We report a case of non missile penetrating spinal injury (NMPSI) caused due to an impaled knife in the lumbar region. The patient was neurologically preserved and presented with the knife blade retained in his back. The wound with the knife in situ was explored, the knife removed and a dural laceration was repaired. The wound healed without evidence for cerebrospinal fluid leakage or infection.

Subdural hematoma (SDH) has been reported in 0.5-4% of all intracranial metastatic tumors. Chronic SDH has been reported in intracranial metastases from both solid and haematological malignancies. Here we report recurrent SDH in a patient with chronic myeloid leukaemia (CML) following dural metastases. An elderly male patient a known case of CML was admitted to our casualty with symptoms of headache and altered sensorium and imaging revealed a large right fronto temporo parietal chronic SDH. This was surgically managed and histopathology of the duramater and subdural membrane confirmed infiltration with leukemic cells. The pathogenesis of chronic SDH in malignancies is multifactorial and this case report throws light on leukemic infiltration of duramater as a cause for chronic SDH other than coagulopathy. keywOrds: Dural metastases, Subdural hematoma, Leukemia ÖZSubdural hematom (SDH) tüm intrakraniyal metastatik tümörlerin %0,5-4'ünde bildirilmiştir. Kronik SDH hem solid hem hematolojik malignansilerden intrakraniyal metastazlarda bildirilmiştir. Burada kronik myeloid lösemili (KML) bir hastada dural metastazlardan sonra reküran SDH bildiriyoruz. Bilinen KML olgusu olan yaşlı bir erkek hasta acil servisimize başağrısı ve bilinçte değişiklikle geldi ve görüntüleme büyük bir sağ frontotemporoparietal kronik SDH gösterdi. Bu durum cerrahi olarak tedavi edildi ve duramater ve subdural membran histopatolojisi lösemik hücrelerle infiltrasyonu doğruladı. Malignansilerde kronik SDH patogenezi multifaktoriyaldir ve bu olgu raporu kronik SDH nedeni olarak koagülopati dışında duramaterin lösemik infiltrasyonunu aydınlatmaktadır.anaHtar sÖZcÜkLer: Dural metastazlar, Subdural hematom, Lösemi

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The authors report a very rare case of tuberculoma involving the ulnar nerve. The patient, a 7-year-old girl, presented with swelling over the medial aspect of her right forearm just below the elbow joint, with features of ulnar nerve palsy, including paresthesias along the little and ring fingers and claw hand deformity. There was a history of trauma and contact with a contagious case of tuberculosis. There were no other signs of tuberculosis. At surgical exploration the ulnar nerve was found to be thickened, and on opening the sheath there was evidence of caseous material enclosed in a fibrous capsule compressing and displacing the nerve fibers. The lesion, along with the capsule, was subtotally removed using curettage, and a part of the capsule that was densely adherent to the nerve fibers was left in the patient. Histopathological examination of the specimen was consistent with tuberculoma. The patient received adequate antitubercular treatment and showed significant improvement.

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