Common Options and Overlooked Alternative for Drainage of Inaccessible Presacral Abscess: A Case Report.

Purpose: To demonstrate options and alternative for drainage of inaccessible presacral abscess by the example of a rare clinical case of pyogenic spondylodiscitis, transsacraly drained under a combination of two interventional techniques - CT-guided bone biopsy and abscess drainage.

Materials And Methods: A 55-year-old patient with history of recurrent paravertebral abscesses previously treated with antibiotic therapy was referred to our institution experiencing lower back pain and weakness in both lower extremities. Computed tomography revealed pyogenic spondylodiscitis along with left facet joint destruction and presacral abscess located in ventral sacral surface.

Identification of the Distal Dural Ring and Definition of Paraclinoid Aneurysms According to Bony Landmarks on 3-Dimensional Computed Tomography Angiography: A Cadaveric and Radiological Study.

Background: Determining if paraclinoid aneurysms are intradural or extradural is critical for surgical planning.

Objective: To create an easily reproducible diagnostic method based on bony anatomy that precisely locates the distal dural ring (DDR) to determine the position of paraclinoid aneurysms as intradural, transitional, or extradural.

Methods: Bilateral anatomic dissections of 10 cadaveric heads (20 sides) were performed to evaluate DDR anatomy.

Fatal Liver and Lung Alveolar Echinococcosis with Newly Developed Neurologic Symptoms due to the Brain Involvement.

The fox tapeworm causes human alveolar echinococcosis, commonly affecting the liver. However, in ∼1% of cases, systematic spread of the disease involves the brain as well. A patient had a 6-year history of liver and lung alveolar echinococcosis that was considered not suitable for surgery, and treatment with albendazole was introduced.

Intrathecal Baclofen Therapy for the Treatment of Spasticity in Lithuania.

Spasticity of cerebral or spinal origin severely impairs an individual's functional ability and quality of life. Intrathecal baclofen (ITB) therapy via an implantable pump is indicated for use in patients unresponsive to oral antispasmodics. ITB therapy improves the daily caring for and relief of painful spasms.

Timing of Surgery for Neurologically Compromised Traumatic Cervical Spine Injuries.

Timing of surgical decompression for traumatic cervical spine injuries remains uncertain. Numerous preclinical studies demonstrate the benefit of early decompression, and clinical data are controversial. We review the existing evidence and discuss the effect of timing on clinical, functional, and neurologic outcomes.