Pseudomeningocoele after baclofen pump placement in a child: A case report and preventive measures

Intrathecal baclofen therapy is a well-established means of treating intractable spasticity and dystonia in paediatric as well as adult population. Complications of baclofen pump placement include infection, malfunctioning and refraction to baclofen. We report a case of eight year child suffering from spasticity due to cerebral palsy, who developed pseudomeningocoele due to peri-catheter leak. Steps and precaution pertaining to pump implantation in a child are discussed. Baclofen pump insertion in a child needs some extra precautions due to non-availability of pediatric implants and poor built of the pediatric patient to adjust with a bulky device. Preventive measures should be taken to prevent peri-catheter CSF leak

Asymptomatic posterior cervical myelomeningocele with tethered cord in an adolescent: A rare form of spinal dysraphism with rare presentation

Unlike lumbar spinal dysraphism, cervical spinal dysraphism with or without tethered cord are rare lesions. These lesions are generally asymptomatic at birth, but with progression of time symptoms develop. These may be associated with various other anomalies. Not much have been reported in literature about cervical myelomeningocele (MMC) in adults or adolescents. We report a case of a 17 years old adolescent boy with cervical myelomeningocele with tethered cervical cord, who was completely intact neurologically even at this age and was without any associated anomaly. He came to us only for cosmetic reasons. The tethering band, which was evident on imaging was confirmed intra-operatively

Pituitary apoplexy in setting of Dengue Hemorrhagic Fever with thrombocytopenia: Case report and review of literature

Pituitary apoplexy is an acute clinical syndrome. It may occur spontaneously or as a result of several precipitating factors; one such factor being thrombocytopenia. Acute febrile illness accompanying with bleeding tendency is the main clinical feature of dengue. If the diagnosis is made in time, urgent treatment in the form of decompression of optic nerves may help to save vision. According to literature, only seven cases have been reported with pituitary apoplexy in setting of Dengue hemorrhagic fever. We report eighth case of Pituitary apoplexy in patient having Dengue hemorrhagic fever with its management and review of literature