RESUMO
The results of 18 greater occipital nerve release operations in 13 patients were analyzed. All patients had deep aching pain in the occipital area due to a whiplash trauma, and in all cases the pain was relieved temporarily by local anesthesia of the occipital nerve. The time from accident to operation was 6 to 96 months. The results of 13 (72.2%) operations were reported as good or excellent, although complete pain relief was not attained in any patient. It is concluded that neurolysis of the greater occipital nerve after whiplash injury can give meaningful pain relief in selected patients.
Assuntos
Músculos do Pescoço/inervação , Síndromes de Compressão Nervosa/cirurgia , Neuralgia/etiologia , Traumatismos em Chicotada/complicações , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Músculos do Pescoço/cirurgia , Síndromes de Compressão Nervosa/etiologia , Neuralgia/terapiaRESUMO
Aneurysmal bone cysts are benign lesions of bone occuring both as a primary lesion and associated with other lesions. Involvement of the skull is rare and no report of such a lesion of the skull base following a skull trauma could be found. This report describes such a case with a long term follow-up. This case demonstrates the radilogical features of skull aneurysmal bone cyst and the difficulty in pathological diagnosis.
RESUMO
The case of a 49-year-old man with traumatic complete T-5 paraplegia of 30 years' duration is presented. Over the last 10 years, he developed cervical myelopathy suggestive of syringomyelia. Work-up, including metrizamide myelography and delayed computerized tomography scanning, revealed an atrophic cord without a syrinx, and a complete block to contrast material at T-5. At operation, the cord was found to be tethered at the original injury site, and was released by transection. This resulted in immediate improvement in the somatosensory evoked potentials and marked postoperative clinical improvement. It is postulated that cord tethering can cause delayed myelopathy in patients with traumatic cord injury. Release of the tethered cord should be considered if a posttraumatic syrinx is not found.
