Pediatric neuroscience最新文献_第7页

Progressive neurological deterioration in a 14-year-old girl. 一名14岁女孩神经系统恶化。

Pediatric neuroscience Pub Date : 1988-01-01 DOI: 10.1159/000120361

P H Berman, G S Davidson, L E Becker

引用次数: 21

Diastematomyelia--a 40-year experience. 血友病，40年的经验。

Pediatric neuroscience Pub Date : 1988-01-01 DOI: 10.1159/000120369

D J Gower, O Del Curling, D L Kelly, E Alexander

引用次数: 53

A technique for removal of an adherent ventricular catheter. 一种移除粘附性心室导管的技术。

Pediatric neuroscience Pub Date : 1988-01-01 DOI: 10.1159/000120392

I Chambi, E B Hendrick

引用次数: 21

International Symposium on Pediatric Neuro-Oncology. Seattle, Wash., June 1-3, 1989. Abstracts. 国际小儿神经肿瘤学研讨会。西雅图,洗。1989年6月1日至3日。摘要。

Pediatric neuroscience Pub Date : 1988-01-01

引用次数: 0

Spinal cord injury in I-cell disease. i细胞病的脊髓损伤。

Pediatric neuroscience Pub Date : 1988-01-01 DOI: 10.1159/000120411

M L Goodman, D Pang

{"title":"Spinal cord injury in I-cell disease.","authors":"M L Goodman, D Pang","doi":"10.1159/000120411","DOIUrl":"https://doi.org/10.1159/000120411","url":null,"abstract":"I-cell disease (ICD), mucolipidosis II, is an autosomal recessive syndrome resulting from defective phosphorylation of acid hydrolases. The diagnosis is made in early childhood and in most cases death occurs by age 5 as a result of cardiorespiratory complications. Pathologic changes are limited to mesenchymal tissues. We treated two children with ICD who developed atlantoaxial dislocation and myelopathy following minor injuries. The first child developed cardiovascular instability with manipulation of the C1 ring at operation, necessitating removal of the arch of C1 and fusion from occiput to C2. The second child was quadriplegic following anatomic reduction of the C1-C2 dislocation at operation during which somatosensory evoked potentials (SSEPs) showed no deleterious change. The atlantoaxial joint is unstable in ICD due to an incompetent transverse ligament infiltrated by storage cells. A cartilaginous, rather than calcified, odontoid process may contribute to the instability. The intraoperative neural injury occurred during attempts to effect anatomical reduction of the chronically dislocated C1-C2 joints and could have resulted from inadvertent trauma to the vertebral arteries and subsequent infarction of the cord. The lack of change in the intraoperative SSEPs was probably due to relative sparing of the posterior columns during the cord injury. We recommend that children with ICD and atlantoaxial instability undergo closed reduction of any existing malalignment followed by posterior C1-C2 fusion as long as the operative risk is not prohibitive. If preoperative closed reduction is not readily feasible and the cord is severely compromised, the C1 arch should be removed and the occiput fused to C2. Forceful attempts at anatomical reduction of the chronically dislocated C1-C2 segments should be avoided.","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"14 6","pages":"315-8"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120411","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14397560","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: 5

Benign ependymomas of the posterior fossa in childhood. 儿童后窝良性室管膜瘤。

Pediatric neuroscience Pub Date : 1988-01-01 DOI: 10.1159/000120405

T Tomita, D G McLone, L Das, W N Brand

{"title":"Benign ependymomas of the posterior fossa in childhood.","authors":"T Tomita, D G McLone, L Das, W N Brand","doi":"10.1159/000120405","DOIUrl":"https://doi.org/10.1159/000120405","url":null,"abstract":"A series of 22 infants and children with posterior fossa benign ependymomas treated surgically during the past 12 years is presented. All patients were operated on with posterior fossa craniotomy: visible total resection in 10, subtotal resection in 9, partial resection in 2 and biopsy only in 1. One patient (4.5%) died shortly after surgery. Only 5 patients had documented infiltration of the floor of the fourth ventricle. Postoperative radiotherapy was administered with variable radiation fields and doses. Two out of six patients who had total resection and postoperative radiation therapy did not show recurrence during at least 26 months follow-up period. However, patients with incomplete tumor resection almost invariably developed recurrence. An attempt should be made to remove posterior fossa ependymomas totally at the initial craniotomy. The risk periods for recurrence were between 1 and 2 years after subtotal resection and between 2 and 3 years after total resection. In our experience, gross recurrent tumors appear to be resistant to chemotherapy, and a combination of surgery and radiation therapy does not necessarily prevent recurrence. Newer agents or protocols of adjuvant chemotherapy are needed to explore.","PeriodicalId":77766,"journal":{"name":"Pediatric neuroscience","volume":"14 6","pages":"277-85"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120405","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14399081","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: 42

Neuronal migration abnormalities can still be diagnosed by computed tomography! 神经元迁移异常仍然可以通过计算机断层扫描诊断!

Pediatric neuroscience Pub Date : 1988-01-01 DOI: 10.1159/000120394

A R Buckley, O Flodmark, E H Roland, A Hill

引用次数: 7

Gait analysis of cerebral palsy children before and after rhizotomy. 脑瘫患儿神经根切断术前后步态分析。

Pediatric neuroscience Pub Date : 1988-01-01 DOI: 10.1159/000120408

C L Vaughan, B Berman, L A Staudt, W J Peacock

引用次数: 55

Neonatal cerebral venous thrombosis. 新生儿脑静脉血栓。

Pediatric neuroscience Pub Date : 1988-01-01 DOI: 10.1159/000120385

W C Hanigan, P T Tracy, W S Tadros, R M Wright