Purpose: For patients with a new lesion on CT head (CTH) suspected to be a brain tumor, a staging chest, abdomen, and pelvis CT (CTCAP) is only warranted if a metastatic lesion is suspected. Unnecessary CTCAPs are often performed too early in a patient's journey due to poor patient selection. We sought to create a protocol to guide the selection of patients for CTCAPs based on their CTH findings.
View Article and Find Full Text PDFBackground: Traumatic brain injuries represent a significant cause of morbidity and mortality worldwide and road traffic crashes account for a significant proportion of these injuries. It is one of the leading causes of death, especially among young adults, and, according to the World Health Organization, this will surpass many diseases as the major cause of death and disability by the year 2020 and lifelong disability is common in those who survive. It is also known as the silent epidemic.
View Article and Find Full Text PDFObjective: Spinal gunshot injuries are devastating injuries with significant morbidity and mortality. The purpose of this study was to compare the varied neurologic presentations and radiologic findings with their outcomes after treatment. We applied the Thoracolumbar Injury Classification and Severity Scale and Subaxial Cervical Spine Injury Classification to see whether the management of gunshot patients was performed according to the severity of the scores.
View Article and Find Full Text PDFStudy Design: Fifty patients surgically treated for tethered cord syndrome (TCS) were retrospectively studied at Liaquat National Hospital, Karachi from 2010 until 2014.
Purpose: To assess the common presentations of TCS in our part of the world and the surgical outcome of the different presentations.
Overview Of Literature: TCS is a stretch-induced functional disorder of the spinal cord with its caudal part anchored by an inelastic structure, which results in characteristic symptoms and signs.