The possibility of an underlying tumor should always be borne in mind so that adequate preoperative planning can be undertaken. The presence of the myxopapillary subtype should not prevent a clinician from excluding other reasons for hemorrhage, and counseling when reinstituting anticoagulation must include warning against a worse prognosis from any future hemorrhage.
Fourteen cases of thoracic intervertebral disc prolapse are reported and analysed. Eleven were women, 3 men, and the peak incidence was in the 5th decade. No trauma was reported in our cases. The T8/9 interspace was the most frequently involved. A sensory level was noticed in 6 cases and in four a clear cut sensory level at T10 was observed. Results of surgical treatment show that using microsurgical techniques costotransversectomy and its modifications are equally effective; laminectomy is contraindicated.
SummaryPatients with trigeminal neuralgia may be treated in many ways before referral for definitive surgery. This aspect has been looked at in a group of 140 consecutive patients. Patients on prolonged medication have been studied with respect to the period over which the pain occurred and the amount of carbamazepine taken. Earlier referral for surgery is recommended for some of these patients and guidelines are given.
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