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The unusual computed tomographic findings of an extensive intramedullary lipoma of the dorsocervical spinal cord, which extended into the brain stem, in a 9-month-old infant are described and correlated with the surgical findings. The operative therapeutic options are discussed.

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The authors report on two cases with unusual CSF shunt complications. The first case had a peritoneal catheter which migrated down a patent processus vaginalis into a hydrocoele. The second case had an atrial catheter which perforated the atrial wall and came to lie in the pericardium causing an effusion. Clinicians should be aware of the frequent and occasionally bizarre complications of CSF shunting.

A rare case of nasopharyngeal teratoma (epignathus) is described in a newborn female, presenting with life threatening respiratory embarrassment. Complete excision was achieved. The management and differential diagnosis are discussed, accompanied by a review of the literature.