[Giant cervical disc herniation: case report]. / Hérnia de disco cervical gigante. Relato de caso.

Disc herniation occurs commonly in neurosurgery. The Neurosurgery Department of Santa Casa de Belo Horizonte in 1997 had 17% of all surgeries for disc herniation and 7% of those were of cervical spine. We report a giant cervical disc herniation C4-C5 in a 72-year-old male patient, presenting with tetraparesis, sensory loss below C5 and urinary retention, who underwent microsurgical anterior decompression and internal fixation with iliac bone graft without plate fixation according Cloward. The patient had a satisfactory outcome. We propose a new classification for disc herniation according the dural compression: small (until 12%), medium (12 to 25%), big (25 to 50%) and giant (more than 50%).

Sorotipos de Streptococcus suis identificados em suínos com meningite no estado do Paraná / Streptococcus suis serotypes identified from meningitis cases in pigs in Parana, Brazil

A total of 76 samples of Streptococcus suis isolated from meningitis cases in pigs from 2005 to 2009 were evaluated. The samples were collected from 3 to 21-week-old pigs raised in 30 farms located in Paraná state, Brazil. The samples of S. suis were obtained as part of routine procedures and were serotyped by coagglutination test using rabbit hyperimmune sera for the serotypes 1 to 9 and ½. S. suis type 2 was the most frequent, followed by serotypes 1, ½ and 3.

[Facial fractures. Analysis of 130 cases]. / Fraturas de face. Análise de 130 casos.

The importance of facial trauma comes from the possibility of leaving serious functional and aesthetic consequences. Since 1990 patients with facial fractures were treated at the Emergency Ward of the Hospital das Clinicas of the Medical Faculty of São Paulo by plastic surgeons. In 24 months, 130 patients with facial fractures were treated there. The main causative factors were motor vehicle accidents (51%) and the main bone fracture was that of mandible (46%). A correlation between the kind of trauma and the kind of fracture is made.

Tratamento da atrofia hemifacial progressiva pela transferencia microcirurgica de retalho dermogorduroso livre. / Treatment of progressive hemifacial atrophy by the microsurgical transference of a free dermofatty flap

Os autores apresentam um caso de atrofia hemifacial grave tratado com um retalho livre dermogorduroso desepitelizado transferido da regiao inguinocrural para a face com tecnica microcirurgica. Esta indicado nos casos em que a atrofia da hemiface e acentuada. Comentam a indicacao destes retalhos em relacao aos outros retalhos migrados e os detalhes da cirurgia e pos-operatorio