scholarly journals Adenovirus cerebellitis in an immunocompetent 2-year-old girl

2019 ◽  
Vol 12 (3) ◽  
pp. e227808
Author(s):  
Zena Tansley-Ahmed ◽  
Kit Wu ◽  
Loucas Christodoulou
Keyword(s):  
Obstructive Hydrocephalus ◽  
Favourable Outcome ◽  
Age Group ◽  
Cerebellar Dysfunction ◽  
Comprehensive Investigation ◽  
Atypical Pathogens ◽  
Brainstem Compression ◽  
Paediatric Age

Acute cerebellitis (AC) is a principal cause of acute cerebellar dysfunction in previously well children. Although the condition is usually benign, fatal complications include obstructive hydrocephalus and brainstem compression; therefore, prompt accurate diagnosis is vital.1There are various pathogens reported in the literature as aetiological agents of AC; however, adenovirus is very rarely mentioned, with only one previous case report in the literature to the best of our knowledge.2This case demonstrates the importance of recognising adenovirus as a cause of AC, particularly when preceded by a respiratory tract infection in the paediatric age group. Furthermore, we highlight the role of early neuroimaging in differentiating AC from other causes of acute cerebellar dysfunction, which require different management. Our patient made a full recovery with no long-term deficits demonstrating that comprehensive investigation and consideration of atypical pathogens in the context of AC is vital in securing a favourable outcome.

Role of low kilovoltage electrocardiographic-gated multidetector CT in electrophysiological procedures in the paediatric age group

2016 ◽  
Vol 27 (4) ◽  
pp. 617-624
Author(s):  
Sameh N. K. Khalil ◽  
Ahmed S. Ibrahim
Keyword(s):  
Multidetector Ct ◽  
Electric Activity ◽  
Age Group ◽  
Road Map ◽  
Paediatric Age ◽  
Electrophysiological Procedures ◽  
Low Kilovoltage ◽  
Treatment Of Arrhythmias ◽  
Electrophysiological Technique

AbstractTreatment of arrhythmias by catheter ablation targeting the anatomical foci of arrhythmias by radiofrequency has evolved dramatically in recent years. A road map for the relevant heart structures is an important asset for the success of the procedure and should be obtained before the intervention. This can be achieved by intra-cardiac echocardiography, conventional angiographic methods, multidetector CT, or MRI. The electrophysiological technique comprises a diagnostic procedure and an interventional – therapeutic – procedure. Electrocardiographic-gated multidetector CT is important in the diagnostic session to evaluate the anatomical details in combination with electric activity mapping. This combined protocol provides a unique view of the propagation of electrical activity, either normal or abnormal, over cardiac structures and allows a precise functional and anatomical evaluation to be obtained. In this review, we evaluate the role of electrocardiographic-gated multidetector CT in roadmapping arrhythmias in the paediatric age group, focussing on its strengths; we also evaluated some additional aspects that need further improvement in the future.

scholarly journals CONCEPTIUAL STUDY ON GANDHAKA KALPA AND PATHYADI LEPA IN THE MANAGEMENT OF VICHARCHIKA W.S.R ECZEMA

2020 ◽  
Vol 8 (10) ◽  
pp. 4818-4823
Author(s):  
Suhasini R. D ◽  
Shankar Gouda
Keyword(s):  
Skin Disease ◽  
Skin Diseases ◽  
Medical Science ◽  
Cost Effective ◽  
Age Group ◽  
Treat Ment ◽  
Infancy And Childhood ◽  
Paediatric Age ◽  
Great Advance

Vicharchika is described under Kshudra Kustha by most of the Acharya’s. Kashyapa described Vicharchika in Sadhya Kustha. In ancient time also skin diseases were very common. Acharya’s described skin diseases and their treatment in detail. In present era also, skin diseases are very common in all age group, especially paediatric age group. One among them is eczema. Eczema is most common chronic re-lapsing skin disease seen in infancy and childhood. Despite of great advance in dermatology and the ad-vent of higher potency antibiotics, antifungal as well as steroids, Eczema continues to defy the best effect of dermatologists. Drug (Dravya) is one among the Chikitsa Catuspada and is having the next place after the physician. Medication is considered as Karana (means) for producing Dhatusamya and defined as “Anything which is utilized by the physician for restoring the equilibrium of body elements”. Anything be-sides the source of action, endeavour, place and time which sub serves the same purpose, is also medica-tion. Management of Vicharchika includes Shodhana, Shamana and Bahirparimarjana Chikitsa among them Shamana in the form of khalvi Rasayana & Bahirparimarjana Chikitsa as Lepa has shown apprecia-ble result in many previous researches. So, need of time is to go for cost effective, safe and efficient treat-ment of Vicharchika. Although, there are many drugs available in modern medical science for the treat-ment of eczema which is found to be effective but is unsatisfactory for long term prophylaxis, so there is need of the hour to look into the safe, efficient & satisfactory remedy which not only treat the above ail-ments, but also ensure reduction in the episodes of relapse of the disease. Keeping all the above points in mind Gandhaka Kalpa & Pathyadi lepa has been selected to know its efficacy in treating Vicharchika. Gandhaka Kalpa & Pathyadi lepa consists of 9 drugs with different properties which includes Gandhaka, Amalaki, Haritaki, karanja, Siddhartha, Haridra, Bakuchi, SaindhavaLavana, Vidanga.

scholarly journals Storage Media – A review

2019 ◽  
Vol 1 (5) ◽  
Author(s):  
Soundarya Vishwanathan ◽  
Nandan N. ◽  
Sunil Raj N ◽  
Anitha C ◽  
Manjushree Rajappa
Keyword(s):  
Critical Role ◽  
Informed Choice ◽  
Good Prognosis ◽  
Favourable Outcome ◽  
Term Survival ◽  
Storage Media ◽  
Pdl Cells ◽  
Management Protocol

Management protocol for avulsed teeth includes the maintenance of viable periodontal ligament (PDL) cells for good prognosis and long-term survival of these teeth. The desirable treatment is immediate replacement and replantation of the avulsed tooth but it cannot always be accomplished for a number of reasons. Thus, the tooth should be transported in a suitable storage medium to maintain the cell viability. Considering the critical role of these media, an informed choice of a suitable medium is essential for a favourable outcome. This review paper focuses on the various storage media available and highlights their specific features or drawbacks.

scholarly journals Miniplate removal in operated cases of maxillofacial region in a dental institute in Rajasthan, India

2019 ◽  
Author(s):  
Pulkit Khandelwal ◽  
A Bhagavandas Rai ◽  
Bipin Bulgannawar ◽  
Nilay Vakaria ◽  
Hemal Sejani ◽  
...  
Keyword(s):  
Age Group ◽  
Maxillofacial Region ◽  
Chi Square ◽  
Chi Square Test ◽  
Time Gap ◽  
Routine Removal ◽  
Term Management ◽  
Test Correlation

Background. The long term management of miniplate fixation osteosynthesis remains debatable and controversial with few authors advocating routine removal of the miniplates after 3-6 months of placement, while others recommend retention of the miniplates unless their removal is clinically indicated. Objective. The aim was to study the incidence, indications, time gap, role of metallic composition and site of removal of miniplates in operated cases of maxillofacial region over a two-year period. Methods. Patients undergoing removal of miniplates over 2-year period were studied and evaluated regarding the number of miniplates removed, time gap present between fixation and removal of miniplates, indications for removal, metallic composition of miniplates removed, sites of removal and complications. Correlations between indications for miniplate removal based upon time gap, metallic composition, age group and number of miniplates present were determined using Chi-square test. Correlation between metallic composition of miniplate and time gap was also determined using Chi-square test. Results. The miniplates were removed in 20 patients (16 males and 4 females). Most common indication for removal was infection (45%). Forty-five percent of the patients underwent miniplate removal within 1 year of placement. Thirty-four miniplates and 118 screws were removed. The correlation between indications for miniplate removal and time gap was found to be statistically significant (P = 0.04). Conclusion. Most of the hardware removal is performed subsequent to complications associated with hardware and local factors play more important role than metallic composition. Routine asymptomatic miniplates do not require removal and is not recommended.

Staged embolisation of a giant torcular dural sinus malformation in a neonate

2021 ◽  
Vol 14 (11) ◽  
pp. e244216
Author(s):  
Evan M Luther ◽  
Aria Jamshidi ◽  
Hunter King ◽  
Robert Starke
Keyword(s):  
Surgical Approach ◽  
Obstructive Hydrocephalus ◽  
In Utero ◽  
Dural Sinus ◽  
Neurological Outcomes ◽  
Brainstem Compression ◽  
Dural Sinus Malformation ◽  
Elective Termination ◽  
Better Than

Torcular dural sinus malformations (tDSMs) represent a rare subset of paediatric cerebrovascular malformations and are often diagnosed antenatally via ultrasound. The management of these in utero lesions remains controversial as previous studies suggested elective termination of the pregnancy because of their presumably high mortality and severe long-term morbidity. However, more recent evaluations have suggested that the overall prognosis for infants harbouring these lesions may be much better than previously believed. As such, we present the case of a neonate with a giant tDSM, diagnosed in utero, who was treated postnatally via staged transarterial and transvenous embolisation to alleviate worsening obstructive hydrocephalus and brainstem compression. We provide details regarding the surgical approach and long-term neurological outcomes for this patient. To the best of our knowledge, this is one of the largest reported tDSM presented in the literature.

scholarly journals ROLE OF VARMAM THERAPY IN KUMBAVATHAM MANAGEMENT

2016 ◽  
pp. 298
Author(s):  
Maanickha Chelvi ◽  
Rajesh Kumar ◽  
Rajendra Kumar A
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Old Age ◽  
Adhesive Capsulitis ◽  
Neurological Deficits ◽  
Age Group ◽  
Medical Systems

<p>ABSTRACT<br />Introduction: Siddha medicine, one among the ancient indigenous medical systems of India, has a repository of classical formulations as internal<br />medication and various other unique techniques/therapies as external usage. Varmam is one among such therapies used to treat multiple ailments,<br />especially related to musculoskeletal and neurological deficits. Sometimes, varmam therapy is used along with internal medications and external<br />applications as well.<br />Objective: Adhesive capsulitis or periarthritis may be correlated with kumbavatham which is one of the vatha diseases mentioned in the Siddha<br />literature Yugi Vaithya Chinthamani. Kumbavatham is one of the most common rheumatological problems in old age group, especially those in<br />diabetic participants. It is the most common long-term complication next to osteoarthritis in diabetes mellitus patients.<br />Methods: The present intervention was done in kumbavatham patients who volunteered to undergo the varmam therapy with regular outpatient<br />department medications, and the results were presented. The effect of varmam therapy on kumbavatham was assessed in accordance with shoulder<br />pain and disability index.<br />Result and Conclusion: The result of the current study concludes that the varmam therapy might be useful in the management of kumbavatham<br />diseases and thus improves the quality of life of the patients.<br />Keywords: Kumbavatham, Adhesive capsulitis, Varmam therapy, Diabetes mellitus, Siddha.</p>

Homoeopathy for Upper Respiratory Tract Infection in Children: A Narrative Review of Research Evidence

2020 ◽  
Author(s):  
Abhijit Dutta ◽  
Nisha Sehrawat
Keyword(s):  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Upper Respiratory Tract Infection ◽  
Cochrane Library ◽  
Age Group ◽  
Upper Respiratory Tract ◽  
Paediatric Age ◽  
Upper Respiratory

Abstract Background Upper respiratory tract infection (URTI) is one of the leading causes of morbidity worldwide, especially in the paediatric age group. Conventional medications have a minimal role in treating and preventing those diseases and an alternative for this is warranted. In this regard, homoeopathy can be a proper consideration, but the comparative effect and safety need critical evaluation. Methods To evaluate the role of homoeopathic treatment in URTI, particularly in children, we conducted a comprehensive search in PubMed, Core-Hom, Cochrane library and Cam-quest database. All the relevant studies were included for a critical review. Results One-hundred forty articles were found in a preliminary search, and for review, we included 17 studies related to URTI in paediatric age group. All the studies were very diverse in the methodology, type of homoeopathy used and outcome measurement. Different types of homoeopathy in terms of individualised, complex syrup and home-medication were used in studies. Fourteen studies reported the role of homoeopathy in reducing the severity of symptoms, efficacy beyond placebo, superiority or non-inferiority over conventional medications, in lowering the consumption of antibiotics and as prophylaxis. On the other hand, three studies found little or no effect in reducing symptoms or number of visits. Conclusions Homoeopathic treatment improves the symptoms and reduces the severity of URTI in the paediatric age group. It can be an effective and safe way of treatment for reducing the burden of the disease, thus improving the quality of life. Owing to the diversity among the studies, more high-quality trials with focused questions are needed for further conclusion.

A Review of Sildenafil in the Treatment of Pediatric Pulmonary Arterial Hypertension

2009 ◽  
Vol 1 ◽  
pp. CMT.S1959
Author(s):  
Usha Krishnan ◽  
Leif Lovig
Keyword(s):  
Pulmonary Hypertension ◽  
Age Group ◽  
Multicenter Trials ◽  
Pediatric Age Group ◽  
Pulmonary Arterial ◽  
Ph Management ◽  
Double Blinded ◽  
Phosphodiesterase 5

This is a review article that discusses the role of sildenafil in pediatric pulmonary hypertension. The etiopathogenesis as well as prognosis for pediatric pulmonary hypertension (PH) differs from adults. The basic tenets of targeted management of PH however are similar. Sildenafil and other phosphodiesterase-5 inhibitors play a very important role in PH management, especially because of the ease of administration, low adverse effect profile, better tolerability and relative cost effectiveness. This is especially vital in situations where inhaled nitric oxide is not easily available and fills an important therapeutic gap. Large double blinded and controlled studies studying the effects of sildenafil in pediatric PH are not available. Equally vital would be long term efficacy studies, which should be initiated through large multicenter trials, to study the beneficial as well as long term side effects of this medication in the pediatric age group.

scholarly journals Paediatric RCC with sarcomatoid variation: a rare entity

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Anuj Mahajan ◽  
Prashanth Adiga ◽  
Vivek Pai ◽  
Keerthi Raj
Keyword(s):  
Clear Cell ◽  
Histopathological Examination ◽  
Treatment Protocol ◽  
Age Group ◽  
Renal Masses ◽  
Case Presentation ◽  
Long Term Follow Up ◽  
Paediatric Age

Abstract Background Malignant renal masses in paediatric age group are mostly Wilms’ tumour. RCC is very rare in this age group, papillary variant being the most common. Sarcomatoid variation occurs in 5% of adult RCC, while it is extremely rare in children. No treatment protocol exists in the management of paediatric RCC. Case presentation Here, we present a case of 10-year-old female who presented with left flank mass. Radical nephrectomy was done which showed clear cell carcinoma with sarcomatoid variant on histopathological examination. Conclusion RCC with sarcomatoid variation can occur in children. However, further studies and long-term follow-up are needed for formulating a treatment protocol and prognostication factors for the same.

Sign in / Sign up

Export Citation Format

Share Document