Impalement injury through the lumbar vertebrae without neurological deficit

Impalement injuries are caused by objects that penetrate the human body. In many instances, the impaling object remains imbedded in the body, presenting challenges to emergency personnel, including how to package and transport the patient without causing further injury. Injury by impalement has been described involving all areas of the body including the brain, neck, chest, abdomen and extremities. However, impalement through the spine is exceedingly rare. In this report, and industrial worker is described who was impaled by an aluminium bar which penetrated his abdomen from side to side, injuring the left kidney and passing through the lumber vertebrae without causing neurological deficit

Double posterior communicating artery as a cause of oculomotor nerve palsy

Amongst clinicians the diagnostic approach differs to patients presenting with isolated third cranial nerve palsy. Some issues remain controversial and the management of this condition is a challenge. In a 38-year-old male presenting with pupil-involving oculomotor nerve palsy [internal dysfunction] the cause was found to be a double posterior communicating artery; a very rare cause of third nerve palsy