East African medical journal
-
Case Reports
Neurological manifestations following partial excision in spinal meningioma: case report.
Presented here is a 16-year-old girl who was referred on 30th January 1996 with diagnosis of cord compression with spastic paraplegia with sensory level at T7/T8. CT scan myelogam confirmed soft tissue density mass displacing cord to the left with no dye being seen beyond T3. Thoracic spine decompressive laminectomy was performed on 1st January 1996 at Nairobi West Hospital extending from T3 to T6 level, which revealed a fibrous haemorrhagic tumour. ⋯ She was followed up by the author and other medical personnel in Mwea Mission Hospital where she eventually succumbed in 2005, nine years after her first surgery. This case is presented as a case of incompletely excised spinal meningioma to highlight some of the problems of managing spinal meningiomas when operating microscope and embolisation of tumours are not readily available. Also the family experienced financial constraint in bringing the patient for regular follow-up, and getting access to appropriate antibiotics, catheters and urine bags.
-
To determine the rate of blood loss and its restitution during Caesarean section and make recommendations to improve our practice. ⋯ The rate of blood transfusion during Caesarian section is high. Antepartum haemorrhage and pre-eclampsia were predictable indications for major blood loss and transfusion. Major blood loss and transfusion rate were negligible in patients presenting with foetal distress, cephalo-pelvic disproportion and breech presentation.