Turk Neurosurg
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To study the clinical value and efficacy of computerized tomography (CT)-monitored microinvasive craniopuncture for traumatic epidural hematoma. ⋯ Under CT surveillance, the YL-1-type disposable intracranial hematoma smash puncture needle aspiration in the treatment of traumatic epidural hematoma is a simple, fast, and accurate positioning procedure. Without craniotomy and blood transfusion, the YL-1-type disposable intracranial hematoma smash puncture needle aspiration is a safe and effective operation, but close attention is needed during the operation.
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Sacral fractures are generally seen together with pelvic ring fractures. They can also develop in isolated form rarely. Instability is observed in these fractures in rates reaching 30%. ⋯ Serious spinopelvic instability can be talked of in sacral fractures accompanied by pelvic fractures, particularly when the anterior and posterior integrity of the pelvic ring is interrupted together. An aggressive stabilization and fixation must be performed without delay.
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Extradural archnoid spinal cysts are rare lesions. Their localization is usually the thoracic spine. Clinically, they are a cause of spinal cord and/ or nerve roots compression. ⋯ We report the case of a 5-year-old girl with spinal cord compression symptoms who was treated by open surgery. We performed dural defect repair. The outcome was good in the immediate post operative period without complication and total recovery.
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Piriformis syndrome is a rare neuromuscular disorder that occurs when the piriformis muscle compresses or irritates the sciatic nerve. The treatment of piriformis syndrome includes injections into the piriformis muscle around the sciatic nerve. These invasive approaches have been used with various techniques to increase the safety of the procedure. Computed tomography (CT)-guided injection of the piriformis muscle and the clinical outcome of the patients are discussed. ⋯ CT-guided piriformis injection is a safe and effective method in the treatment of piriformis syndrome.