Notes

Likelihood and risk factors of serious encephalopathy together with biphasic convulsions within febrile status epilepticus.
Ophthalmologists and ocular pathologists should be aware of the atypical presentation of pilomatrixomas to ensure early accurate diagnosis and curative treatment.
Low voltage electrical injuries (less than 1000V) can produce enough tetany to cause fractures, usually of the upper extremities. Simultaneous bilateral fractures of the femoral neck are an extremely rare occurrence. It is even more uncommon for a young healthy male to suffer significant fractures from a low voltage injury.

A 25-year-old male attempted suicide by filling a bathtub with water and getting into it prior to dropping a blender into the water. He experienced full body convulsions but remained awake throughout the entire event. In the trauma bay his primary complaints were bilateral hip pain and back pain, without neurologic deficit. Radiological studies confirmed bilateral sub-capital femur fractures and thoracic vertebral fractures (compression fractures of T3, T4, T5, T6, T7, T9, and T11). The patient underwent bilateral open reduction and internal fixation (ORIF) of the femurs, while the spine fractures were treated with a thoracic-lumbar-sacral orthosis TLSO brace.

Low voltage electrical injury is more likely to lead to fractures in patients with chronic renal failure and metabolic conditions such as hypocalcemia, osetomalacia, and osteoporosis. Fractures after low voltage electrical injury are extremely uncommon and a high suspicion for these injuries should be maintained because if missed there is a high risk of morbidity and mortality.

We present a rare case of low voltage electrical injury by 120V from a domestic US power supply, amplified by water conduction resulting in bilateral femoral neck fractures and vertebral body fractures.
We present a rare case of low voltage electrical injury by 120 V from a domestic US power supply, amplified by water conduction resulting in bilateral femoral neck fractures and vertebral body fractures.
Iliopsoas abscess is defined as the accumulation of suppurative fluid within the fascia surrounding the psoas and iliac muscles. Although some cases reported psoas abscess due to foreign body, to the best of our knowledge this is the first case of metal shrapnel causing psoas abscess.

A 41years old male presented to our center after a landmine explosion. After a 24-h of monitoring, he was discharged with no complaints. Later he presented with septicemia, antalgic gait, and low back pain. Computed tomography showed right psoas abscess with metal shrapnel inside. By Anterolateral approach, we drained the retroperitoneal abscess and extracted the metal shrapnel. Follow-up for 6months revealed no recurrence.

Iliopsoas abscess is one of the challenging cases that urologists face. We presented a patient with penetrating trauma that led to cause psoas abscess. Computed tomography is considered an excellent imaging study to evaluate such patients. JZL184 Most cases of psoas abscesses treated with antibiotics and minimally invasive drainage. However, with our case, we performed open surgery to extract the metal shrapnel.

Psoas abscess with metal shrapnel should be treated emergently. Patients with penetrating trauma should be evaluated strictly. Follow-up is essential in patients with a history of landmine explosion. Psoas abscess with metal shrapnel inside should be treated with broad-spectrum antibiotics and open surgery for drainage.
Psoas abscess with metal shrapnel should be treated emergently. Patients with penetrating trauma should be evaluated strictly. Follow-up is essential in patients with a history of landmine explosion. Psoas abscess with metal shrapnel inside should be treated with broad-spectrum antibiotics and open surgery for drainage.
Spinal epidural cavernous hemangiomas are a rare occurrence. This particular case is made even more distinctive by the fact that the lesion mimicked a dumbbell-shaped neuroma. Moreover, it had a very unique localization (wholly epidural, at cervical-thoracic -C7-D1- level). The importance of this case is linked not only to its remarkable rarity, but also to the diagnostic avenues explored. The surgery was carried out by Prof. Riccardo Caruso, Head of the Neurosurgical Department of the Military Hospital of Rome and Professor of Neurosurgery of Sapienza University of Rome, assisted by Dr. Luigi Marrocco, Senior Neurosurgeon of the Military Hospital of Rome. Postsurgical recovery was managed by Dr. Venceslao Wierzbicki, Senior Neurosurgeon of the Military Hospital of Rome.

In 2020, a 71year-old man, suffering from intense pain in the left scapular region and in the ulnar area of the left forearm, underwent surgery for the removal of a spinal epidural cavernous hemangioma involving the left C7-D1 foramen. Prination of the images allows for accurate presurgical differential diagnosis, differentiating between the more frequent neuroma and other rarer tumors, such as a hemangioma.
Fibrous Dysplasia (FD) is a benign fibro-osseous lesion, characterized by replacement with fibrous connective tissue instead of normal bone. The best treatment option for the condition has not yet been established, although several therapeutic approaches have been reported. The present case report describes the clinical, imaging and therapeutic aspects of an atypical bilateral presentation of FD in the mandible.

A 26-year-old afro-descendent woman, who had previously undergone surgery to remove FD in the right hemimandible, complained of asymptomatic swelling in the left hemimandible. Imaging analysis showed an ipsilateral extensive multilocular mandibular lesion, with thinning of the cortical bone. After diagnosis of FD, complete surgical removal was performed, associated with immediate local reconstruction with xenograft and covering membrane, with primary wound closure.

Bilateral presentation of FD is uncommon, and its diagnosis by means of clinical data, imaging and histopathological analysis, is relevant in order to establish the correct therapy.

Complete surgical removal associated with immediate local bone reconstruction, has shown satisfactory clinical results, when adequate follow-up is performed.
Complete surgical removal associated with immediate local bone reconstruction, has shown satisfactory clinical results, when adequate follow-up is performed.
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