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An 8-yr-old female child presented with acute onset of severe pain in the lower limbs and difficulty in walking. Spine MRI showed hyperintense signals on T2 weighted images at T2-T3 level, which was intramedullary in location. The patient was operated and histopathology reported as neuroepithelial cyst. Spinal intramedullary neuroepithelial cysts are rare. Spinal cord compression due to the cyst is very uncommon and because of its rarity the present case is being reported. The clinical features, embryogenesis and literature were reviewed briefly.
We present a rare case of right parietal sinus pericranii in a 2-year-old female child who presented with a compressible swelling on the right side of the scalp since 3 months of age, with a large head. Magnetic resonance imaging along with venography and conventional angiogram was performed, which confirmed the diagnosis.
Over the past years, advances in the acute pain management have continued, although reports of inadequate pain relief in hospital patients persist. Low-back pain is one of the top five reasons for which patients seek care; it reports for 5% of all visits to primary health care providers, chiropractitioners and physiotherapists. Only conservative treatment is available in modern medicine with much limitation. Many health care professionals are routinely approached for help with low back pain. This article is about the clinical study of 5 patients of Kati-Shoola (Low-back pain) registered from the Out-patient door, Department of Panchakarma, SDM College of Ayurveda and Hospital, Hassan. The present study is aimed at finding effective management of Kati-Shoola. The drugs selected for managing the patients of Kati-Shoola were Lanka (Capsicum annum), Lasuna (Allium sativum), Ardraka (Zingiber officinale), Nagavalli patra (Piper betle), Saindhava (Rock salt). This formulation was one of the efforts towards ayurvedic clinical research which was tried and successfully incorporated as an adjuvant procedure in the management of Kati-Shoola. In this clinical study patients got significant improvement and no complications were found during and after the clinical study.
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