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  • 1
    Electronic Resource
    Electronic Resource
    Turkey (1990)
    Springer
    Child's nervous system 6 (1990), S. S54 
    Details
    ISSN: 1433-0350
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00301589
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Brain abscess in infants and children (1994)
    Springer
    Child's nervous system 10 (1994), S. 185-189 
    Details
    ISSN: 1433-0350
    Keywords: Brain abscess
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Forty-four consecutive patients with brain abscesses, aged between 1 month and 16 years, were reviewed. The cause of abscess was menigitis in 36% of the cases, otitis in 27%, heart disease in 9%, other in 5%, and undetected in 5%. Thirty patients had a single abscess and 12 had multiple abscesses. Multiloculated abscess was present in 2. Total excision was accomplished in 22 patients. Three patients underwent needle aspiration. Drainage of the abscess was performed in 13. Secondary excision was needed in 5 patients. One patient was treated nonsurgically. Streptococci, staphylococci and Proteus mirabilis were the microorganisms recovered in cultures. Overall mortality was 20% (9 patients). Mortality was significantly higher in patients under 2 years of age than in those older. Of 15 patients who were comatose at the time of admission, 6 died. Etiology, diagnostic method, and treatment modalities were not found to be significant factors in terms of predicting mortality.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00301088
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  • 3
    Electronic Resource
    Electronic Resource
    Outcome of patients with meningomyelocele The Ege University experience (1998)
    Springer
    Child's nervous system 14 (1998), S. 120-123 
    Details
    ISSN: 1433-0350
    Keywords: Key words Congenital malformation ; Infant ; Meningomyelocele ; Neural tube defect ; Newborn ; Spinal cord
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The medical records of 190 patients with meningomyelocele operated on between 1979 and 1993 were reviewed. In 65 patients, psychometric tests were performed. The Denver Developmental Screening Test and the Wechsler Intelligence Scale for Children, Revised (WISC-R) were used in children under and over 6 years old, respectively. There were 82 boys (43.2%) and 108 girls (56.8%). The lumbar region was the site of the meningomyelocele in 113 patients (59.5%). Patients with cervical and sacral meningomyelocele had a higher rate of almost normal motor function than those with meningomyelocele at other levels (P=0.000). Only 36 (21.7%) of 166 patients followed up by us did not have hydrocephalus. We also noted that the higher the location of the meningomyelocele, the greater the control of both sphincters (P=0.014). Fifty-four percent of the hydrocephalic patients had a normal development or IQ. Psychometric tests were normal in 76% of those without hydrocephalus. Twenty-four patients were lost to follow-up. The follow-up of the remaining 166 patients ranged from 1 month to 180 months (mean 60.2 months). Fifty-three patients (32%) died, central nervous system infection being the most common cause of death (44%). The management of children with meningomyelocele needs a team approach.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003810050192
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  • 4
    Electronic Resource
    Electronic Resource
    Complications of subduroperitoneal shunting (2000)
    Springer
    Child's nervous system 16 (2000), S. 433-436 
    Details
    ISSN: 1433-0350
    Keywords: Keywords Child ; Complication ; Computed tomography ; Infant ; Subdural fluid collection ; Subduroperitoneal shunt
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Objects: Subduroperitoneal (SP) shunts have been widely used in the management of pediatric subdural fluid collections. Methods: We retrospectively reviewed the complications of SP shunting in 73 boys and 24 girls, who ranged in age from 1 to 180 months (median 7 months). Subdural fluid collection was bilateral in 75 and unilateral in 22 patients. The most common complication was shunt obstruction (13 patients). Shunt migration was seen in 8 patients. Migration occurred only with unishunts without a reservoir and with peritoneal catheters. However, the shunts with a reservoir or flushing valve led to skin necrosis in 4 patients (P=0.003). Unilateral drainage though bilateral collections were present, infection, bowel perforation, and ileus occurred in 5, 4, 1 and 1 patients respectively. Conclusions: These SP shunt complications, some of which are avoidable, should be kept in mind.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/PL00007288
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  • 5
    Electronic Resource
    Electronic Resource
    Dumbbell ganglioneuromas in childhood (1993)
    Springer
    Child's nervous system 9 (1993), S. 182-184 
    Details
    ISSN: 1433-0350
    Keywords: Ganglioneuroma ; Spinal neoplasm ; Sympathetic ganglia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The incidence of dumbbell tumors among spinal neoplasms is between 10% and 15%. Approximately 1% of neoplasms located at or near the spinal cord are ganglioneuromas. Ganglioneuromas are rare, slow-growing, benign tumors arising from sympathetic ganglia. The cases of two children with spinal dumbbell ganglioneuroma are presented. The tumors were totally resected by combined surgery in both patients. The patients are neurologically intact 5 and 4 years respectively after surgery.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00272274
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  • 6
    Electronic Resource
    Electronic Resource
    Abdominal cerebrospinal fluid pseudocysts (1996)
    Springer
    Child's nervous system 12 (1996), S. 755-758 
    Details
    ISSN: 1433-0350
    Keywords: Hydrocephalus ; Cerebrospinal fluid pseudocyst ; Cerebrospinal fluid shunt ; Shunt infection
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Abdominal cerebrospinal fluid pseudocyst is an infrequent complication of ventriculoperitoneal (VP) shunts. We reviewed ten patients with abdominal pseudocyst. There were five girls and five boys, aged between 4 months and 14 years. The number of shunt procedures prior to the presentation varied between one and five. Only one patient had had a previous shunt infection. No patients had undergone prior abdominal surgery other than VP shunting. The time from the last shunting procedure to the development of abdominal pseudocyst ranged from 3 weeks to 5 years. Presenting symptoms and signs were mainly related to abdominal complaints in all patients. Three patients also had the signs of shunt malfunction. The diagnosis was made by ultrasound in all patients. Shunt infection was determined in six patients. Repositioning of the peritoneal catheter seemed to have a higher rate of recurrence. The diagnosis of abdominal pseudocyst should be considered in VP-shunted patients presenting with abdominal complaints.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00261593
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  • 7
    Electronic Resource
    Electronic Resource
    Extradural hematoma: analysis of 146 cases (1993)
    Springer
    Child's nervous system 9 (1993), S. 96-99 
    Details
    ISSN: 1433-0350
    Keywords: Extradural hematoma ; Head injury ; Computed tomography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract One hundred forty-six consecutive patients operated on for extradural hematoma (EDH) from 1979 through 1991 were analyzed. This series included patients from both before and after the advent of computed tomography (CT). There were 102 boys and 44 girls, aged 1–16 years. All patients underwent plain skull X-radiography. CT scans were obtained in 72 cases and angiography was performed in 10. Thirty patients with EDH did not have skull fractures. Falls were predominant among the modes of injury. Thirty-seven percent of patients had a lucid interval. The overall mortality was 10%. The mortality rates in the CT and plain X-ray groups were 6% and 16% respectively. There was only one death in patients who did not have a lucid interval. The Glasgow Coma Scale scores of all patients who died in this series were less than 8. We concluded that mydriasis, comatose state at the time of operation, and a lucid interval are ominous signs in the prediction of outcome.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00305316
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  • 8
    Electronic Resource
    Electronic Resource
    Immunoglobulin prophylaxis in shunt infections: a prospective randomized study (1997)
    Springer
    Child's nervous system 13 (1997), S. 546-549 
    Details
    ISSN: 1433-0350
    Keywords: Key words Cerebrospinal fluid shunt ; Hydrocephalus ; Immunoglobulin ; Infant ; Infection
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Cerebrospinal fluid shunt infection is serious and one of the most frequent complications of shunt implantation. Age has been one of the most significant host factors for the development of shunt infections. A relative deficiency of the immune response against bacteria in infants could partly explain the higher infection rate in the very young patients. This prospective-randomized study was conducted in two groups: group A (immunoglobulin group) and group B (control group). There were 30 patients in each group. The patients in group A received intravenous immunoglobulin (Sandoglobulin®) at a dose of 1 g/kg in the night before surgery. Each patient was followed up to 6 months. No infection was seen in group A. In group B, infection rate per procedure and infection rate per patient were 5.1% (P=0.494) and 6.6% (P=0.492), respectively. Intravenous immunoglobulin prophylaxis in infants seems to reduce the shunt infections.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003810050135
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    Paper (German National Licenses)
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  • 9
    Electronic Resource
    Electronic Resource
    Multiple brain abscesses following esophageal dilation (1995)
    Springer
    Child's nervous system 11 (1995), S. 351-353 
    Details
    ISSN: 1433-0350
    Keywords: Brain abscess ; Esophageal dilation ; Esophageal stricture
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 6-year-old boy esophageal stricture due to the ingestion of caustic 7 months prior to admission. Eight esophageal dilations and a feeding gastrostomy were performed. He presented with seizure, right-sided weakness, fever, and somnolence. Computed tomographic scans revealed multiple brain abscesses. The abscesses were treated by burr-hole drainage. The patient improved and was discharged from the hospital without neurological deficit. Brain abscesses are not very common following esophageal dilation. It should be kept in mind that brain abscess is a potential complication of esophageal dilation.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00301670
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  • 10
    Electronic Resource
    Electronic Resource
    A method for continuous external drainage in the management of infantile subdural collections (1995)
    Springer
    Child's nervous system 11 (1995), S. 418-420 
    Details
    ISSN: 1433-0350
    Keywords: Subdural hematoma ; Continuous external subdural drainage ; Infant
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract There is no consensus on the management of infantile chronic subdural collections. Subdural tapping, craniotomy and removal of membranes, and shunting from the subdural space have all been used. We performed continuous external subdural drainage (CESD) as a step prior to subdural-peritoneal shunt placement in the management of infantile chronic subdural fluid collections. A lumbar drainage set was used for CESD. The catheter was placed in the subdural space through the anterior fontanel with a Touhy needle. This percutaneous technique seems an easy and safe method for CESD in infants with chronic subdural collections.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00717409
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