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At least 1,081 records · Page 60Linked to original sources

[Ocular flutter: really a cerebellar sign?].

Two post-operative cases of ocular flutter with electro-oculographic recordings are reported. In both cases, the lesion was unique and restricted, suggesting that a cerebellar damage was responsible for this abnormal eye movement. In both cases, ocular flutter was directed toward the healthy side. Therefore it is suggested that flutter may result from a focal cerebellar lesion and in that case be an oriented eye movement.

Adolescent↗

[Ring chromosome 10: 46,XX,r(10)(p15q26)].

A teenage girl with growth and mental retardation, urinary tract and eye abnormalities was found to have an r(10)(p15q26) in blood cells. Quantitative evaluation of seven red cell enzymes including three (HK1, TGOS, PGAMA) known to be on chromosome 10, gave normal values.

Abnormalities, Multiple↗

[Joubert syndrome. Study of a new case and review of the literature].

A two-year old male affected by Joubert Syndrome (cerebellar vermix agenesis, mental retardation, respiratory rythm disturbs, ataxia and abnormal eye movements) is reported. A review of literature of fourteen previous cases is done. Early diagnosis of this syndrome is very important for later prognosic and genetic advice. Authors point out the usefulness of CT scan for diagnosis.

Cerebellar Ataxia↗

Clinical predictability of intraventricular hemorrhage in preterm infants.

Ninety-eight infants of less than 35 weeks' gestation, consecutively admitted to a regional neonatal intensive care unit, were followed prior to computerized tomography (CT) scan for clinical signs of subependymal and/or intraventricular hemorrhage. The presence or absence of intracerebral hemorrhage was confirmed by CT scan in all patients, and the severity of hemorrhage was quantitated as mild, moderate, or marked. Thirty-seven out of 98 infants (38%) demonstrated intracerebral hemorrhage on CT scan; 20 of 37 (54%) were predicted clinically. Clinical predictability was related to severity of hemorrhage as quantitated by CT scan. Clinical signs that were found helpful in predicting subependymal and/or intraventricular hemorrhage were fall in hematocrit, failure of rise in hematocrit with transfusion of packed red blood cells, tight fontanel, decrease in spontaneous activity, decreased tone, abnormal eye signs, and seizures.

Cerebral Hemorrhage↗

[Triploidy syndrome: a case report].

Triploidy is a complete extra set of chromosomes and results in a clinically recognizable lethal syndrome with hydatiform placental changes, severe intrauterine growth deficiency, cranial bone abnormalities, eye defects, malformed ears, syndactyly, genital anomalies, congenital heart defects and brain anomalies. Less severe are instances of diploid-tetraploid mixoploidy and patients are more likely to survive. The present report is another contribution to the knowledge of human triploidy: we describe a 69,XXY triploid male occurred to our observation.

Chromosome Aberrations↗

[Fiberscopic intubation under general anesthesia for children with Goldenhar syndrome].

Goldenhar syndrome is characterised by an eye abnormality such as epibulbar dermoid and lipoma, associated with ear, mandibular, and/or vertebral anomalies. It is well documented that difficult intubation in patient with this syndrome may be expected because of mandibular hypoplasia and limitation of neck movement resulting from vertebral anomalies. We report anesthetic management of two children with Goldenhar syndrome, 9 and 14-year-old. By preoperative examination, two children were expected to be difficult in intubating trachea. We used our newly developed mask adapter which enabled us to perform fiberoptic bronchoscopy-aided tracheal intubation under general anesthesia under controlled ventilation. By using this adapter, under sevoflurane/nitrous oxide anesthesia with vecuronium, we could successfully intubate with a 6 mm spiral tube through the nostril without any major problems. Anesthesia and surgery went uneventfully, and no postoperative complications were noted. We confirmed that our newly developed mask adapter for fiberoptic bronchoscopy is as useful for children with difficult intubation as for adults.

Adolescent↗

[Ocular changes in Down's syndrome].

The authors analyzed the kind of ocular changes and methods of therapy in 34 children, aged 5 months to 14 years, treated in the clinic in the years 1982-1992. The most frequent change was congenital cataract. The other signs observed were: Brushfield's spots, alternate esotropia, nystagmus, partial optic atrophy, retinal detachment, congenital glaucoma, ectropion and keratoconus. Occurrence of several anomalies were frequent. The adequate surgical treatment was applied depending on the kind of changes. Cataract extraction was made by aspiration method. Visual acuity improved in 58.8% of eyes.

Adolescent↗

[Ocular findings in syndroma of Schimmelpenning-Feuerstein and Mims (author's transl)].

This is a description of a male patient, now 8-years-old, with the syndrome described by Schimmelpennig-Feuerstein and Mims. Characteristic for this clinical picture, which is classified as a phacomatosis, are a striated and sponge-like naevus sebaceus, disorders of the central nervous system taking the form of debility and epileptic attacks, and multiple anomalies of the eyes, such as microphthalmus, coloboma of the eyelids and optic nerve with ablatio falciformis, as well as dermoids and teratomas of the conjunctiva.

Child↗

[Retinal detachment in young patients].

We report 48 cases of retinal detachment in 39 patients under the age of 20. These cases represent 12.6% of all retinal detachment cases. They are characterized by their numerous etiologies mainly traumatic (36%) and congenital detachment (36%). They are also characterized by delayed diagnosis (4 months), frequency of macula involvement (92%) and the large area of detachment (total retinal detachment in 48%). Thirty-six out of the 48 eyes were operated on. Surgical treatment consisted in episcleral surgery in 65% of the cases, associated with vitreoretinal surgery in 35% of the cases. Complete anatomic success was achieved in 78.4% of the eyes, localized retinal detachment without macula involvement remained in 5.4% of the cases. Vision between 1/20 and 2/10 was obtained in 41% of the eyes, and superior or equal to 2/10 in 24% of the eyes. These results depended mainly on the aetiology. In conclusion, we obtained good recuperation in operated cases of juvenile retinal detachment even in delayed diagnosis cases.

Adolescent↗