1.A Child with Septic Arthritis of Hip: A Rarely Encountered Cause
A R Abdul Halim ; Y Norhamdan ; R Ramliza
The Medical Journal of Malaysia 2011;66(2):154-155
We report a rare case of septic arthritis in a healthy child caused by Salmonella enteritidis. No predisposing factor was detected. Salmonella enteritidis was isolated from the infected joint tissue obtained following surgical drainage. Based on the culture and sensitivity report, he was treated with a 6-week course of antibiotic. He improved dramatically without any detrimental sequelae at end of one year.
2.Two-Stage Surgery for a Large Cervical Dumbbell Tumour in Neurofibromatosis 1: A Case Report
Mohd Ariff S ; Joehaimey J ; Ahmad Sabri O ; Abdul Halim Y
Malaysian Orthopaedic Journal 2011;5(3):24-27
Spinal neurofibromas occur sporadically and typically occur
in association with neurofibromatosis 1. Patients afflicted
with neurofibromatosis 1 usually present with involvement
of several nerve roots. This report describes the case of a 14-year-old child with a large intraspinal, but extradural tumour with paraspinal extension, dumbbell neurofibroma of the cervical region extending from the C2 to C4 vertebrae. The lesions were readily detected by MR imaging and were successfully resected in a two-stage surgery. The time interval between the first and second surgery was one month. We provide a brief review of the literature regarding various surgical approaches, emphasising the utility of anterior and posterior approaches.
3.Discal Cyst of the Lumbar Spine: Case Report of a Rare Clinical Entity
Sanjeevan R ; Prabu S ; Azizul A ; Abdul-Halim Y
Malaysian Orthopaedic Journal 2018;12(2):56-58
Being a rare clinical entity, discal cyst presents indistinguishably from other causes of lower back pain and radiculopathy. It is an extremely rare pathology with unclear pathogenesis, indeterminate natural history with no consensus on the ideal management of the condition. We report a rare case of discal cyst in a patient who presented to our centre with localised low back pain and subsequently left sided radicular pain. With the aid of MRI and with clear surgical indication we proceeded with endoscopic removal of the cyst and intraoperatively confirmed its origin from the adjacent disc. The patient had immediate relief of his symptoms and no postoperative complications. We recommend that endoscopic surgery can be an effective alternative to conventional open surgery for discal cyst of the lumbar spine.