A 28-year-old female attended an outpatient clinic in October, 1989, because of a tumor in the left supraclavicular fossa, detected in a health examination. Following exploratory puncture of the tumor which yielded milky-white fluid, suggesting a cyst in the thoracic duct, she was admitted to our department. The cyst was unilocular measuring about 6 cm in diameter, and the fluid content was chy...

In the preantibiotic era, pyogenic thoracic vertebral osteomyelitis was often complicated by mediastinal abscess, empyema, or necrotising pneumonia which arose by contiguous invasion late in the disease and progressed to bacteraemia and death.' Since the advent of antibiotics, however, the disease more often presents insidiously and may simulate mediastinal tumour, or gastrointestinal, genitour...

A patient is described in whom an afferent pupillary defect was an early sign of a tumour in the pineal region. It is suggested that this was due to involvement of the pupillary afferent fibres between the optic tract and pretectal nucleus contralateral to the affected pupil.

introduction:surgical treatment of diseases in cervicothoracic, thoracic and thoracolumbar regions can be a challenging issue. cooperation of the thoracic surgeons and spine surgeons can improve the outcomes and decrease the complications of patients who underwent these approaches.materials & methods: the participants of this study consisted of seventeenpatients suffering from different types o...

Ranga Lal, a Hindu male, aged 20 years, was admitted in this hospital 011 the 16th instant, for a tumour on his supra-orbital region extending into the roof of the orbit. History of the case.?The patient stated that about ten years ago lie first noticed a small swelling of the size of a pea-bean on his left supra-orbital region unattended with any pain; the swelling was soft on palpation. It gr...

A 9-yr-old boy with an adrenal phaeochromocytoma underwent removal of the tumour under general anaesthesia using sevoflurane and nitrous oxide combined with thoracic epidural anaesthesia. Skin blood flow in the first toe, as measured by laser Doppler flowmetry, markedly decreased during manipulation of the tumour and increased after removal of it. Skin blood flow correlated more significantly w...

Post-thoracotomy paraplegia after thoracic surgery is a catastrophic complication. We present one such case following resection of a benign posterior mediastinal tumour. Paraplegia was caused by spinal cord compression due to epidural migration of haemostatic agent i.e. bone wax through the spinal canal. Timely intervention leads to the successful outcome.

We report a case of schwannoma of the twelfth thoracic vertebra that presented with paraparesis. The tumour was excised, and posterior and anterior stabilisation was performed. Eighteenmonths following this procedure, the patient has solid bony union, satisfactory neurological improvement and no recurrence.

Spontaneous regression of hepatocellular carcinoma is a rare phenomenon. Abscopal regression of tumours resulting from the effect of irradiation of a tissue on a remote non-irradiated tissue is also rare. The case of a 76 year old Japanese man with hepatocellular carcinoma that regressed after radiotherapy for thoracic vertebral bone metastasis is described. Serum levels of tumour necrosis fact...

Neurofibromatosis type 2 is a genetic disorder with autosomal dominant pattern. It can manifest as intracranial, spinal, ocular and cutaneous lesions. The lesions can extend to all the systems. We present an anaesthetic management of a paediatric patient with neurofibromatosis 2 for multiple spinal and thoracic tumour decompression.