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A series of 170 infants and children were operated upon under caudal analgesia. Lignocaine was used in concentrations from 0.5 to 2 per cent. The average dose employed was 10 mg/kg body weight. Analgesia was satisfactory in 91.7 per cent of cases. Complete failure occurred in 5.2 per cent of patients. No serious accidents or complications were seen due to the anaesthetic method. In the author's experience this technique represents a safe, reliable and simple way to produce surgical analgesia in infants and children, especially in those needing emergency surgery who are in poor condition.

Spinal extradural meningioma constitutes a rare lesion. INGRAHAM (1938) was the first to report a case of spinal extradural meningioma localised at the level C3-C5 in a 10-year-old boy suffering from Recklinghausen's disease. RASMUSSEN, et al. (1940), reporting on 557 spinal tumors, found that out of 140 meningiomas, 130 were intradural (93%) and 10 were both intradural and extradural (7%) ; apparently none was exclusively epidural.In his series of 73 spinal meningiomas, ELSBERG (1941) described 4 extradural meningiomas (5,5%) ; BULL (1953) reported 6 cases out of 59 (11.7%); ARSENI and LONESCO (1958) 9 out of 114 (7.8%); BERNASCONI and CASSINARI (1961) 3 out of 44 (6.8%), and LOMBARDI and PASSERINI (1961) 3 out of 71 (4.2%). Other cases have been reported by RAND and RAND (1960; 1 case) and LIANG YES Soo (1966; 1 case; while the 2nd case is really extra and intra-dural).Heruntergeladen von: National University of Singapore. Urheberrechtlich geschützt.

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