Surg Neurol
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Case Reports
Intracranial mycotic aneurysm associated with transsphenoidal surgery to the pituitary adenoma.
A case is reported in which a mycotic aneurysm of the supraclinoidal portion of the internal carotid artery formed as the result of suprasellar infection following transsphenoidal surgery. The source of infection was thought to be a maxillary sinusitis. The aneurysm was treated with systemic antibiotic therapy and disappeared 4 months after the operation. Repeated angiography showed the whole course from the formation to the disappearance of the aneurysm and was valuable in the treatment of intracranial mycotic aneurysms.
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Writer's cramp is a very disabling condition characterized by difficulty in fine movements of the hand such as writing, shaving, or performing surgery. It is associated with pain in the forearm and upper arm. Women with writer's cramp experience comparable difficulty. ⋯ Of the 20 who had writer's cramp, 13 had complete relief of writer's cramp and pain, 1 had no relief (Dr. Butts), and there were 6 lost to follow-up. At least one cause of writer's cramp is suggested, but no claim is made that this is the only cause.