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Erratum

Anatomy of the lateral intermuscular septum of the arm and its relationships to the radial nerve and its proximal branches

R. Shane Tubbs

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Letter to the Editor: Berrettini branch

M. Cem Bozkurt

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Letter to the Editor: Hand innervation

M. Cem Bozkurt

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Staged surgical treatment of a giant neonatal craniopharyngioma

Case illustration

John C. Wellons III and R. Shane Tubbs

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An unusual presentation of achondroplasia

Case report

R. Shane Tubbs and W. Jerry Oakes

✓The authors present a case of an adolescent with achondroplasia and symptoms of neurogenic claudication who, interestingly, also presented with intermittent priapism. Both the neurogenic claudication and priapism were relieved following a thoracolumbar laminectomy. To our knowledge, this is the first report of a dwarf with thoracolumbar spinal canal stenosis presenting with priapism.

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Beckwith—Wiedemann syndrome in a child with Chiari I malformation

Case report

R. Shane Tubbs and W. Jerry Oakes

✓The authors present the case of a child diagnosed as having Beckwith—Wiedemann syndrome and Chiari I malformation. Hemihypertrophy is associated with Beckwith—Wiedemann syndrome and has been described in conjunction with Chiari I malformation. The authors hypothesize that the hemihypertrophy that may involve the skull base and Chiari I malformation found in their patient are not spurious findings but are pathologically related, perhaps by slight dysmorphologies of the posterior cranial fossa.

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Relationships of the cisternal segment of the trochlear nerve

R. Shane Tubbs and W. Jerry Oakes

Object. The cisternal portion of the trochlear nerve (fourth cranial nerve) can easily be injured during intracranial surgical operations. To help minimize the chance of such injury by promoting a thorough understanding of the anatomy of this nerve and its relationships to surrounding structures, the authors present this anatomical study.

Methods. In this study, in which 12 cadaveric heads (24 sides) were used, the authors describe exact distances between the trochlear nerve and various surrounding structures. Also described are relatively safe areas in which to manipulate or enter the tentorium, and these are referenced to external landmarks.

Conclusions. This information will prove useful in planning and executing surgical procedures in and around the free edge of the tentorium cerebelli.

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Self-mutilation in a child with a tethered spinal cord

Case report

R. Shane Tubbs and W. Jerry Oakes

✓Self-mutilation after deafferentation injuries has rarely been reported in humans. The authors report on a 16-year-old girl who was born with a myelomeningocele. In adolescence it was noted that concurrent with her spinal cord becoming symptomatically tethered she began to self-mutilate her digits. A rare manifestation of the tethered spinal cord may be dysesthesias that led to self-mutilation.

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Self-mutilation in a child with a tethered spinal cord

Case report

R. Shane Tubbs and W. Jerry Oakes

✓Self-mutilation after deafferentation injuries has rarely been reported in humans. The authors report on a 16-year-old girl who was born with a myelomeningocele. In adolescence it was noted that concurrent with her spinal cord becoming symptomatically tethered she began to self-mutilate her digits. A rare manifestation of the tethered spinal cord may be dysesthesias that led to self-mutilation.

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Chiari Malformation

R. Shane Tubbs and W. Jerry Oakes