Recurrent attacks of bacterial meningitis usually follow in the wake of cranial trauma(l). However, other important factors like sinusitis, mastoiditis, congenital dermal sinuses(2-5) and immunological causes related to humoral immunity and the complement system(6) are also important. Recurrent bouts of meningitis may also be seen with intracranial dermoids(7). The published reports on recurren...

BACKGROUND Difficulty advancing epidural catheters is troublesome to obstetric anesthesiologists. Flexible epidural catheters have been shown to reduce paresthesiae and intravascular catheter placement in parturients, but the cause of inability to advance these catheters past the epidural needle tip remains undefined. Specifically, its incidence and effective management strategies have not been...

BACKGROUND AND PURPOSE Three-dimensional (3D) constructive interference in steady state (CISS) MR imaging is useful for demonstrating cranial nerves (CNs) in the cistern. The purpose of this study was to evaluate normal CNs III, IV, V1, V2, and VI in the cavernous sinuses by using contrast-enhanced, three-dimensional (3D), Fourier transformation CISS MR imaging. METHODS In 76 normal cavernous...

BACKGROUND Growing skull fracture or craniocerebral erosion is a rare complication of linear skull fracture in childhood. It is characterized by progressive diastatic enlargement of the fracture line, which leads to a cranial defect, dural cleft, and cerebral herniation. It is presented as a soft pulsabile scalp swelling above the fracture, with a clear cranial defect. CASE REPORT In this pap...

We present the imaging findings in an 8-week-old infant with LPL deficiency. Due to markedly increased lipoproteins in the serum, abnormal hypodensity and abnormal T1-weighted hyperintensity were identified in the dural venous sinuses and medullary veins.

Infantile dural sinus fistulas are rare and generally have a poor prognosis unless treatment can be undertaken. We report a unique case of an infantile dural sinus fistula with secondary pial recruitment that was managed conservatively. Subsequent spontaneous regression of the lesion occurred over 11 months. The clinical and angiographic features that indicated a probable favorable prognosis ar...

We have reported three cases of iatrogenic lumbar meningocoeles after surgery for herniated lumbar intervertebral discs. We reject the term spurious, pseudo, or false as given by earlier writers. We feel that, in reality, these sacs are true meningocoeles, with complete arachnoidal lining and freely communicating with the intraspinal subarachnoid space. We have also given a brief outline of the...

aggressive malignancy arising from the nasal cavity and paranasal sinuses. Sinonasal undifferentiated carcinoma was first reported in 1986 by Frierson et al, and since then less than 100 cases have been reported in the literature.1 One previous pediatric case has been described in a 12-year-old boy in India.2 Sinonasal undifferentiated carcinoma is histologically classified as part of a spectru...

Two cases of non-invasive aspergillosis of the nose and paranasal sinuses are described. The first presented with left proptosis and ophthalmoplegia. Imaging and histology showed a maxillary sinus aspergilloma. The second case presented as a compressive optic neuropathy and histology showed allergic aspergillus sinusitis. The pathological distinction between invasive and non-invasive forms of a...