Klippel-Feil syndrome associated with a craniocervico-thoracic dermoid cyst.

Background: Uncommonly, Klippel-Feil syndrome (KFS) has been associated with intracranial or spinal tumors, most frequently dermoid or epidermoid cysts. Although the associated dermoid cyst (DC) is usually located in the posterior fossa, isolated upper cervical DC has been reported. Extension from the posterior fossa to the upper cervical spine (C2) has been reported once.

A 40-year-old woman with cauda equina syndrome caused by rectothecal fistula arising from an anterior sacral meningocele.

Background And Importance: We present a rare case of a rectothecal fistula arising from an anterior sacral meningocele in a patient with Currarino syndrome.

Clinical Presentation: The patient was a 40-year-old woman presenting with cauda equina syndrome and ascending meningitis. The meningocele was removed using an anterior abdominal approach.

Preinjury warfarin use among elderly patients with closed head injuries in a trauma center.

Background: This study aimed to determine the impact of warfarin use on the severity of injury among elderly patients presenting with closed head injuries.

Methods: A cohort of patients 55 years of age or older with closed head injuries taken to a tertiary trauma center between April 1993 and March 2001 was retrospectively identified. Patient characteristics, mechanism of injury, type and severity of injury, and hospital survival data were obtained from the trauma registry.