Baastrup disease occurs with high frequency among the elderly. Our data show that it develops with increasing age and is part of the expected degenerative changes in the aging spine. Because of the nearly universal association with other degenerative changes, we urge caution before diagnosing Baastrup disease as the cause of back pain.
Herniation of the spinal cord is a rare condition that causes non specific neurological deficits that are often a diagnostic challenge to clinicians. Despite several reports in the neurosurgical literature, it is only recently that the imaging appearances of this condition have come to be recognised, due mainly to the widespread adoption of spinal MRI. It is important for radiologists to recognise the telltale MRI features of this condition, as several cases have undergone initial misdiagnosis, resulting in delayed treatment We present a case with typical imaging features to familiarise radiologists with this condition, as it is likely that more cases will come to the fore, with more spinal MRIs being performed.
Adjuvant intraperitoneal chemotherapy in ovarian cancer has shown improved survival but limited by catheter-related complications. We present a technique of Veress needle use for intraperitoneal instillation of chemotherapy for 220 procedures in 43 patients with minimal adverse effects all managed conservatively. Our unique technique of paclitaxel instillation is described.
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