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Late posttraumatic meningitis with concealed CSF otorrhea. 晚期创伤后脑膜炎伴隐蔽性脑脊液耳漏。
Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120448
T N Lui, S T Lee
{"title":"Late posttraumatic meningitis with concealed CSF otorrhea.","authors":"T N Lui,&nbsp;S T Lee","doi":"10.1159/000120448","DOIUrl":"https://doi.org/10.1159/000120448","url":null,"abstract":"<p><p>An 11-year-old girl with repeated pneumococcal meningitis after head injury is reported. High resolution CT scan with metrizamide cisternogram disclosed a fracture in petrous bone with collection of contrast medium in middle ear. Operative repair of the dura defect successfully stopped further intracranial infection. In cases of late posttraumatic infection, aggressive survey of the skull base is indicated.</p>","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"15 2","pages":"85-7"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120448","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13776669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Intrauterine depressed skull fracture. A report of two cases. 宫内凹陷性颅骨骨折。报告两个病例。
Pediatric neuroscience Pub Date : 1989-01-01
T Nakahara, K Sakoda, T Uozumi, T Takeda, T Ogorochi, K Ueda, M Ueda, T Sasaki
{"title":"Intrauterine depressed skull fracture. A report of two cases.","authors":"T Nakahara,&nbsp;K Sakoda,&nbsp;T Uozumi,&nbsp;T Takeda,&nbsp;T Ogorochi,&nbsp;K Ueda,&nbsp;M Ueda,&nbsp;T Sasaki","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two cases of intrauterine depressed fracture are presented. In each case, the mother had no history of abdominal trauma during pregnancy, the children were delivered normally without the use of forceps, but a round depression was present in the left frontal bone at time of delivery. CT scans demonstrated a depressed fracture of the left frontal bone and stagnation of cerebrospinal fluid around the fracture. Elevation of the depression was therefore made through a small incision along the rear edge of the frontal bone using a periosteal elevator. A review of intrauterine depressed skull fracture is made and the concept, mechanism, surgical indications and operative methods of this rare fracture are discussed.</p>","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"15 3","pages":"121-4"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13844749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intracranial lymphoblastic sarcoma mimicking a primary brain tumor. 模拟原发性脑肿瘤的颅内淋巴母细胞肉瘤。
Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120459
A Kowal-Vern, I Almanaseer, A Bleyer
{"title":"Intracranial lymphoblastic sarcoma mimicking a primary brain tumor.","authors":"A Kowal-Vern,&nbsp;I Almanaseer,&nbsp;A Bleyer","doi":"10.1159/000120459","DOIUrl":"https://doi.org/10.1159/000120459","url":null,"abstract":"<p><p>A lymphoblastic sarcoma mimicked a medulloblastoma in a 15-year old girl with a history of acute lymphoblastic leukemia diagnosed at age of 2 years. There was no evidence of leukemic infiltration in the brain during the 13-year latency period after the original diagnosis. She had received both prophylactic intrathecal methotrexate and central nervous system irradiation. This case emphasizes the need to consider leukemia as the cause of a 'brain tumor' in any patient that has a prior history of leukemia, regardless of the tumor manifestations or the remission duration of the leukemia.</p>","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"15 3","pages":"136-8"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120459","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13844752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Axonal transport of horseradish peroxidase in the experimental tethered spinal cord. 辣根过氧化物酶在实验性脊髓系留中的轴突转运。
Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120486
T Fuse, J W Patrickson, S Yamada
{"title":"Axonal transport of horseradish peroxidase in the experimental tethered spinal cord.","authors":"T Fuse,&nbsp;J W Patrickson,&nbsp;S Yamada","doi":"10.1159/000120486","DOIUrl":"https://doi.org/10.1159/000120486","url":null,"abstract":"<p><p>There has been experimental evidence of the tethered cord syndrome being a gray matter disease resulting from excessive tensile force in the lumbosacral cord. Clinical findings also support this concept. This study was designed to elucidate the possibility of the involvement of the long tract in tethered cord. Long tract continuity was evaluated utilizing the retrograde axonal transport of horseradish peroxidase in fasciculus gracilis. There were no significant differences between the normal and experimental tethered cord in the number of labeled dorsal root ganglion cells of the lumbosacral cord. From this we conclude that involvement of the long sensory tract during steady state of severe cord traction at best is minimal. This study supports the hypothesis that tethered cord syndrome primarily is a gray matter disorder.</p>","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"15 6","pages":"296-301"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120486","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13632396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
Correction of the prominent occiput in Beckwith-Wiedemann syndrome. beck - wiedemann综合征枕部突出矫正术。
Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120475
J H Piatt
{"title":"Correction of the prominent occiput in Beckwith-Wiedemann syndrome.","authors":"J H Piatt","doi":"10.1159/000120475","DOIUrl":"https://doi.org/10.1159/000120475","url":null,"abstract":"<p><p>A peculiar prominence of the occiput is a variable feature of Beckwith-Wiedemann syndrome. Careful examination of the anatomy of this calvarial deformity in a recent case permitted an uncomplicated and gratifying surgical correction.</p>","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"15 5","pages":"233-6"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120475","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13633568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Giant aneurysm of the distal posterior inferior cerebellar artery in an 11-month-old child presenting with obstructive hydrocephalus. 一个11个月大的儿童表现为梗阻性脑积水的小脑后下动脉远端巨大动脉瘤。
Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120488
R K Osenbach
{"title":"Giant aneurysm of the distal posterior inferior cerebellar artery in an 11-month-old child presenting with obstructive hydrocephalus.","authors":"R K Osenbach","doi":"10.1159/000120488","DOIUrl":"https://doi.org/10.1159/000120488","url":null,"abstract":"<p><p>Intracranial aneurysms are rare in children although several features distinguish them from adult aneurysms including variation in anatomic distribution and an increased incidence of giant and posterior circulation aneurysms. Subarachnoid hemorrhage is the most frequent presentation; however, clinical presentation suggestive of intracranial tumor is not uncommon making accurate diagnosis difficult. Direct clipping is recommended whenever possible although alternative techniques may sometimes be necessary. This report of a giant aneurysm of the distal posterior inferior cerebellar artery in an 11-month-old child illustrates the occasional difficulty in diagnosis and management of these unusual aneurysms.</p>","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"15 6","pages":"309-12"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120488","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13634270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 21
Candida albicans shunt infection. 白色念珠菌分流感染。
Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120457
S. Shapiro, T. Javed, J. Mealey
{"title":"Candida albicans shunt infection.","authors":"S. Shapiro, T. Javed, J. Mealey","doi":"10.1159/000120457","DOIUrl":"https://doi.org/10.1159/000120457","url":null,"abstract":"Seven cases of successfully treated Candida albicans cerebrospinal fluid shunt infections are reported. Treatment consisted of shunt removal and intravenous Amphotericin B in all cases and intraventricular Amphotericin B in 4 cases. Serious underlying medical illness, recent antibiotic therapy, indwelling intravascular and/or Foley catheters, coincident candidiasis and low birth weight prematurity are major risk factors for candida shunt infection. Candida shunt infection appears to occur by either contamination at the time of shunt placement or by hematogenous dissemination.","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"15 3 1","pages":"125-30"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120457","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64580521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 20
Paraplegia resulting from thoracolumbar stenosis in a seven-month-old achondroplastic dwarf. 一个7个月大的软骨发育不全侏儒因胸腰椎管狭窄导致截瘫。
Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120439
Y S Hahn, H H Engelhard, T Naidich, D G McLone
{"title":"Paraplegia resulting from thoracolumbar stenosis in a seven-month-old achondroplastic dwarf.","authors":"Y S Hahn,&nbsp;H H Engelhard,&nbsp;T Naidich,&nbsp;D G McLone","doi":"10.1159/000120439","DOIUrl":"https://doi.org/10.1159/000120439","url":null,"abstract":"<p><p>In young achondroplastic children, neurological manifestations have been found to include macrocephaly, hydrocephalus or ventriculomegaly and cervicomedullary compression. Occasionally in the second decade, lumbar radiculopathy or paraparesis resulting from severe thoracolumbar kyphosis develops. In this paper, we report the unique case of an achondroplastic dwarf who developed paraplegia due to thoracolumbar spinal cord compression at the age of 7 months. Compromise of the spinal canal was found to be due not to bony stenosis, but to a second layer of fibrous tissue, histologically identical to the dura. Treatment consisting of decompressive laminectomy and resection of the constricting tissue allowed the child to recover completely. Clinical, radiographic and pathological findings are discussed.</p>","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"15 1","pages":"39-43"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120439","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13777057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Clinicopathological and radiological features of two cases of intraventricular meningioma in childhood. 2例儿童脑室内脑膜瘤的临床病理及影像学特征。
Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120478
R W Byard, A J Bourne, B Clark, A Hanieh
{"title":"Clinicopathological and radiological features of two cases of intraventricular meningioma in childhood.","authors":"R W Byard,&nbsp;A J Bourne,&nbsp;B Clark,&nbsp;A Hanieh","doi":"10.1159/000120478","DOIUrl":"https://doi.org/10.1159/000120478","url":null,"abstract":"<p><p>The clinical, radiological and pathological features of two cases of intraventricular meningioma in a 9-year-old boy and a 9-year-old girl are reported. Presenting features included headache, vomiting and somnolence with no localizing neurological signs on physical examination. Neither patient showed evidence of neurofibromatosis. CT scans were helpful in establishing the preoperative diagnoses with uniformly hyperdense, well-circumscribed lesions showing bright enhancement after contrast within the lateral and third ventricles respectively. Histological examination revealed mixed fibroblastic/angioblastic and fibroblastic patterns, with typical electron-microscopic and immunohistochemical features of meningioma. Successful surgical removal was achieved in both cases.</p>","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"15 5","pages":"260-4"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120478","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13633571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 29
Tension hydrothorax from intrapleural migration of a ventriculoperitoneal shunt. 脑室腹腔分流术胸腔内移位引起的张力性胸水。
Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120489
C A Dickman, D Gilbertson, H W Pittman, H L Rekate, W J Daily
{"title":"Tension hydrothorax from intrapleural migration of a ventriculoperitoneal shunt.","authors":"C A Dickman,&nbsp;D Gilbertson,&nbsp;H W Pittman,&nbsp;H L Rekate,&nbsp;W J Daily","doi":"10.1159/000120489","DOIUrl":"https://doi.org/10.1159/000120489","url":null,"abstract":"<p><p>A male newborn underwent a myelomeningocele repair, with subsequent placement of a ventriculoperitoneal shunt for treatment of hydrocephalus. Five days after shunt surgery, the infant acutely developed a deeply sunken fontanel, pallor, tachypnea, bradycardia, and irritability. Chest radiographs revealed intrathoracic migration of the distal shunt tubing and a tension hydrothorax. Treatment consisted of tube thoracostomy and temporary externalization of the distal shunt tubing. The patient fully recovered. The acute onset of shock in association with a sunken fontanel in a neonate with a shunt should raise the suspicion of tension hydrothorax. For critically ill infants immediate needle aspiration or thoracostomy is suggested. In less severely ill children, exposure of the shunt tubing in the neck and withdrawal of the pleural effusion by the distal shunt tubing may be performed as an emergency measure. The early recognition and urgent management of this problem are emphasized.</p>","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"15 6","pages":"313-6"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120489","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13634271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 38
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