Rupture of the liver is a rare condition in newborn infants and most cases are diagnosed at autopsy. Only 11 instances of survival have so far been recorded, by Rogers (1934), Arden (1946, 1951), Potter (1952), Arden, Dique and Wrench (1955), Bret, Jamain and Coupe (1956), Greaves (1955), Mason Brown (1957) and Dennison, cited by Mason Brown. It therefore seems worth recording that we have enco...

A 51 year old man presented in 1969 with slowly progressive cerebellar ataxia of unknown origin. He was admitted to hospital aged 68 after a fall, and a ruptured spleen was removed at laparotomy. Histological analysis of the spleen suggested Niemann-Pick disease, which was subsequently confirmed. He deteriorated and died of bronchopneumonia shortly afterwards: subdural haemorrhage with storage ...

Obstetrical paralysis after a difficult labour is usually attributed to tearing or stretching of the nerve trunks of the brachial plexus or to avulsion of nerve roots from the spinal cord. Injury to the cord itself, however, is not excessively rare (Ford, 1960), the principal findings at necropsy being subdural or extradural haemorrhage, laceration or rupture of the cord, or a haematomyelia. In...

A 2 month old infant presented with bilateral subdural haemorrhages and bilateral subhyaloid haemorrhage. The parent admitted to forceful bouncing of the child in a baby rocker. Experiments showed that violent rocking in the chair could produce extreme alternating acceleration/deceleration forces in excess of those induced by shaking alone. Such handling could not be interpreted as accidental m...

A total of 31 adult patients with moderate and severe head injury were assessed clinically on admission for Glasgow Coma Scale (GCS) and short test of mental status (STMS) on follow-up and compared to their initial and follow up CT scan. Good predictors were admission GCS, midline shift, volume of subdural haemorrhage in the initial CT scan of the brain as well as the presence of post-traumatic...

Occipital osteodiastasis (OOD) is a prominent traumatic lesion in neonates born by breech, during delivery of after coming head. The lesion consists of traumatic separation of the cartilaginous joint between the squamous and lateral portion of the occipital bone resulting in a posterior fossa subdural haemorrhage associated with laceration of the cerebellum. We report a term female baby with OO...

We present the unusual association between chronic subdural haematoma (CSDH), intracranial arachnoid cyst and autosomal dominant polycystic kidney disease (ADPKD) in a 27-year-old man. CSDH is a documented complication of intracranial arachnoid cyst, the incidence of which is increased in patients with ADPKD. Awareness of this association may lead to earlier diagnosis of ADPKD and treatment of ...

531 of observation were available for analysis. In total, 46 women had been diagnosed during the follow up period by the consultant responsible for their care as suffering from a first stroke (ICD (8th revision) codes 430-438). Thirteen had suffered a subarachnoid haemorrhage, of whom four died; eight had an aneurysm or arteriovenous malformation detected by angio-graphy or at necropsy. Two oth...