Pediatric neuroscience最新文献_第4页

Ectopic immature renal tissue in a lumbosacral lipoma: pathologic and radiologic findings. 腰骶部脂肪瘤的异位未成熟肾组织:病理和放射学表现。

Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120451

S R Alston, G N Fuller, O B Boyko, S A Goscin, A DiSclafani

引用次数: 18

Management of hydrocephalus complicating childhood posterior fossa tumors. 儿童期后窝肿瘤并发脑积水的处理。

Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120484

M S Dias, A L Albright

{"title":"Management of hydrocephalus complicating childhood posterior fossa tumors.","authors":"M S Dias, A L Albright","doi":"10.1159/000120484","DOIUrl":"https://doi.org/10.1159/000120484","url":null,"abstract":"We examined the treatment of hydrocephalus in children with posterior fossa tumors to (1) compare the use of external ventricular drainage (EVD) with ventriculoperitoneal shunts (VPS), (2) determine the frequency of postoperative hydrocephalus requiring permanent shunts, and (3) determine which factors predict the need for a permanent shunt. The records of 58 children with posterior fossa tumors and associated hydrocephalus treated at our institution from 1979 to 1987 were retrospectively reviewed. Initial management of hydrocephalus included VPS in 25 patients, EVD in 17, and no treatment in 16. Patients in the 'VPS', 'EVD', and 'no treatment' groups differed only in the severity of hydrocephalus (less severe in the no treatment group than in the VPS and EVD groups) and in the method of dural closure following tumor resection (dura was left open more often in the EVD and no treatment groups). Of the 33 patients not initially shunted, only 9 (27%) subsequently required a shunt. These patients were compared with the remaining 24 patients who did not require a shunt. Two features predicted the need for a subsequent shunt: (1) resection of only a small volume of tumor and (2) the dura open following tumor resection. Complications of EVD were few; no patient deteriorated neurologically during or after ventricular catheter removal. We conclude that between two thirds and three quarters of patients with childhood posterior fossa tumors and associated hydrocephalus may be managed with perioperative EVD and will not require shunts. Patients in whom only a minimal tumor resection is performed and those in whom the dura is left open are more likely to need permanent VPS.","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"15 6","pages":"283-9; discussion 290"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120484","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13634381","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: 65

Gamma knife radiosurgery for intracranial arteriovenous malformations in childhood and adolescence. 儿童及青少年颅内动静脉畸形的伽玛刀放射治疗。

Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120443

E M Altschuler, L D Lunsford, R J Coffey, D J Bissonette, J C Flickinger

{"title":"Gamma knife radiosurgery for intracranial arteriovenous malformations in childhood and adolescence.","authors":"E M Altschuler, L D Lunsford, R J Coffey, D J Bissonette, J C Flickinger","doi":"10.1159/000120443","DOIUrl":"https://doi.org/10.1159/000120443","url":null,"abstract":"Eighteen children or adolescents with intracranial arteriovenous malformations (AVM) underwent stereotactic radiosurgery using the first North American gamma knife. This closed-skull, single-treatment therapy, utilizing 201 ionizing beams of gamma-irradiation, was used as an alternative to microsurgical removal in these selected patients (aged 34 months to 18 years, mean 12.3 years) beginning in August 1987. No significant perioperative morbidity occurred, and no patient rebled or died in the follow-up interval ranging between 7 and 19 months. Computed tomography (CT) and magnetic resonance imaging (MRI) were used to monitor the response to treatment and to determine when postoperative angiography was indicated. Of seven AVMs examined with cerebral angiography 1 year after treatment, three were completely obliterated; three others were significantly smaller, and their complete obliteration is anticipated by 2 years after treatment. Follow-up CT or MRI confirmed attenuation or signal changes suggestive of edema surrounding the treatment volume in 3 patients; 1 had transient worsening of a preexisting neurological deficit. Although a more long-term perspective is still required for this new technology now available in the United States, we believe that gamma knife stereotactic radiosurgery is a safe and effective method to obliterate AVM deemed too risky for microsurgical removal.","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"15 2","pages":"53-61"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120443","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13840281","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: 71

Effect of maternal cocaine use on the fetus and newborn: review of the literature. 母体可卡因使用对胎儿和新生儿的影响:文献综述。

Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120449

E H Roland, J J Volpe

引用次数: 30

2nd annual International Symposium on Pediatric Neuro-Oncology. Philadelphia, Pa, May 24-26, 1990. Abstracts. 第二届儿科神经肿瘤学国际年会。费城，宾夕法尼亚州，1990年5月24日至26日。摘要。

Pediatric neuroscience Pub Date : 1989-01-01

引用次数: 0

Efficacy of barbiturates in the treatment of resistant intracranial hypertension in severely head-injured children. 巴比妥类药物治疗重型颅脑损伤儿童顽固性颅内高压的疗效观察。

Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120433

T Pittman, R Bucholz, D Williams

{"title":"Efficacy of barbiturates in the treatment of resistant intracranial hypertension in severely head-injured children.","authors":"T Pittman, R Bucholz, D Williams","doi":"10.1159/000120433","DOIUrl":"https://doi.org/10.1159/000120433","url":null,"abstract":"Cerebral perfusion pressures (CPP) of less than 50 torr are associated with marginal cerebral blood flow and poor outcome. We report our experience with a group of 7 children who survived long period with CPP of less than 50 torr during treatment with pentobarbital. The study group was identified through a retrospective review of all head-injured patients admitted to Cardinal Glennon Memorial Hospital for Children between 1984 and 1986. All of the patients presented had sustained intracranial pressure of greater than 20 torr which was resistant to conventional therapy. All patients received pentobarbital for at least 24 h and all had documented CPP of less than 50 torr for more than 30 min during that time. Of these 7 children: 3 made good recoveries; 2 are moderately disabled, and 2 are vegetative. Neither the CPP nor the length of pentobarbital coma was an accurate predictor of outcome. It seems likely that these children are a subset of those previously defined as having resistant intracranial hypertension and that, as a group, they may have benefited from pentobarbital administration. It is also apparent that, in this group, low CPP was not indicative of irreversible brain damage or brain death.","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"15 1","pages":"13-7"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120433","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13778721","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: 45

2nd annual International Symposium on Pediatric Neuro-Oncology. Philadelphia, Pa, May 24-26, 1990. Abstracts. 第二届儿科神经肿瘤学国际年会。费城，宾夕法尼亚州，1990年5月24日至26日。摘要。

Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120460

A. Kowal-Vern, I. Almanaseer, A. Bleyer, Kengo Sato, S. Shapiro, T. Javed, J. Mealey, L. Rorke, M. Quigley, D. Reigel, R. Kortyna, T. Nakahara, K. Sakoda, T. Uozumi, T. Takeda, T. Ogorochi, K. Ueda, M. Ueda, Tomoko Sasaki, S. Schiff, J. Oakes

引用次数: 0

Congenital arachnoid cysts in children. 儿童先天性蛛网膜囊肿。

Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120473

C Balsubramaniam, J Laurent, E Rouah, D Armstrong, N Feldstein, S Schneider, W Cheek

引用次数: 18

Use of epidural morphine for control of postoperative pain in selective dorsal rhizotomy for spasticity. 硬膜外吗啡对选择性背神经根切断术术后疼痛的控制。

Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120474

M L Sparkes, A S Klein, A C Duhaime, J P Mickle

引用次数: 27

Inappropriate secretion of antidiuretic hormone and transient hypertension associated with Guillain-Barré syndrome. 抗利尿激素分泌不当和短暂性高血压与格林-巴-罗综合征相关。

Pediatric neuroscience Pub Date : 1989-01-01 DOI: 10.1159/000120477

K Kaneko, T Shioya, K Yabuta

引用次数: 13