Problems of Nursing Care of Prematurely Born Children with Haemorrhagic Hydrocephalus — Case Report

2021 ◽  
Vol 10 (1) ◽  
pp. 42-47
Author(s):  
Maria Krupka ◽  
◽  
Kinga Tułacz ◽  

Introduction. Hydrocephalus is a pathological condition leading to excessive accumulation of cerebrospinal fluid in the ventricular system of the brain. Hemorrhagic hydrocephalus is a result of an intracranial hemorrhage, which is among the most common neurological complications in prematurely born newborns. Case Report. A male patient was born by caesarean section at 31 weeks, in severe condition. During ultrasonography, intraventricular hemorrhage III° was found. The patient was transported to a surgical clinic for the implantation of Rickham reservoir. The duty of the midwife was to solve a number of nursing problems, including: the risk of increased intracranial pressure, slow weight gain, infection or apnoea. Discussion. Intraventricular bleeding occurs mainly in children who are born prematurely. Prognosis in children after intraventricular hemorrhage depends mainly on the severity of bleeding. In order to provide professional medical care, children with neurological complications should be treated in centres with the highest reference level, and the decisive factor conditioning their proper psychomotor development in the future is early rehabilitation. Conclusions. Care for patients born prematurely with hemorrhagic hydrocephalus requires collaboration between the medical staff and parents. The task of the midwife is to mitigate the negative effects of hydrocephalus as well as support and educate parents. (JNNN 2021;10(1):42–47)

Author(s):  
K. L. Karimova

Intraventricular hemorrhage (IVH) is a frequent neurological pathology among newborn infants (especially premature) and it is associated with development risk of such neurological complications as cerebral palsy, epilepsy, delayed psychomotor development, etc. The level of functional disorders correlates with the IVH level. The article observes in detail the IVH epidemiology, risk factors, pathogenesis, diagnostics and treatment. There was demonstrated the osteopathic diagnostics expediency and the appropriateness of multidisciplinary approach for the diagnostics and therapy of this pathology.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuyan Nie ◽  
Weimin Zhou ◽  
Shaoqiang Huang

Abstract Background The preferable choice of anesthesia for the patients with congenital atlantoaxial dislocation (CAAD) and type I Arnold Chiari malformations (ACM-I) has been a very confusing issue in clinical practice. We describe the successful administration of combined spinal-epidural anesthesia for a woman with CAAD and ACM-1 accompanied by syringomyelia. Case presentation Our case report presents the successful management of a challenging obstetric patient with CAAD and ACM-1 accompanied by syringomyelia. She had high risks of difficult airway and aspiration. The injection of bolus drugs through the spinal or epidural needle may worsen the previous neurological complications. The patient was well evaluated with a multidisciplinary technique before surgery and the anesthesia was provided by a skilled anesthesiologist with slow spinal injection. Conclusions An interdisciplinary team approach is needed to weigh risks and benefits for patients with CAAD and ACM-1 undergoing cesarean delivery. Therefore, an individual anesthetic plan should be made basing on the available anesthetic equipments and physicians’ clinical experience on anesthetic techniques.


1997 ◽  
Vol 3 (6) ◽  
pp. 460-464 ◽  
Author(s):  
Elennora PM Corssmit ◽  
Maureen A Leverstein-Van Hall ◽  
Peter Portegies ◽  
Piet Bakker

2013 ◽  
Vol 9 (3) ◽  
pp. 192 ◽  
Author(s):  
Eriks A. Lusis ◽  
Ananth K. Vellimana ◽  
Wilson Z. Ray ◽  
Michael R. Chicoine ◽  
Sarah C. Jost

1982 ◽  
Vol 4 (5) ◽  
pp. 385-389 ◽  
Author(s):  
Ruth Nass ◽  
Theresa Voorhies ◽  
M Lyta Alonso

Author(s):  
Thafar S. A. Safar ◽  
Karmen B. Katay ◽  
Reem H. Khamis

At the end of 2019, coronavirus disease (COVID-19) outbreak is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV2). Worldwide researchers and physician try to explore the mechanisms of damage induced by virus, they focus on the short-term and long-term immune-mediated consequences induced by the virus infection. Every day discover a new pathological condition induced by virus and new symptoms and disease may occur after recovery from disease. Our case report is 41 years old, Indian lady who presented to our primary health care centre complaining of multiple small hand joints pain, both elbows and knees pain with swelling of them and prolonged morning stiffness, diagnosed seropositive rheumatoid arthritis (RA) (arthritis, positive rheumatoid factor (RF), and X-ray changes) after 1 month recovery from COVID-19 infection. She did not have any joint pain and she had negative RF before COVID-19 infection with no family history of RA.


2019 ◽  
Vol 22 (2) ◽  
pp. 281-288
Author(s):  
Flávia Silva Pires ◽  
Viviane Andrade Cancio Paula ◽  
Khawana Faker ◽  
Natalia Di Lanaro ◽  
Raissa Christiane O de Carvalho ◽  
...  

Objective: The objective of this paper was to describe the oral conditions of two children accompanied by their mothers who reported to the Department of Pediatric Dentistry of Fluminense Federal University with Williams-Beuren syndrome (WBS). Case report: The 9-year-old female patient had a family and medical history significant for placental abruption, caesarean section, delayed psychomotor development, learning disabilities, tendency to selfdistract and congenital heart disease. In contrast, the 7-year-old male patient had a normal birth and no gestational intercurrences. Discussion: Clinically, the female presented with mixed dentition, crowding in the maxillary and mandibular arches, prolonged retention of deciduous teeth, anterior and posterior cross-bite and Angle Class I malocclusion, while the male had mixed dentition and retarded psychomotor development. Due to the patients having congenital heart disease, a prophylactic antibiotic regimen was prescribed prior to the dental procedures in both of them. Conclusion: These patients had been followed up for 2 years and this case report underscores the importance of early dental evaluation and counselling for parents of WBS patients.KeywordsWilliams Beuren syndrome; Oral manifestations; Child.


Neurosurgery ◽  
1986 ◽  
Vol 18 (6) ◽  
pp. 784-786 ◽  
Author(s):  
David C. Waters ◽  
Joan L. Venes ◽  
Zis Katrina

Abstract A case of childhood teratoma in the cerebellopontine angle associated with shunted congenital hydrocephalus is presented. The need for detailed computed axial scanning with and without contrast in congenital hydrocephalus not associated with intraventricular hemorrhage or myelodysplasia is emphasized.


2015 ◽  
Vol 68 (3-4) ◽  
pp. 137-142
Author(s):  
Ivica Lalic ◽  
Mirko Obradovic ◽  
Mirka Lukic-Sarkanovic ◽  
Vladimir Djan

Introduction. Nonunion of long bones may often be associated with significant function loss of affected extremity, joint stiffness, and even extremity amputation or systemic manifestations in the case of infection. The aim of this case report is to highlight the possibilities of Ilizarov apparatus in the treatment of fracture nonunions of both lower legs treated by different operative methods and to show that it is not necessary to remove osteosynthetic material (intramedullary nail) in every case when nonunion occurs to achieve its recovery. Case Report. A 62 year-old man was injured in a traffic accident as a pedestrian in April 2012, when he experienced polytrauma, including shaft fracture of the right femur, and segmental open fractures of the right (Gustillo-Anderson grade I) and left (Gustillo-Anderson grade II) lower leg. The fractures of right femur and right tibia were stabilized initially with intramedullary nails, while the left lower leg fracture was treated by unilateral external fixator. After 5 months, there were no clinical and radiographic signs of union on lower legs, therefore the patient underwent re-surgery. Ilizarov apparatus was applied on both lower legs. The patient was early verticalized and both apparatus were removed after 4 months. According to the modified protocol of the Association for the Study and Application of Methods of Ilizarov, the lower leg bony results were good and excellent, and the functional results were excellent on both sides. Conclusion. Nonunion fracture of the right lower leg initially treated by the method of intramedullary osteosynthesis and afterwards by placing Ilizarov apparatus shows that in some cases it is not indicated to remove fixative material in order to achieve full recovery of fracture, thus eliminating the danger of all negative effects resulting from the classical extensive surgical treatment.


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