No abstract

Four pediatric patients with mucopolysaccharidoses and an associated carpal tunnel syndrome are presented. Findings in these cases were typical of the adult form of median nerve compression at the wrist, but the patients had minimal symptoms in view of these findings. The importance of careful clinical eximination and early surgical decompression is emphasized.

Little is known regarding affect and the quality of life of elderly persons with malignant brain tumours. More elderly patients are currently being diagnosed with primary malignant CNS tumours and current, aggressive treatment has extended median life expectancy. This case study indicated significant levels of clinical depression and anxiety may be experienced. Additionally, trait anxiety was found to increase with tumour progression. The patient's concern regarding loss of conjugal closeness and social inactivity was identified for the first time in persons with malignant brain tumours. Being progressively less active physically, and more isolated emotionally, this patient used her relatively good general intellectual abilities to worry about her situation. At the present time integration into the community and distress over her ability to be assertive decreased. Practical barriers to the delivery of psychological services were encountered and are likely to have been under appreciated.

The "delta sign" is a triangular area of high density with a low-density center seen on contrast-enhanced computerized tomography (CT) scans in the location of the superior sagittal sinus. It indicates thrombosis of the sinus. The authors describe the "pseudodelta sign," which is similar but is seen on non-contrast-enhanced CT scans and which has a high correlation with hemorrhage secondary to acute head trauma.