Pakistan Journal Of Neurological Surgery
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Causes of Carpal Tunnel syndrome (CTS)
Full text linkObjective: To know about the pathological causes of carpal tunnel syndrome.Materials and Methods: This is retrospective cross sectional study on the patients operated by the senior author at his private clinic between January 2008 and March 2014. All the patients operated for carpal tunnel syndrome during the study period were included while those managed conservatively were excluded from the study. Pre-operatively all patients had undergone Nerve conduction studies and the procedure was performed under local anaesthesia. The pathology responsible for causing CTS was noted.Results: A total of 73 patients were operated for CTS during the study period by the senior author. There were 18 males and 55 females with a male to female ratio approaching 3.0:1. The age range was from 24 – 58 years with a mean age of 43.6 ± 4 years. The pathology was hypertrophied transverse carpal ligament in 66 (90%) cases, abnormal vessels in 1 (1%), neuroma in 1 (1%), fracture distal end of the radius in 2 (5%), ganglion com-pressing the nerve in 1 (1%), post cellulitis in 1 (1%) and direct trauma to the nerve in 1 (1%).Conclusion: Thickened ligamentum flavum is the most common cause of carpal tunnel syndrome and space occupying lesion constitute a considerable percent of pathology
To Determine the Frequency of Brain Abscess and its Common Bacteria in Patients Presenting with Highly Suspected Clinical Features
No full textObjective: To determine the frequency of brain abscess and its common bacteria in patients presenting with highly suspected clinical features.Material and Methods: It was a Descriptive (cross sectional) Study conducted in the Department of Neur-osurgery Lady Reading Hospital Peshawar. Duration of study was 1 year, from Jan 2011 to Jan 2012. Total number of patients with highly suspected clinical features were 134. CT brain and MRI brain was done for these patients. SPSS version 17 was used for data analysis.Results: Among 134 cases, 93 (63%) were male and 41 (3.60%) were female. Majority 49% (n = 66) were between 21 – 30 years of age. Frequency of brain abscess was revealed in 12.69% (n = 17), common bacteria was Streptococcus Viridians having 41.18% (n = 7) cases, Staphylococcus Aureus 29.41% (n = 5), Bacteriods fragilis was 17.65% (n = 3) and Peptostreptococcus 11.76% (n = 2).Conclusion: The results of the study reveals frequency of brain abscess is still higher in our population while Viridians streptococci and Staphylococcus aureus are most common bacteria