The incidence of CSDH is much higher than previously reported. Reasons include a low threshold for imaging patients with recurrent falls and confusion, increasing use of anti-thrombotics and ageing population. In many older patients CSDH is a marker of underlying co-morbidities rather than a primary event.

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Human herpes virus 6-associated retrobulbar optic neuritis in an HIV-infected patient: response to anti-herpesvirus therapy and long-term outcome.

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BackgroundThe use of opioids in non-cancer patients has increased dramatically over the past few years. The most common endocrine dysfunction with opioid use is hypogonadism, but it has been reported in a small number of cases that adrenal insufficiency and adult growth hormone deficiency can also occur. Clinical CaseConclusions: This is one of very few cases demonstrating the effect of opioids on GH levels, other than causing hypogonadism. More research is needed to determine which opioids are more likely to cause endocrine dysfunction and which patients need to be screened and treated.