118 e-Letters

published between 2010 and 2013

  • Cervical spine trauma can be underestimated by CT/MRI scans.
    Douglas G. Chang

    In this interesting article, I'd like to submit the hypothesis that deformations of the spine during the few msec of trauma can be temporary (e.g. temporary disc bulging) and not picked up by CT/MRI scans after injury.

    We conducted a laboratory study which lent support to this idea.



    Two potential spinal cord injury-causing mecha...

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  • No indeed
    Ken Gillman

    If the abstract is representative of the report's contents then it would seem rather unlikely that it makes any sense to label this case as SS (aka ST). It would not appear that any of the symptoms to fulfil the hunter criteria are present. There is no mention of the key symptoms of bilateral clonus and hyperpyrexia.

    Conflict of Interest:

    None declared

  • Congratulations
    James Vreymark

    This work will open many unknown horizons. My sincerest congratulations to authors well as to the Journal.

    Conflict of Interest:

    None declared

  • Excellent case
    suresh shastri

    Dear Basavanna Gowdappa,

    Excellent effort and good case.

    It would be really interesting to see what happens to intrinsic factor antibodies after eradicating H Pylori.

    -Dr.Suresh Shastri

    Conflict of Interest:

    None declared

  • Response to Gluteal compartment syndrome with severe rhabdomyolysis
    Mark D Latimer

    Dear Editor,

    We read with great interest the case report entitled "Gluteal compartment syndrome with severe rhabdomyolysis" by Naryan et al. (1) This is an outstanding case report and is a useful reminder to all trauma surgeons of the urgent necessity for aggressive re-hydration and alkaline diuresis in patients presenting with severe muscle crush injuries.

    We have little doubt that the team at The Roy...

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  • Inadequate surgical procedure
    A. Tapio Mameghani

    In ankylosing spine there are unique biomechanical conditions which any spine surgeon has to know. Rules should be obeyed, otherwise the implanted screw-rod-system will not lead to successful treatment. Often revision surgery is necessary.

    The authors very well describe the systemtic pharmacological therapy that diminuished inflammation and helped the patient to recover.

    But in a spine surgeon's view t...

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  • Giant cavernous carotid artery aneurysm mimicking a fungal granuloma and presenting with massive epistaxis
    Ravindra Ruberu
    It very important to be knowledgable regarding UNUSUAL causes of any clinical presentation. Epistaxis being a very common symptom presenting in varying degrees and forms maybe not taken seriously at times. This could lead to missing a vital diagnosis. I like this article as it has made me aware of another possible cause of epsitaxis which will make us more vigilant when managing these cases.

    Conflict of Interest:

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    Hi, I am a prosthodontist and I deal with the fabrication of complete dentures. Although the article 'Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion' is not related to our specialization yet it seems to be very useful for us. In this article an edentulous patient unknowingly ingested a tooth pick which perforated his small bowel and caused pain. In the learning points of this article...

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  • A really unique one !
    Osama F. Fekry

    - The first of its type in Egypt. - very remarkable one among very few studies about HSV. - As a general director of the clinical pharmacy director of the fellowship it was very useful for my students in the hepatology and tropical medicine institute .

    Conflict of Interest:

    - General manager of the Clinical pharmacy fellowship at the national hepatology and tropical medicine res...

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  • Crohn's disease or TB - the perennial question and diagnostic pitfalls
    Zakiuddin Oonwala

    As TB is relatively more often seen in our part of the world, many a times we depend on our clinical sense and start Anti TB therapy empirically. Many of these patients are not economically well and cannot afford expensive and costly investigations. Tuberculosis can mimick many other diseases, and one has to be all the time suspicious and consider TB in the differential diagnosis when patient fails to improve.


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