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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 64 (1982), S. 159-166 
    ISSN: 0942-0940
    Keywords: Hydrocephalus ; subdural hygroma ; subduroperitoneal shunt ; ventriculoperitoneal shunt
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Three cases with unusual complications of shunting procedures are reported. These were migration of the peritoneal catheter into the mediastinum following an operation for a ventriculoperitoneal (VP) shunt, extrusion of the peritoneal catheter through a well-healed abdominal incision in an adult following a VP shunt operation, and migration of the subdural catheter into the brain substance causing increased intracranial pressure following a subduroperitoneal shunt operation. The possible mechanisms leading to the two migrations and the extrusion are discussed.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1920
    Keywords: Tuberculosis ; Brain abscess ; Computed tomography (CT) ; Ring enhancement ; Antituberculous therapy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A case of tuberculous brain infection following tuberculous meningitis in a 67-year-old man is presented. It was located in an old cerebral infarct associated with left internal carotid artery occlution. CT demonstrated capsule enhancement in the left temporal area after iodinated contrast medium. Chemotherapy with INH, RFP and SM diminished the lesion and the capsule disappeared thirteen months later. It is suggested that a relatively long clinical history together with the appearance of a thick-walled abscess-like lesion on the CT scan is consistent with the diagnosis of tuberculous brain infection, perhaps an abscess.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1920
    Keywords: Aneurysmal dilatation of the vein of Galen ; Prenatal diagnosis ; Color Doppler sonography ; Magnetic resonance imaging ; Transarterial embolization
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We report a neonate with aneurysmal dilatation of the vein of Galen diagnosed prenatally by color Doppler sonography and MRI at 37 weeks' gestation. The child was treated by transarterial embolization of microcoils 2 and 8 days after birth. The aneurysmal dilatation of the vein of Galen markedly decreased after embolization and the patient is developing normally at 2 years 5 months of age. Prenatal diagnosis and early intervention by transarterial embolization produced in a good outcome in this patient.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1432-1971
    Keywords: Key words: Right ventricular function — Doppler echocardiography — Senning operation — Atrial septal defect
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Although the assessment of right ventricular (RV) function is important in the clinical management of children with congenital heart disease, available imaging techniques have been limited because of the complex geometry of the right ventricle. A new Doppler index combining systolic and diastolic time intervals (the Tei index) has been reported to be useful for the assessment of global RV function in adults. However, normal values in children, age-related changes, and the clinical utility of the Tei index with regard to congenital heart disease have not been demonstrated. The purpose of this study was to prospectively assess RV function in children with normal heart and congenital heart disease using the Tei index. The subjects included 150 healthy children and 43 patients with congenital heart disease (35 patients with atrial septal defects and 8 patients who had had a Senning operation). The index was defined as the sum of isovolumetric contraction time and isovolumetric relaxation time divided by ejection time and was measured from conventional RV outflow and inflow Doppler velocity profiles. The Tei index was not affected by age in healthy children (0.24 ± 0.04). There was a significant difference in index rating between patients who had had a Senning operation (0.58 ± 0.09) and healthy children (p 〈 0.01), but there was no significant difference between children with atrial septal defect (0.25 ± 0.13) and healthy children. The Tei index is a feasible approach to use when assessing global RV function in children with congential heart disease.
    Type of Medium: Electronic Resource
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