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Kirpal S. Mann, Virender K. Khosla, and Des R. Gulati

✓ Fifty patients suffering from advanced cervical spondylotic myelopathy were surgically treated to eliminate compression of the cord. All disc protrusions demonstrated by positive-contrast myelography that measured larger than 1.5 mm were excised. Each patient was operated on in a single-stage procedure by anterior discectomy, without bone fusion, for protrusions between 2 and 4 mm, and by vertebral trephination and intercorporeal iliac bone-graft fusion for protrusions larger than 4 mm. There were no serious complications. Improvement by one clear disability grade (as defined by the authors) was observed in 36% of the cases, by two grades in 56%, and by three grades in 8%. No patient showed an improvement of four grades. During a follow-up period varying from 2 to 5 years, none of the patients showed clinical evidence of progression of myelopathy; however, 44% of patients showed definite radiological evidence of progression of cervical spondylosis. This indicates that myelopathy may be arrested and may regress, but the process of cervical spondylosis continues unabated in almost half of the cases.

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Virender K. Khosla, Ashru K. Banerjee, and Jagjit S. Chopra

✓ A rare case of actinomycotic osteomyelitis with an intracranial granuloma is presented. The computerized tomography findings are probably the first of their kind. Both the site of osteomyelitis and clinical presentation are unusual. The pertinent literature is reviewed.

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Virender K. Khosla, Ashru K. Banerjee, Suresh N. Mathuriya, and Saroj Mehta

✓ A totally cystic giant cavernous hemangioma is described in a 3-year-old girl. The clinical presentation and computerized tomography findings were both unique. The patient was successfully treated by surgery.

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Chronic spinal subdural hematomas

Report of two cases

Virender K. Khosla, Vijay K. Kak, and Suresh N. Mathuriya

✓ Two patients with chronic spinal subdural hematomas are described. Both had a fluctuating clinical course, not previously documented in the literature. Surgical evacuation resulted in almost complete recovery. The pathogenesis of spinal subdural hematoma is discussed and the pertinent literature is reviewed.

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Kirpal S. Mann, Virender K. Khosla, and Des R. Gulati

✓ A case of congenital ventriculocisternostomy is reported. This infant presented with occipital meningocele. Conray ventriculography demonstrated a spontaneous ventriculocisternostomy and stenosis of the aqueduct. The case is discussed and pertinent literature reviewed.