Shabnam Bhandari Grover

Intracranial extension of a dermatofibrosarcoma protuberans of the scalp: a case report with brief review of literature.

Dermatofibrosarcoma protuberans of the scalp is a rare but well known clinical entity. Although locally malignant, distant metastasis is rare. The tumor can invade underlying soft tissue and is known for its local recurrence. Extension into the intracranial space is seldom reported. To the best of our knowledge, only two cases have been reported in the English literature to date. We describe the occurrence of this tumor in a 40-year-old patient in whom the tumor recurred three times after local excision in the scalp until it invaded underlying cranial cavity, leading to dysphasia and right hemiparesis. The tumor was excised en bloc including the dura and the brain. The dural defect was repaired with fascia lata. Skin cover was provided with a forearm pedicle graft.

Traction apophysitis of medial malleolus: a case report with review of the literature.

Traction apophysitis of medial malleolus is very rare and presented in view of its rarity. A 13 years old boy presented with pain and swelling without history of trauma around left ankle of 3 months duration. The swelling was diffuse with tenderness on anterior aspect of medial malleolus. The overlying skin was normal. The X-rays revealed fragmented accessory ossification centre of medial malleolus an left side. MRI revealed multiple foci of hypointensity in T1 and T2 weighted images of left medial malleolus apophysis. Patient was treated in below knee plaster for three weeks with restriction of sports activities for 5 weeks. The patient became asymptomatic in 8 weeks.

Giant Rectosigmoid Stone Bezoar in a Child

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Two cases of orbital tuberculosis in children with unique presentations

A 3-year-old boy and a 2-year-old girl were diagnosed with orbital tuberculosis. In our first patient the primary focus of tuberculosis was the cervico-thoracic spine, but could not be detected in the second. These are the youngest ever reported cases of orbital tuberculosis. Where tuberculosis is endemic, orbital tuberculosis should be considered as a differential diagnosis for orbital swellings in pediatric patients.