Pediatric C-2 fractures have been managed with initial cranial skeletal tong traction or a period of bed rest for reduction and alignment followed by external and/or surgical stabilization. Thirteen children were managed with early halo orthosis to provide the initial reduction/alignment and to accomplish long-term stabilization. Eighty percent had fusion with the halo alone, and 20% went on to fuse after surgery. The average hospitalization for isolated C-2 injury was 10.6 days. Minor complications occurred in 46% of the patients. The literature is reviewed as to the management and outcome of pediatric axis fractures.

Correlations were sought among psychopathologic, neuropsychological, and seizure variables in 21 patients with limbic epilepsy. Observer-based assessments, such as the Bear-Fedio Inventory, and self-report assessments of psychopathology were used. Self-reported psychotic experiences were associated with increased seizure frequency. Increased religiosity was noted in patients whose epileptic focus included the left side. Increased neuropsychological impairment was associated with several measures of psychopathology, including those related to thought disorder, psychoticism, and affective disturbance.

The history of the original American Society of the Regional Anesthesia is presented-its birth, growth, and eventual dissolution. Reasons for its dissolution are discussed.

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