Computer Tomographic Long-Time Results after Surgical Removal of Subdural Fluid Collections in Infancy and Childhood

1983 ◽  
Vol 10 (1) ◽  
pp. 16-25
Author(s):  
Uwe Dietrich ◽  
Paulos Sakellariou ◽  
Horst Seibert
Keyword(s):  
Surgical Removal ◽  
Computer Tomographic ◽  
Infancy And Childhood ◽  
Long Time ◽  
Fluid Collections

NEUROBLASTOMA SYMPATHETICUM

PEDIATRICS ◽  
1959 ◽  
Vol 23 (6) ◽  
pp. 1179-1191
Author(s):  
Robert E. Gross ◽  
Sidney Farber ◽  
Lester W. Martin
Keyword(s):  
Surgical Removal ◽  
Total Excision ◽  
Cure Rate ◽  
X Ray ◽  
Progressive Improvement ◽  
Infancy And Childhood ◽  
Bony Metastases ◽  
The Many ◽  
Aggressive Attack ◽  
Cure Rates

The treatment of patients with neuroblastoma does not lie solely in the province of a single specialty; it requires cooperation of pediatrician, surgeon, radiologist and tumor therapist. It is essential that they all be aware of the unique characteristics of this particular tumor if optimum results are to be obtained. The many factors found to influence the prognosis for a child with neuroblastoma are discussed. In those cases wherein there are no demonstrable metastases, the treatment of choice consists of total excision, followed by local x-ray irradiation; this has resulted in a cure rate of 88%. In those cases wherein total excision is not possible, partial surgical removal followed by x-ray irradiation and tumor chemotherapy has given a cure rate of 64%. In those cases where only biopsy has been performed, x-ray irradiation and chemotherapy has still given a salvage, with a cure rate of 38%. When there are metastases to the liver alone, about two-thirds of babies can be cured by x-ray therapy. Whenever bony metastases have appeared in any case, the prognosis is extremely poor, and it is rare for such an individual to survive, regardless of the form of therapy. An aggressive attack on neuroblastoma in infancy and childhood, combining sungeny, x-ray irradiation and tumor chemotherapy, has shown a progressive improvement in results. During the period 1950-1957, cure rates have risen to 36.7% for all patients entering the hospital, regardless of age of the patient on extent of the neoplasm. For babies under a year of age, cures have occurred in 56%, and if there were no demonstrable metastases to bone at the time of hospitalization, the cures have been 70%.

scholarly journals Psychotic spectrum disorders in childhood

2008 ◽  
Vol 136 (9-10) ◽  
pp. 555-558
Author(s):  
Smiljka Popovic-Deusic ◽  
Milica Pejovic-Milovancevic ◽  
Saveta Draganic-Gajic ◽  
Olivera Aleksic-Hil ◽  
Dusica Lecic-Tosevski
Keyword(s):  
Diagnostic Criteria ◽  
Pervasive Developmental Disorders ◽  
Developmental Disorders ◽  
Psychotic Disorders ◽  
Classification Systems ◽  
Infancy And Childhood ◽  
Icd 10 ◽  
Long Time ◽  
Early Infantile Autism ◽  
The Right

For a long time, there was a strong belief of existing continuity between childhood-onset psychoses and adult psychoses. Important moment in understanding psychotic presentations during infancy and childhood is Kanner's description of early infantile autism. Later studies of Rutter and Kolvin, as well as new classification systems, have delineated pervasive developmental disorders from all other psychotic disorders in childhood. But clinical experience is showing that in spite of existence of the group of pervasive developmental disorders with subgroups within it and necessary diagnostic criteria there are children with pervasive symptoms, who are not fulfilling all necessary diagnostic criteria for pervasive developmental disorder. Therefore, in this paper we are discussing and pointing at psychotic spectrum presentations in children, which have not the right place in any existing classification system (ICD-10, DSM-IV).

scholarly journals RONC-18. ANALYSIS OF BRAIN TUMOR INDUCED BY IRRADIATION IN CHILDHOOD - A SINGLE INSTITUTIONAL ANALYSIS

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii458-iii459
Author(s):  
Takashi Sano ◽  
Kaoru Tamura ◽  
Masae Kuroha ◽  
Kazutaka Sumita ◽  
Yukika Arai ◽  
...  
Keyword(s):  
Brain Tumor ◽  
Brain Tumors ◽  
Irradiation Dose ◽  
Clinical Characteristics ◽  
Cranial Irradiation ◽  
Surgical Removal ◽  
Long Term Follow Up ◽  
Long Time ◽  
Radiation Induced

Abstract BACKGROUND Radiation-induced brain tumors are rare tumors that appear during long-term follow-up after radiation therapy. Children are at greater risk for radiation -induced brain tumors than adults. The clinical characteristics of radiation-induced brain tumor treated at our hospital were retrospectively examined. PATIENTS AND METHODS Clinical characteristics of seven radiation-induced brain tumors that developed in 6 patients irradiated in their childhood at our hospital were analyzed. The background disease, age at irradiation, irradiation dose, period from irradiation to onset, pathological diagnosis, and treatment for radiation-induced brain tumor were examined. RESULTS Background diseases for irradiation were leukemia in 3 patients, germinoma in 2, medulloblastoma in 1, and the average cranial irradiation dose was 23.2 Gy. The patients tended to be young at irradiation (2–17 yeays; median:4 years old). The time between irradiation and the onset of radiation-induced brain tumors ranged from 9.5 to 39.1 years (median:28 years). Radiation-induced brain tumors comprised 6 meningioma（grade I:5, grade II:1）and 1 high-grade gliomas. All patients underwent surgical removal of the radiation-induced brain tumors and 2 received additional irradiation. During a median of 5.3 years of follow-up after the diagnosis of radiation-induced brain tumors, 2 underwent second surgery, while the remaining 4 have no recurrence. DISCUSSION: In most cases, radiation-induced brain tumors occur for a long time after irradiation in childhood. Monitoring of radiation-induced brain tumors as well as primary tumor recurrence was considered important.

TP6.1.6 The management of pancreatic fluid collections with AXIOS stenting in Belfast HSCT

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Joseph Doyle ◽  
Nadiah Latip ◽  
Stephen McCain ◽  
Claire Magee ◽  
Claire Jones
Keyword(s):  
Surgical Removal ◽  
Bridge To Surgery ◽  
Ct Guided ◽  
Pancreatic Fluid Collections ◽  
Radiology Reports ◽  
Pancreatic Fluid ◽  
Health And Social Care ◽  
Patient Optimization ◽  
Fluid Collections ◽  
Endoscopic Ultrasound Guidance

Abstract Aims To assess the viability of using lumen-apposing self-expandable AXIOS stents, inserted under endoscopic ultrasound guidance, in the management of pancreatic fluid collections (PFCs) within the Belfast Health and Social Care Trust. Methods Data for all AXIOS stents inserted endoscopically between May 2016 and July 2019 were included. Electronic care records (ECR) and Radiology reports were reviewed for each patient. PFCs were categorised into walled-of pancreatic necrosis (WOPN) and pseudocysts, and the number of repeat procedures, OGDs with lavage, or the need for definitive surgery were recorded. The timeframe to surgery and whether PFCs recollected was also noted. Results 45 AXIOS stents were inserted for PFCs in the audit period. n = 17 (37.8%) were for WOPN, n = 28 (62.2%) for pseudocysts. Mean duration of stenting was 38 ± 19.7 days. n = 11 (35.6%) patients were readmitted for sepsis with stent in situ, and n = 16 (35.6%) required OGD and lavage for stent blockage (n = 11 WOPN; n = 5 pseudocyst). n = 2 (4.4%) stents accidentally dislodged during lavage necessitating surgical removal. n = 4 (8.9%) patients required a second AXIOS stent following removal, n = 2 (4.4%) required CT guided drainage and n = 8 (17.8%) ultimately required surgical intervention. Conclusions Despite some drawbacks, including the need for intermittent OGD and lavage to maintain patency, AXIOS stenting appears to be effective first-line management for PFCs. Our audit showed they were successful in 71% of cases, requiring no further intervention. In PFCs that do require surgical management, AXIOS stenting may represent an effective bridge to surgery allowing for patient optimization before definitive care.

scholarly journals Giant melanotic neuroectodermal tumor of infancy (melanotic progonoma) of the head and neck: report of a malignant case

2017 ◽  
Vol 19 (5) ◽  
pp. 538-545 ◽  
Author(s):  
Giancarlo Nicosia ◽  
Pietro Spennato ◽  
Ferdinando Aliberti ◽  
Daniele Cascone ◽  
Lucia Quaglietta ◽  
...  
Keyword(s):  
Adjuvant Chemotherapy ◽  
Lymph Nodes ◽  
Neuroectodermal Tumor ◽  
Surgical Removal ◽  
Radical Excision ◽  
Cervical Lymph Nodes ◽  
Advanced Tumor ◽  
Malignant Case ◽  
Long Time ◽  
The Right

Melanotic neuroectodermal tumor of infancy is a rare congenital pigmented neoplasm of neural crest origin, locally aggressive, growing rapidly and developing during the 1st year of life. It most commonly arises from the maxilla, cranial vault, and mandible. Occasionally, it exhibits malignant behavior with local lymph nodes involvement. Cases misdiagnosed and left untreated for a long time can present challenges due to the tumor mass and infiltration. In these cases, adjuvant chemotherapy can be extremely helpful before radical excision.Authors of this report describe a 4-year-old boy from a developing country who was referred to their hospital with an ulcerated bulging lesion in the midline/right parietooccipital region, extending to the right laterocervical and parotid regions, resulting in significant craniofacial deformation. Magnetic resonance imaging of the brain revealed a highly enhancing tumor with intracranial and extracranial development extending mainly at the level of the right parietooccipital region, with lytic and hypertrophic alterations of the skull. The patient was managed with neoadjuvant and adjuvant chemotherapy and radically resective surgery on metastatic lymph nodes and the primary tumor of the skull. Scheduled radiotherapy was not performed, according to the parents' wishes. The patient returned to his native country where the lesion recurred, and he ultimately died approximately 10 months after the end of the treatment.The literature indicates that tumor removal alone has been the treatment of choice in most isolated cases, but in cases of highly advanced tumor with involvement of the skull and cervical lymph nodes, it is preferable to proceed with preoperative chemotherapy with the aim of reducing the tumor volume, allowing better technical conditions for complete surgical removal, and decreasing the risk of local recurrence or metastasis.

scholarly journals Surgical treatment of epilepsy in a teenager with tuberous sclerosis

2020 ◽  
Vol 65 (2) ◽  
pp. 92-98
Author(s):  
M. V. Polyanskaya ◽  
I. G. Vasilyev ◽  
V. A. Chadaev ◽  
A. A Demushkina ◽  
G. Sh. Khondkaryan ◽  
...  
Keyword(s):  
Tuberous Sclerosis ◽  
Focal Epilepsy ◽  
Cognitive Status ◽  
Surgical Removal ◽  
Complete Regression ◽  
Pharmacoresistant Epilepsy ◽  
Long Time ◽  
Surgical Tactics ◽  
Genetically Determined ◽  
Instrumental Methods

Tuberous sclerosis is one of the genetically determined neurodermal syndromes, characterized by focal epilepsy, which is resistant to drug therapy in most cases. Tuberous sclerosis has not been surgically treated for a long time due to the multifocal nature of brain damage. However, using new instrumental methods the surgeon can isolate tuber – “drivers”, responsible for epileptic induction, which, therefore, can be a target for surgical removal. The article presents a clinical case of the treatment of pharmacoresistant epilepsy in a 17-year-old girl with tuberous sclerosis and normal neuropsychiatric and cognitive status; the surgeon managed to achieve a complete regression of seizures after the surgical removal of one of the tubers. Using a multimodal complex of examinations, including high-resolution magnetic resonance imaging and invasive electroencephalographic monitoring, the surgeon managed to identify the “inductor” tuber associated with the epileptic initiation zone among multiple cortical tubers. This section of the cerebral cortex was subjected to surgical resection. For the entire postoperative period (16 months) there were no seizures and antiepileptic drugs were canceled; cognitive processes, memory were improved. Thus, active surgical tactics may be effective in more than 50% of patients with tuberous sclerosis and pharmacoresistant epilepsy. This case confirms the need for a multidisciplinary examination prior to the surgery in patients with tuberous sclerosis.

scholarly journals Simultaneous laparoscopic cholecystectomy with abdominoplasty

2017 ◽  
Vol 4 (7) ◽  
pp. 2139
Author(s):  
Ahmed Abdel Monem Ibrahim
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Wall ◽  
Skin Flap ◽  
Abdominal Ultrasound ◽  
Surgical Removal ◽  
Port Placement ◽  
Cosmetic Procedure ◽  
Long Time ◽  
The Right ◽  
Abdominal Ultrasound Examination

Background: The use of laparoscope in surgical removal of gall bladder became one of the most popular surgical procedures and abdominoplasty which was used from long time even during 1900, mostly done as a separate surgical procedure in our research we combined both procedures in the patients subjected to the study.Methods: Thirty-two patients presented to our hospital with abdominal wall laxity and symptomatic cholelithiasis. All of them wanted to undergo a cosmetic procedure (abdominoplasty) to reduce the abdominal wall laxity. They were also diagnosed to have cholelithiasis and had intermittent episodes of pain in the right upper quadrant of the abdomen. The ports for laparoscopic cholecystectomy were made in such a way that all the ports sites were under the elevated skin flap that was excised during abdominoplasty, and there was no scar in the upper abdomen.Results: The procedure was completed without leaving any tell-tale signs of laparoscopic cholecystectomy, and this led to a better cosmetic result from the patients’ point of view.Conclusions:On conclusion, we recommend asking for abdominal ultrasound examination for all patients coming for abdominoplasty especially following weight loss after surgery for morbid obesity even if the patient is asymptomatic. We recommend the use of the technique which we used for port placement as it is convenient, easy, and has no side effects on patients in comparison with other techniques. 

scholarly journals Parathyroid Adenoma: Presented with Generalized Bone Pain and Multiple Pathological Fractures in a 29 Yrs Lady- A Case Report

2017 ◽  
Vol 26 (1) ◽  
pp. 83-85
Author(s):  
Husne Qumer Osmany ◽  
Afrina Begum ◽  
Md Abu Yusf Fakir ◽  
Md Assaduzzaman Liton ◽  
Faizul Islam Chowdhury
Keyword(s):  
Parathyroid Adenoma ◽  
Bone Pain ◽  
Gall Stone ◽  
Renal Stones ◽  
The Body ◽  
Surgical Removal ◽  
Pathological Fractures ◽  
Medical College ◽  
Long Time ◽  
Repeated Surgery

One of the common reasons of primary hyperparathyroidism is parathyroid adenoma. This can present in different ways- diffuse bone pain, multiple stones in the body warranting repeated surgery, renal failure, abdominal discomfort, depressed mood etc. Here we present a young women presented with surgical removal of gall stone and renal stones, pathological fractures and her generalized bodyache was treated for rheumatological cause for a long time. After surgical removal of adenoma he got back to life within couple of months.J Dhaka Medical College, Vol. 26, No.1, April, 2017, Page 83-85

PRESACRAL TERATOMAS IN INFANCY AND CHILDHOOD

PEDIATRICS ◽  
1955 ◽  
Vol 16 (2) ◽  
pp. 239-249
Author(s):  
John L. Gwinn ◽  
Malcolm B. Dockerty ◽  
Roger L. J. Kennedy
Keyword(s):  
Close Agreement ◽  
Blood Stream ◽  
Surgical Removal ◽  
Physical Finding ◽  
Laboratory Findings ◽  
Metastatic Lesions ◽  
Infancy And Childhood ◽  
Pathologic Findings ◽  
Malignant Changes ◽  
Orderly Arrangement

Presacral teratomas are seen most frequently during infancy and childhood. Eighteen children with presacral teratomas were seen at the Mayo Clinic between 1907 and 1953, inclusive. Seventeen were girls. The clinical and pathologic findings are presented. A mass in the presacral area usually is the only symptom as well as the only abnormal physical finding. Such a mass was seen at birth in 14 of the 18 patients. Occasionally symptoms or signs, or both, of obstruction of the urinary tract and/or the gastrointestinal tract constitute the presenting complain. Roentgenograms aid in diagnosis; other laboratory findings contribute little. Pathologically, the size of the tumor may vary greatly. It may contain almost any type of tissue. There was no orderly arrangement of the tissue in any case in our series. In 4 of the 18 cases malignant changes were found microscopically. This is in close agreement with the recorded incidence of malignant changes in presacral teratomas. It is interesting that in one case 2 types of tissue were involved in malignant metamorphosis. Adenocarcinoma is the commonest type of malignancy found, and this is usually papillary. Metastasis frequently occurs via the blood stream to the lungs. The lymph nodes likewise may be the seat of metastatic lesions. Surgical removal should be undertaken regardless of the size of the tumor on the age of the patient.

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