Unilateral approach for bilateral decompression of lumbar spinal stenosis: a minimal invasive surgery.

Objective: To assess the feasibility and efficacy of a novel, minimally invasive spinal surgery technique for the correction of lumbar spinal stenosis involving unilateral approach for bilateral decompression.

Study Design: Cross-sectional observational study.

Place And Duration Of Study: Neurosurgery Department of PGMI, Lady Reading Hospital, Peshawar, from January to December 2010.

Classic virilizing congenital adrenal hyperplasia presenting late: case series from Pakistan.

Deficiency of 21 hydroxylase enzyme deficiency (21OH) activity accounts for 90% cases of congenital adrenal hyperplasia (CAH). This results in deficient cortisol, increased ACTH, adrenal hyperplasia and increased adrenal androgen secretion. There is marked virilization in genetic females which is the hallmark of this disorder.