JuniperPublishers_Head Neck & Spine Surgery

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Non-Traumatic, Spontaneous Extra-Dural Haemorrhage: A Rare Neurosurgical Emergency of Beta-Thalassemia Major Authored by Yee Hwa Khoo Abstract Intracranial Extradural Hematoma (EDH), a collection of blood between the skull and the dura, is a common sequelae of head trauma. Spontaneous EDH without underlying medical causes has been reported in intraspinal lesions but rarely in intracranial conditions. Spontaneous EDH with haematological disorders is rarer still. Previous literatures have reported on cases of spontaneous EDH because of sinus, middle ear, orbital infections, disorders of blood coagulation. We report a case of a spontaneous EDH on a background of Beta Thalassemia Major which has yet to be reported. Keywords: Neurosurgery; Hematoma Abbrevations: EDH: Intracranial Extradural Hematoma; GCS: Glasgow Coma Scale; CT: Computed Topography; MRI: Magnetic Resonance Imaging;

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Postsurgical Complications after Spine Surgery Authored by Marta Marin Andres Abstract We present a case of a 22-month-old infant who undergoes a surgical procedure consisting of performing cervical arthrodesis after placement of a halo of cervical traction and thoracic harness. The patient presented an alteration in the formation and segmentation of the cervico-dorsal vertebral bodies, alteration of the vertebral canal and angulation of the medullary cord. In the postoperative period, the main complications are intense pain that requires intensification of sedo analgesia, sepsis, diaphragmatic paralysis secondary to surgery, and respiratory and hepatic failure due to chest compression of the harness. Keywords: Vertebral malformation; Pain Cervical halo; Thoracic harness; Respiratory failure; Liver failure Abbrevations: ICU: Intensive Care Unit; CT: Computed Tomography

Juniper Publishers-Open Access  Journal of                 Head Neck & Spine Surgery Herniotomy Alone as Treatment for Scrotal Migration of Ventriculoperitoneal Shunt Authored by Balamurugan Rajendran Abstract Complication rate of ventriculoperitoneal (VP) shunt is from 11%-25%; differs from centre to centre. One of the rare complications of ventriculoperitoneal shunt is distal catheter migration into various abdominal contents including the scrotum. A few cases of scrotal migration of distal catheter have been reported in paediatric patients with different managements. Here we report a case of a 3-year-old child who presented with a right sided hydrocele with the distal end of the shunt in the left hemiscrotum 3 years following a VP shunt placement for congenital hydrocephalus. Herniotomy alone was our management in this case. Keywords: Ventriculoperitoneal shunt; Scrotal migration Herniotomy Introduction Ventriculoperitoneal

    Juniper Publishers-Open Access  Journal of                   Head Neck & Spine Surgery Revisit to Dissection in Ent and its Impact on Students Authored by KC Prasad Introduction Cadaveric dissection of Temporal bone and nose & para nasal sinuses held during the otorhinolaryngology and head & neck surgery postings had a good impact on the student’s understanding and orientation to the subject. Despite the advent of modern technology and evolving teaching methods cadaveric dissection continues to remain a corner stone of anatomy curriculum [1]. The students were not exposed to the microscope guided dissection of temporal bone, Para nasal sinuses and the surrounding structures during their course in Anatomy. Learning about ear and paranasal sinuses back then was more through two dimensional pictures from the books and various atlases. But during our clinical postings we were given the chance to watch microscopic guided cadaveric dissection of temporal bone

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery A Rare Origin of Supraclavicular Mass in a Ten-Month-Old Child: Case Report of Lipoblastoma Authored by Salama Khadija Introduction Lipoblastoma is a rare benign tumor arising from embryonic white fat which occurs in the early childhood and accounts for up to 30% of adipocytic tumors in children while true lipomas account for 60% of all cases [1]. It usually arises on the extremities and considered as a rare cause of a pediatric head and neck masses. To notice that less than 100 cases of lipoblastomas- all locations- have been reported in literature till now, whereas, head and neck involvement has been reported in only very few cases [2]. In the Hospital University Ibn Rochd, we admitted a ten month child with lipoblastoma arising from the supraclavicular area. A significant risk of invading the subclavian vessels, the brachial plexus and the thoracic duct in contact was near.