Surg Neurol
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Case Reports
Coarctation of the descending aorta with aneurysm of the anterior communicating artery.
A case of a 19-year-old woman who had coarctation of the descending aorta associated with an aneurysm of the anterior communicating artery is reported. The aneurysm was successfully clipped during the acute phase of subarachnoid hemorrhage.
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Ten patients underwent placement of a lumbar subarachnoid catheter attached to a subcutaneous reservoir allowing daily injection of intrathecal morphine sulfate by family members. Sacral and pelvic pain were fairly well controlled. ⋯ Using this technique, narcotic concentration and frequency of administration can be easily altered to provide a safe but effective dose. Lumbar administration appears to block pain from lumbar and sacral dermatomes without the sedating and mood-altering effects of systemic narcotics.
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A patient treated 12 years previously with an operation and radiation therapy for a medulloblastoma developed weakness of the left hand and perivascular calcification involving the right internal capsule and caudate nucleus. These findings are considered possible long-term complications of the radiation therapy.
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We present a case in which the skull and brain were pierced by a piece of wood, the low attenuation value of which, in a CT scan, simulated an intracerebral pneumatocoele. The risk of misinterpreting the CT appearance of intracranial wood is discussed, and the importance of thorough exploration of a penetrating cranial injury is stressed.