SununaryDenmark has a population of about 5·2 million. The rehabilitation of spinal cord injured (SCI) takes place in two specialised rehabilitation hospitals. The incidence of new traumatic SCI admitted to these hospitals in the period 1975-1984 was 9· 2 per million per year. During this period 92 Danes with non-traumatic and 268 with newly sustained traumatic spinal cord lesions were admitted to the rehabilitation hospital in Hornbeek, which uptake area corresponded to South and East Denmark and Greenland and the Faroe Islands. Among the traumatic SCI 47% were due to traffic accidents, 23% to falls to a level below, 8% to attempted suicides, 6% to shallow water diving, and 6% to sporting accidents. The number of SCI caused by traffic accidents was found to decrease coincidently with the introduction of general speed limits and compulsory seat belt wearing. The male/female ratio was for the traumatic SCI 3-3, which was significantly lower than in the preceding la-year period. 40% of all traumatic SCI were sustained at 15-24 years of age, and 51% had tetraplegia. Traffic accidents gave rise to more cervical, and falls to more caudal lesions. 41 % of the traumatic SCI had an improvement in their neuro logical status after their admission to the neurosurgical department until the dis charge from the rehabilitation hospital. Those with incomplete lesions showed greater improvement than those with complete lesions regardless of the level. Complete cervical lesions had significant better remissions than complete thoracic/lumbar lesions.

SummaryDuring the period 1 January 1965 to 31 December 1986, 27 patients were admitted to the Rehabilitation Hospital in Hornbaek after traumatic spinal cord injury (SCI ) sustained in Greenland. The commonest cause of injury was attempted suicide (7 patients), of which 6 were jumps from buildings. Six resulted from accidental falls to a level below and even 2 out of the 3 cases of SCI following violence were due to falls. There was only one traffic injury, a motor cycle accident. Fourteen patients were under the influence of alcohol at time of injury. Nine were tetraplegic (3 complete, 6 incomplete), and 18 paraplegic (10 complete, 8 incomplete). Ten regained useful neurological remission. Of the 23 native Greenlanders only 4 para plegics and 1 tetraplegic remained in their previous residences, 5 resettled in Den mark. At the time of follow-up 17 patients were living alone and only 7 were in work.

Basal cell carcinomas of prostate (BCCP) are very rare. Most arise in the transition zone and thus are associated with lower urinary tract symptoms and rarely associated with elevated prostate-specific antigen (PSA). These features make diagnosis/early diagnosis difficult because of the routine protocols followed. Basal cell carcinomas have distinctive histopathological, immunohistochemical, and to some extent also different molecular characteristics. Basal cell carcinoma in situ (BCCIS) is a nonexistent histological lesion as per the current literature, but here is an attempt to describe it through this case. A 74-year-old man presented with hematuria and previous diagnosis of prostatic hyperplasia. Based on this history, he underwent a prostatectomy ad modum Freyer. Pathological examination surprisingly revealed a diffusely infiltrative tumor with nonacinar adenocarcinoma morphology and many glandular structures probably representing BCCIS. Tumor was diagnosed as BCCP. Patient presented with metastasis to the abdominal wall 8 months postprostatectomy. BCCP is an aggressive type of prostate cancer, which might be challenging to diagnose based on routine protocols. This results in delayed diagnosis and treatment and thus poor prognosis. Furthermore, patients with this subtype of prostate cancer need appropriately designed, and maybe a totally different follow-up regimen as PSA is of no use for BCCP patients. Finally, diagnosis of BCCIS, if agreed upon its existence needs to be studied in larger cohorts as a precursor lesion.

Purpose: Visceral venous aneurysms are rare, especially in the inferior mesenteric vein (IMV). We report a giant IMV aneurysm secondary to an iatrogenic arteriovenous fistula (AVF). Case Report: A woman presented with an incidental finding of a 7 cm large IMV aneurysm and an inferior mesenteric arteriovenous shunt. The patient underwent successful endovascular occlusion of the shunt to avoid aneurysm rupture and portal hypertension. Conclusion: Embolization is a possible treatment strategy for mesenteric venous aneurysms with an AVF. Clinical Impact We describe an unusual mesenteric AV-shunt from a surgical crush injury that caused a giant venous mesenteric aneurysm and offer technical aspects on minimally invasive endovascular treatment.