Primary Ewing's sarcoma arising from the skull is extremely rare. We report a case of an 11-year-old male child with primary Ewing's sarcoma of the frontal bone with intracranial extension. We also discuss the imaging and intraoperative findings and describe our use of a split calvarial graft in the present case.

Geç bulgu veren kapalı total (pantalar) talus çıkığı: Nadir bir olgu sunumu ve literatür değerlendirmesi Rajesh DULANI, Sandeep SHRIVASTAVA, Sameer DWIDMUTHE, Ravi PUROHIT Talus ve peritalar eklemin majör kırık ve çıkıkları nadirdir. Bu yazıda, gecikmeli başvuran, kapalı total talus çıkı-ğı, mediyal malleol kırığı ve posterior talar tüberkül kırı-ğı yaralanmalı, nadir görülen olgu sunuldu. Bu yazıda, literatürdeki daha önceki sunum ve önerilen tedavi değer-lendirildi.Anahtar Sözcükler: Total talus çıkığı; gecikmeli başvuru; kapalı yaralanma.Major fractures and dislocation of the talus and peritalar joint are uncommon. We present here a very rare case of injury with delayed presentation of closed total talus dislocation with fractured medial malleolus and posterior talar tubercle fracture. This report analyzes previous reports in the literature and the proposed treatment.

Tibial hemimelia is a rare condition. We present a variant of tibial hemimelia not reported in literature before. In this variant, we were able to successfully salvage the limb with excellent function to carry on with life.

Intradural lumbar disc herniation (ILDH) is uncommon pathology. In present report, authors present a case of ILDH associated with dorsal herniation of the cauda equina rootlets in a 30-year-old male laborer who had chronic backache since last two years. To the best of our knowledge we are reporting this for first time. Report demonstrates the natural course of ILDH.

A ccidental penetrating injury of the leg is common in the emergency room setting, and some patients have no bone injury on radiographs. We report a delayed sequel of vascular injury to the posterior tibial artery, following penetrating injury to the leg, which was later additionally e54 (1) COPYRIGHT Ó

No abstract

<span style="font-family:'Times New Roman','serif';font-size:10pt;">Subdural hematomas are often life-threatening when acute but chronic subdural hematomas, however, have better prog</span><span style="font-family:'Times New Roman','serif';font-size:10pt;">nosis if properly managed. Chronic subdural hematomas are common in the elderly due to shrinkage of brain tissue,</span><span style="font-family:'Times New Roman','serif';font-size:10pt;"> </span><span style="font-family:'Times New Roman','serif';font-size:10pt;">but in young patient mostly associated with head injury. It is seen also in young having various coagulopathies associated with blood disorders or drug-induced,</span><span style="font-family:'Times New Roman','serif';font-size:10pt;"> </span><span style="font-family:'Times New Roman','serif';font-size:10pt;">but it is very rare. Propylthiouracil (PTU) is an oral medication that is used in treatment of hyperthyroidism approved by FDA in </span><span style="font-family:'Times New Roman','serif';font-size:10pt;">J</span><span style="font-family:'Times New Roman','serif';font-size:10pt;">uly 1947. This medication may rarely cause very serious blood disorders (such as a low number of red cells, white cells, and platelets), especially during the first few months of treatment.</span><span style="font-family:'Times New Roman','serif';font-size:10pt;"> </span><span style="font-family:'Times New Roman','serif';font-size:10pt;">We are reporting a rare case of</span><span style="font-family:'Times New Roman','serif';font-size:10pt;"> </span><span style="font-family:'Times New Roman','serif';font-size:10pt;">PTU-induced</span><span style="font-family:'Times New Roman','serif';font-size:10pt;"> </span><span style="font-family:'Times New Roman','serif';font-size:10pt;">thrombocytopenia leading to chronic subdural haematoma,</span><span style="font-family:'Times New Roman','serif';font-size:10pt;"> </span><span style="font-family:'Times New Roman','serif';font-size:10pt;">which presented with established papilledema and signs of raised ICP in a hyperthyroid female and she responded well to surgical management<b>.</b></span>

Objective:To evaluate the usefulness of conventional spinal surgery as palliative procedure to rehabilitate dorsolumbar injuries in a rural setup.Materials and Methods:Twenty-three patients with dorsolumbar spine injury with complete paraplegia were assessed on the clinical and social rehabilitation parameters after surgical stabilization at Acharya Vinoba Bhave Rural Hospital Sawangi, Wardha, India. The study group comprised 21 male and 2 female patients. The dorsolumbar spine injury was fixed by conventional posterior instrumentation using short-segment pedicle screw system and Harrington rod system with or without fusion. Functional and neurologic outcome was recorded in the follow-up period by using Functional Independence Measure and Frankel grade, respectively. Correlation and analysis of results was established statistically.Results:Functional outcome showed statistically significant improvement. Social cognition was found intact in a significant number of patients.Conclusion:This study demonstrates the usefulness of conventional instrumentation as palliative surgical approach to stabilize and rehabilitate patients from deprived sector of rural India.