.6%. Neurologic complications, including spinal cord injury, may arise during administration o...

BACKGROUND Cervical interlaminar epidural injections are performed frequently in managing chronic neck and upper extremity pain, although less commonly than lumbar interlaminar epidural injections. Recently, the US Food and Drug Administration warnings and safeguards to prevent neurologic complications. These were developed by the Multi-Society Pain Workgroup have taken center stage for all typ...

Puncture wounds are a common cause of minor trauma in children. These injuries can lead to serious infectious complications if not managed properly, especially if there is involvement of the plantar surface of the foot.1 There is a striking paucity of data in the pediatric literature on the management of plantar puncture wounds. This review on the evaluation and management of plantar puncture w...