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BACKGROUND: There are a wide variety of treatments available to reduce the impact of spasticity on the quality of life. Phenol (discovered in 1834) has been used for the treatment of spasticity since the 1960s. Phenol causes nerve destruction (neurolysis), and its effects last from 9 to 18 months. OBJECTIVE: The primary purpose of this study was to determine the complications rate associated with phenol peripheral nerve blocks as well as motor point blocks. METHODS: A retrospective study of the all patients treated in our clinic between July 2014 to December 2015. The following variables were analyzed: gender, age, aetiology, sites of nerve block and/ or motor point block, and complications of the procedures. RESULTS: A total of 54 patients received 86 procedures. There were only 4 (4.6%) complications. These included bruising at the injection site, muscles spasm, neuropathic pain, and muscles weakness. All these complications were transient and resolved spontaneously within few days of the procedure. CONCLUSION: The study highlights that peripheral phenol nerve blocks and motor point blocks are safe and simple methods for treatment of focal spasticity.

Objectives: We report the first case of writing apraxia as the main presenting feature of a posterior communicating artery aneurysm. Cerebral aneurysm usually presents with visual impairment, nausea and vomiting, severe headache and loss of consciousness. Case report: A 58year-old man presented to the neurological department because of writing difficulty, which affected his work as an executive. Detailed clinical examination and supplementary radiological investigations confirmed a posterior communicating artery aneurysm. The patient was treated surgically with clipping of the aneurysm and he had full recovery at clinic review. Conclusion: To the best of our knowledge, there has been no previous report of a posterior communicating artery aneurysm presenting with writing apraxia. Our case is unusual because the patient's main presenting feature was writing apraxia secondary to a posterior communicating artery aneurysm.

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