Posterior fossa extradural haematoma following thrombolysis therapy for acute myocardial infarction

Intracranial haemorrhage [ICH] is one of the dreaded complications following thrombolytic therapy for acute myocardial infarction [AMI].3,6,17,24,28,29 Haemorrhage can occur in varied locations but predominantly it is intraparenchymal.[8] Trauma is the commonest cause of extradural haematoma [EDH] but in rare instances it can occur spontaneously due to vascular malformation of dura[11,23], infections of air sinuses or middle ear[4,5,7,14], coagulopathies[10,13,18] or tumours.[16] Thrombolysis for AMI leading to EDH has not been reported until date to the best of our knowledge. We here report a patient who developed posterior fossa EDH after thrombolysis. Early CT scan and high degree of suspicion enabled the patient to have good outcome

C2 extradural dumbbell neurofibroma in a paediatric patient

Extradural dumbbell shaped neurofibroma in paediatric patients is very rare. A case of extradural dumbbell neurofibroma in a 17-year-old girl who presented with neck pain and slowly progressive neck swelling. On imaging a dumbbell neruofibroma arising from left C2 nerve root was diagnosed. The case is presented here for its rarity, its extremely good postoperative outcome together with its radiological features. Cervical neruofibroma needs to be considered in the differential diagnosis of high cervical myelopathy in children despite its rarity