Successful conservative management of Gorham disease of the skull base and cervical spine.

Gorham's disease, also called massive osteolysis or vanishing bone disease, is an enigmatic condition caused by endothelial proliferation occurring in bone and soft tissue. Death is frequent when there is spinal or visceral involvement. We present a case of spinal and skull base Gorham's disease that was reversed by radiation therapy administered while the spine was supported by a halo vest.

Multilevel lumbar disc herniation in 12-year-old twins.

Herniation of a lumbar disc in the pediatric age group is rare. A 12-year-old female twin developed backache and left sciatica after a mild lifting injury. Magnetic resonance imaging of the spine showed multilevel lumbar disc herniation.

Therapy of giant intracranial aneurysms in the elderly.

A series of 13 elderly patients (eight female, five male) with giant intracranial aneurysms is presented. The mean age was 67.8 years, with a range of 57-81 years.

Management of hydrocephalus in ilio-omphalopagus conjoined twins.

One member of ilio-omphalopagus conjoined twins developed symptomatic hydrocephalus. Uneventful ventriculoperitoneal shunting improved the baby's condition. Technical aspects of the neurosurgical and anesthetic management in this case are discussed.