Emergency craniotomy in a rural Level III trauma center.

Patients with closed head injury and expanding epidural (EDH) or subdural (SDH) hematoma require urgent craniotomy for decompression and control of hemorrhage. In remote areas where neurosurgeons are not available, trauma surgeons may occasionally need to intervene to avert progressive neurologic injury and death. In 1990, a young man with rapidly deteriorating neurologic signs underwent emergency burr hole decompression of a combined EDH/SDH at our hospital, with complete recovery.

Subluxation of the larynx. Report of a case.

Laryngeal subluxation unrelated to trauma is unusual. We report a case in which the cervical spine had elongated anterior tubercles of the transverse processes of the sixth cervical vertebra. Lateral displacement of the larynx in this patient resulted in temporary engagement of the larynx on these prominent bony tubercles, with moderate discomfort.