Adult onset Still’s disease (AOSD) is a sporadic complex autoinflammatory syndrome first described in 1971.1 It is characterised by high spiking fever, polyarthritis, sore throat, lymphadenopathy, hepatosplenomegaly, serositis, and evanescent skin eruptions.1,2 It is associated with life-threatening complications too. Diagnosis of AOSD is laborious as it requires extensive investigations to exclude infections, autoimmune diseases and malignancy. Here we illustrate a young female who exhibited a turbulent presentation of ASOD.

Retroclival epidural hematoma is rare, with fewer than 30 cases reported in the literature. Almost all of the previously reported cases occurred in children, with only a few cases affecting adults. Among these adult patients, only two suffered from the associated occipital condyle fracture (OCF), which is another rare injury. The patient involved in this study suffered from retroclival epidural hematoma and unilateral occipital condyle fracture, as demonstrated on both CT and MRI scans. The patient also suffered from an associated right brachial plexus injury without any other neurological deficits, a condition that has not previously been reported. This paper reviews the underlying mechanisms of these rare injuries and seeks to form an understanding of them before proposing the mechanism of injury in the patient involved in the study

We reported the experience of epilepsy su�rgery program in 3 centers in Hong Kon��� g They are Prince of Wales Hospital, Queen Elizabeth Hospital and Tuen Mun Hospital. The results of surgery are comparable to best centre elsewhere in the world. Hong Kong has a population of 7 million people with estimated surgical candidates of 3,500����. With e�stimated le�ss than 150 epilep�sy ��sur�geries performed in Hong Kong so far, there is room for further development of epilepsy surgery service in Hong Kong

An open lung biopsy was performed in 12 children with diffuse parenchymal lung disease. A definitive histopathological diagnosis was obtained from all procedures but determined treatment options in only 10 children (83%). Three (25%) children were ventilated for respiratory failure prior to the procedure. Four (44%) of the other 9 children required ventilatory support after the procedure. Three (25%) children developed post-op pneumothorax that resolved fully with chest tube drainage. There were no deaths as a direct result of the procedure. Open lung biopsy is useful in providing a definitive diagnosis in children with diffuse parenchymal lung disease and determining treatment in the majority of cases. The procedure was well-tolerated with minimal complications.
*Biopsy ; Lung/*pathology ; Lung Diseases/*pathology ; Scleroderma, Diffuse