These have been reported to be localized in the interlabial sulcus, the paramedian
area of the perineum and around the anus (5-7).
There are many approaches to perform open cholecystectomy like right subcostal (Kocher's incision), right upper transverse incision, right paramedian
incision and upper midline incision.
In a study by LS Chaudhari et al In midline and paramedian
laparotomies noted that, following a bolus dose of 0.5 mg/kg, the mean infusion dose of Atracurium was 478 [+ or -] 44.11 [micro]g/kg/hour and that of vecuronium was 63.2 [+ or -] 74 [micro]g/kg/hour after a bolus dose of 0.1 mg/kg for adequate muscle relaxation and this dose was similar to the finding in our study.
CN VI arises in the pons in close association to CN VII (facial nerve), paramedian
pontine reticular formation (PPRF), medial longidutinal fasculiculus (MLF) and descending corticospinal fibres.
The kidney was removed through paramedian
incision by retrieval pouch.
The typical MRI lesions are symmetrical white matter vasogenic edema, usually located parieto-occipital region sparing calcarine and paramedian
regions, which may show progression to cytotoxic edema, infarctions, hemorrhages, laminar necroses and glioses (2).
Symmetric T1 hypointensities/T2 Flair hyperintensities that demonstrate diffusion restriction in the bilateral paramedian
thalami (Figures 1-3).
On MRI, seminal vesicle cysts are in a characteristic periprostatic and paramedian
location, with bright signal on T2-weighted images, variable signal intensity on T1-weighted images, depending on the amount of protein or blood content, and no contrast enhancement.
While a transverse surgical inguinal incision was preferred in two cases, the other two cases were preferred to be treated with laparotomy with a paramedian
incision (Figure 1).
Diffusion-weighted magnetic resonance imaging (MRI) showed bilateral paramedian
thalamic infarction (Figure 1A, 1B).
In the lumbar MRI, there was a 10x7 mm ovoid extradural intraspinal cystic formation at the right paramedian
location at the level of L4-5, in the neighborhood of the right facet joint.
The mini-screws were placed in the paramedian
area of the anterior palate under local anesthesia, approximately 4-5 mm posterior to the incisive papilla and 4-5 mm lateral to the median palatal suture (Figure 1a).