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Hydrocephalus diagnosed prenatally. Outcome of surgical therapy. 产前诊断为脑积水。手术治疗的结果。
Child's brain Pub Date : 1984-01-01
A L Amacher, W D Reid
{"title":"Hydrocephalus diagnosed prenatally. Outcome of surgical therapy.","authors":"A L Amacher,&nbsp;W D Reid","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>4 children with hydrocephalus diagnosed prenatally by uterine ultrasound are presented. In spite of severe hydrocephalus at birth, 3 of the 4 are normal 3.5-5.5 years following surgical therapy. The implications of hydrocephalus diagnosed prenatally are discussed.</p>","PeriodicalId":9836,"journal":{"name":"Child's brain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17777003","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
Epidural haematoma in a paediatric population. 儿科人群的硬膜外血肿。
Child's brain Pub Date : 1984-01-01 DOI: 10.1159/000120184
E G Singounas, Z G Volikas
{"title":"Epidural haematoma in a paediatric population.","authors":"E G Singounas,&nbsp;Z G Volikas","doi":"10.1159/000120184","DOIUrl":"https://doi.org/10.1159/000120184","url":null,"abstract":"<p><p>Over a period of 3 years, 23 cases of epidural haematoma were observed in our department. The Data of these 23 cases were analyzed; in a few of them the statistics of the world literature was confirmed, but 17 of the 23 had a few interesting and characteristic features, which are studied and discussed.</p>","PeriodicalId":9836,"journal":{"name":"Child's brain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120184","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17798103","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
Neural defects in Say-Gerald (VATER) syndrome. Say-Gerald (VATER)综合征的神经缺陷。
Child's brain Pub Date : 1984-01-01 DOI: 10.1159/000120185
S Aleksic, G Budzilovich, M A Greco, R Reuben, I Feigin, J Pearson
{"title":"Neural defects in Say-Gerald (VATER) syndrome.","authors":"S Aleksic,&nbsp;G Budzilovich,&nbsp;M A Greco,&nbsp;R Reuben,&nbsp;I Feigin,&nbsp;J Pearson","doi":"10.1159/000120185","DOIUrl":"https://doi.org/10.1159/000120185","url":null,"abstract":"<p><p>The Say-Gerald (VATER) syndrome consists of vertebral defects, anal atresia, tracheoesophageal fistula, radial dysplasia and renal defects. 2 children with Say-Gerald (VATER) syndrome were autopsied: the first child was found to have hydrocephalus, aqueductal stenosis and probable craniosynostosis, and the second child had hypoplasia of the nerve roots and anterior and posterior horns of the spinal cord, corresponding to the hypoplastic limb. It is suggested that the Say-Gerald syndrome is a multifocal developmental disorder in which central nervous system anomalies may be found. The children with Say-Gerald syndrome should have a complete neurological examination in order to rule out a potentially treatable central nervous system defect.</p>","PeriodicalId":9836,"journal":{"name":"Child's brain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120185","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17798106","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: 15
Re-operation for recurrent brain tumors in children. 儿童复发性脑肿瘤再手术治疗。
Child's brain Pub Date : 1984-01-01 DOI: 10.1159/000120201
S J Barrer, L Schut, L N Sutton, D A Bruce
{"title":"Re-operation for recurrent brain tumors in children.","authors":"S J Barrer,&nbsp;L Schut,&nbsp;L N Sutton,&nbsp;D A Bruce","doi":"10.1159/000120201","DOIUrl":"https://doi.org/10.1159/000120201","url":null,"abstract":"<p><p>In order to determine the efficacy of re-operating on recurrent brain tumors, we did a retrospective analysis of 39 children who underwent such surgery between 1975 and the present. A total of 52 procedures was performed for recurrence of both benign and malignant tumors. 9 patients are neurologically normal and 12 are independent but left with some sort of neurologic deficit for an average of 31 months and 32 months, respectively, postoperatively. 1 child presented severely handicapped and remains so 18 months after his most recent surgery. 17 patients died. 11 improved after re-operation and lived an average of 12 months. 4 were unimproved with an average survival of 10 months. There were 2 surgical deaths for an operative mortality of 4%. We feel that re-operation is a useful therapy for both benign and malignant recurrent brain tumors, and prolongs both the quantity and quality of life in appropriately selected patients.</p>","PeriodicalId":9836,"journal":{"name":"Child's brain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120201","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17566605","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: 18
Evidence for late developmental deficit in very low birth weight infants surviving intraventricular hemorrhage. 极低出生体重婴儿脑室内出血存活的晚期发育缺陷的证据。
Child's brain Pub Date : 1984-01-01 DOI: 10.1159/000120186
D T Scott, L R Ment, R A Ehrenkranz, J B Warshaw
{"title":"Evidence for late developmental deficit in very low birth weight infants surviving intraventricular hemorrhage.","authors":"D T Scott,&nbsp;L R Ment,&nbsp;R A Ehrenkranz,&nbsp;J B Warshaw","doi":"10.1159/000120186","DOIUrl":"https://doi.org/10.1159/000120186","url":null,"abstract":"<p><p>88 very low birth weight preterm infants who had been evaluated with neonatal computed tomography scanning and/or echoencephalography were subsequently brought to follow-up. Serial neurodevelopmental testing at 6, 12, and 18 months corrected age demonstrated that even the lesser grades of germinal matrix and intraventricular hemorrhage may be associated with a relatively less favorable neurodevelopmental outcome.</p>","PeriodicalId":9836,"journal":{"name":"Child's brain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120186","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17269171","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: 15
Dorsal cyst malformations. Part II. Galenic dysgenesis and its embryological considerations. 背部囊肿畸形。第二部分。Galenic发育不良及其胚胎学考虑。
Child's brain Pub Date : 1984-01-01
A Yokota, T Oota, Y Matsukado, T Okudera
{"title":"Dorsal cyst malformations. Part II. Galenic dysgenesis and its embryological considerations.","authors":"A Yokota,&nbsp;T Oota,&nbsp;Y Matsukado,&nbsp;T Okudera","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the preceding part, galenic dysgenesis was stated to be a diagnostic hallmark of dorsal cyst malformations. Failed formation of the galenic drainage system conducts the diencephalic drainage laterally into the transverse sinuses as in the embryonal stage, and it is frequently associated with arrested descent of the torcular portion or other anomalies of the dural sinuses. Highly malformed structures of the deep cerebral veins and the dural sinuses seen in this malformation are correctly interpreted in comparison with findings of venous injection studies performed in human fetuses. Pathogenesis of this malformation is also discussed on the basis of embryological studies of the dural sinuses and falcotentorial structures.</p>","PeriodicalId":9836,"journal":{"name":"Child's brain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17568173","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
Surgically treatable growth retardation due to non-neoplastic pituitary-hypothalamic dysfunction. 非肿瘤性垂体-下丘脑功能障碍所致的可手术治疗的生长迟缓。
Child's brain Pub Date : 1984-01-01 DOI: 10.1159/000120199
C DiRocco, A Iannelli, P Borrelli, M Cappa, C Colosimo
{"title":"Surgically treatable growth retardation due to non-neoplastic pituitary-hypothalamic dysfunction.","authors":"C DiRocco,&nbsp;A Iannelli,&nbsp;P Borrelli,&nbsp;M Cappa,&nbsp;C Colosimo","doi":"10.1159/000120199","DOIUrl":"https://doi.org/10.1159/000120199","url":null,"abstract":"<p><p>Out of 90 children, examined because of growth failure, 15 have been treated surgically. The diagnoses were intrasellar arachnoid diverticulum or empty sella (5 cases), enlarged chiasmatic cisterns (5 cases), chronic 'occult' hydrocephalus (5 cases). Surgery was followed by an immediate increase in growth rate in almost all the cases, even if the result was persistent only in some subjects. In percentage, better results were obtained in patients with enlarged chiasmatic cisterns and chronic occult hydrocephalus than in patients with arachnoid diverticulum or empty sella. The evaluation of prolactin serum levels was demonstrated to be useful both in preoperative diagnosis and postoperative control.</p>","PeriodicalId":9836,"journal":{"name":"Child's brain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120199","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17566603","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
External hydrocephalus in infants. 婴儿外部性脑积水。
Child's brain Pub Date : 1984-01-01 DOI: 10.1159/000120203
H Andersson, J Elfverson, P Svendsen
{"title":"External hydrocephalus in infants.","authors":"H Andersson,&nbsp;J Elfverson,&nbsp;P Svendsen","doi":"10.1159/000120203","DOIUrl":"https://doi.org/10.1159/000120203","url":null,"abstract":"<p><p>External hydrocephalus means abnormal fluid accumulation in the subarachnoid space under increased pressure with no or slight widening of the ventricles. 9 children were investigated because of pathologically increasing head circumference and abnormal transillumination. PEG and/or CT showed widened sulci frontally, parietally and interhemispherically but no widening of the ventricles. 7 patients were subjected to exploratory craniotomy which disclosed a deep arachnoid space. 2 patients were shunted. All follow-up CT examinations showed normal conditions. We suggest that infants with clinical signs of hydrocephalus and CT picture of external hydrocephalus should not be treated with shunt. The widening of the subarachnoidal space will normalize. The rate of headgrowth will also normalize.</p>","PeriodicalId":9836,"journal":{"name":"Child's brain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17566609","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: 60
Intracerebellar hemorrhage due to rupture of angiomatous malformations in the cerebellum. 小脑血管瘤畸形破裂所致的小脑内出血。
Child's brain Pub Date : 1984-01-01 DOI: 10.1159/000120176
T Aki, K Ichikizaki, T Iwata, Y Miyahara, Y Dohmoto, S Sato, S Toya
{"title":"Intracerebellar hemorrhage due to rupture of angiomatous malformations in the cerebellum.","authors":"T Aki,&nbsp;K Ichikizaki,&nbsp;T Iwata,&nbsp;Y Miyahara,&nbsp;Y Dohmoto,&nbsp;S Sato,&nbsp;S Toya","doi":"10.1159/000120176","DOIUrl":"https://doi.org/10.1159/000120176","url":null,"abstract":"<p><p>Two infants were reported with intracerebellar hemorrhage due to rupture of angiomatous malformations in the cerebellum. There have been only a few reports on intracerebellar hemorrhage under 6 years of age, which was due to angiomatous malformation in all cases. The results of operations for intracerebellar hemorrhage in infants were more favorable than those in adults, so even if the infant patient shows severe neurological symptoms preoperatively, an operation should be performed.</p>","PeriodicalId":9836,"journal":{"name":"Child's brain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120176","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17776927","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
Neuropathologic features, including pontine schwannosis, in a four-year survivor of probable Reye's syndrome with secondary Möbius syndrome. 神经病理特征，包括脑桥神经萎缩，在四年的幸存者可能的雷氏综合征继发Möbius综合征。
Child's brain Pub Date : 1984-01-01 DOI: 10.1159/000120168
H J Manz, W Cochran
{"title":"Neuropathologic features, including pontine schwannosis, in a four-year survivor of probable Reye's syndrome with secondary Möbius syndrome.","authors":"H J Manz,&nbsp;W Cochran","doi":"10.1159/000120168","DOIUrl":"https://doi.org/10.1159/000120168","url":null,"abstract":"<p><p>Frequent seizures and loss of motor, language, and intellectual skills necessitated care in an institution for the physically and mentally handicapped for 4 years after diagnosis of presumed Reye's syndrome in a 10-month-old boy. M obius syndrome was diagnosed and bilateral tarsorrhaphy performed for exposure keratitis. Postmortem examination revealed multiple old boundary zone infarcts in the cerebral cortex, small cavitated infarcts in basal ganglia and thalami, diffuse neuronal loss and gliosis, and a focus of old necrosis in the pons; brain stem herniation during the acute phase of Reye's syndrome was responsible for the latter lesion. Irregular congeries of proliferated peripheral nerves, confirmed by ultrastructural study, were ramifying in the gliotic pontine tegmentum. The pathologic substrate for the neurovegetative state in a long-term survivor of probable Reye's syndrome appears to be multifocal cerebral infarction.</p>","PeriodicalId":9836,"journal":{"name":"Child's brain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000120168","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17777005","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: 6
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