Delayed Onset Pneumo-hydrocephalus Caused by Traumatic Skull Base Fracture: A case report

Pneumocephalus is defined as the presence of air or gas within the cranial cavity. It is usually associated with disruption of the continuity of the skull after head and facial trauma, neuro or otorhinolaryngologic surgery, and rarely, spontaneously. But a case of pneumo-hydrocephlus, a special subtype of pneumocephalus, has been rarely reported. This is a case of a 26-year-old quadriplegic patient who traumatic brain injury with left frontoparietal skull bone fracture and epidural hemorrhage with developed of pneumo-hydrocepahlus in the ventricle 6 months after injury. The mechanism of this case can be explained by the "inverted bottle" hypothesis. Clinical observation suggests that the leakage of cerebrospinal fluid through the ventricle-peritoneal shunt tube caused negative pressure gradient differences resulting in the inflow of outside air into the ventricle through fissures created by concealed fracture of the skull base.

A Survey on the Health Status of Population with Disability in Goyang City

OBJECTIVE: To improve the quality of life of the disabled population by decreasing the incidence of complications and chronic diseases and improving self-care abilities according to individual diseases through health status evaluation and basic survey. METHOD: The basic clinical information of 1,378 regional severely-disabled patients were collected along with information regarding functional level, activities of daily living, nutritional status, and management of complications which were distinguished into 3 stages (good, moderate, poor), which were correlated into scores (1-3 points) that were used to assess a collaborative score (5-15 points) that represented their health status. Health behavior and blood tests were also done. RESULTS: Health status were evaluated based on sex, grade of disability, age, frequency of exercise and type of disability, which revealed that female sex, brain disorder, 1st grade disability, total lack of exercise, old age disabled patients were relatively poor in terms of health status. CONCLUSION: Health status of the severely-disabled showed differences according to sex, age, grade of disability, type of disability, and frequency of exercise, and health programs designed to screen and follow up the severely-disabled person with poor health status as well as manage their accompanying diseases and complications are needed.

"Trigger Finger at the Wrist" due to Anomalous Flexor Digitorum Superficialis Muscle Belly with Carpal Tunnel Syndrome: A Case Report

"Trigger finger at the wrist" is a rare phenomenon. The main symptom consists in a triggering at the wrist produced by finger motion. Its etiology and presentation may vary. One of etiology, some anomalies of muscle can cause this disease. Triggering finger at the wrist with carpal tunnel syndrome by abnormal the belly of the flexor digitorum superficialis has been reported. But most cases of it have been reported by orthopedic surgeons. We are presenting the case of 28 year old male patient who had abnormal flexor digitorum superficialis in carpal tunnel which was diagnosed by using ultrasonography.