Neurological deterioration sometimes follows removal of cerebro-spinal fluid by lumbar puncture below a spinal block caused by a tumour. Experience has shown that similar impaction of a spinal intradural tumour may occur following the draining of hydrocephalus. We have used the term "upward spinal coning " to describe this and report four cases in which impaction of an intradural metastasis occ...

We try to understand the behavior of algebraic shifting with respect to some basic constructions on simplicial complexes, such as union, coning, and (more generally) join. In particular, for the disjoint union of simplicial complexes we prove ∆(K∪̇L) = ∆(∆(K)∪̇∆(L)) (conjectured by Kalai [2]), and for the join we give an example of simplicial complexes K and L for which ∆(K ∗ L) 6= ∆(∆(K) ∗∆(L)) ...

An 88-year-old woman with an undiagnosed chronic subdural haematoma underwent emergency repair of a femoral hernia under spinal anaesthesia. The patient complained of headache postoperatively, and a subsequent computed tomography brain scan showed an acute-on-chronic subdural haematoma, with midline shift and impending coning. The patient recovered completely after surgical decompression. The d...

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