The authors present a case of acoustic neuroma associated with spontaneous hemorrhage. The sudden onset of new symptoms was noted and appears to be common to all such cases. The computerized tomography appearance of the mass underwent changes consistent with the clinical, surgical, and pathological findings.

No abstract

Subarachnoid-pleural fistula is a rare condition; only 18 cases have been reported. The 19th case of subarachnoid-pleural fistula, which followed a small caliber gunshot wound, is reported. Diagnosis was made via radionuclide scan, and primary operative repair was necessitated by the failure of conservative management. A review of the literature reveals several means of diagnosing this disorder, as well as a number of management alternatives.

The results of a spinal cord injury may be irreversible, or many months of rehabilitation may be required to restore a meaningful, functional lifestyle to the patient. Complications of the injury are numerous, and the financial burden of treatment can be overwhelming. The incidence of debilitating injury has decreased, however, since the advent of intensive education on emergency treatment and preventive methods. With continuing research, aggressive medical care, and innovative surgical methods, the prognosis for these patients, once dismal and devastating, may be greatly improved.