scholarly journals Subdural Hygroma- A Case Report

Author(s):  
Hina Y. Rodge ◽  
Ashwini Thawakar ◽  
Bibin Kurian ◽  
Archana Maurya

Introduction: An accumulation of Cerebrospinal fluid in subdural spaces is known as subdural hygroma. It is encountered in all age-groups but overall, most common in elderly. The exact pathogenesis of Subdural Hygroma is still unclear. Presentation of Case: A 03 months old female child was brought to Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, Maharashtra, India on date 02/10/2020 with the complaints of breathing difficulty, elevated body temperature, excessive enlargement of head with bulged and tense fontanel, high pitch shrill cry, restlessness, nausea and vomiting. On physical examination, it is found that head circumference was 44 cm, head size was enlarged, bulged anterior fontanel, angular cheilitis, pale conjunctiva as well as peripheral cyanosis were present. The child was diagnosed at birth and child was brought to Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha for surgical management of subdural hygroma. Intervention: The treatment of patients was started immediately after admission.Burr-Hole Evacuation was done on 4th October 2020 and the patient was discharged on 08th October 2020.  Conclusion: In this report, we mainly focus on expert surgical management and excellent nursing care helped in managing the complicated case very nicely. The patient response was positive to conservative and nursing management. The patient was discharged without postoperative complications and satisfactory with recovery.

Author(s):  
Archana Maurya ◽  
Hina Y. Rodge ◽  
Bibin Kurian ◽  
Sagar Alwadkar

Introduction: Among Cyanotic cardiac diseases, Total Anomalous Pulmonary Venous Connection is the only condition involving venous system malformation. Total Anomalous Pulmonary Venous Connection is a rare congenital anomaly in which all 4 pulmonary veins have no direct communication with the left atrium. Background: Almost one in a hundred newborn babies worldwide is affected by congenital heart disease. TAPVC is approximately 7-9 per 100,000 live births and it accounts for about 0.7- 1.5% of all congenital heart diseases. Congenital cardiac defects are the most common congenital anomalies in live births as well as the main cause of childhood Motability and Morbidity in the developed nations. Presentation of Case: A 5-month-old male child was admitted to ‘Sri Satya Sai Sanjeevani Hospital, Naya Raipur, Chhattisgarh, India’ on date 1 February 2021 with complaints of excessive sweating on the head while feeding, Tachypnoea, cyanosis and Lower Respiratory Tract infection. The child was diagnosed at 2 months of age and the child was brought to Sri Satya Sai Hospital for surgical management of TAPVC. Interventions:  The treatment of patients was started immediately after admission. The surgical repair of obstructive mixed TAPV and PDA ligation was done under general anesthesia on date 02 February 2021. Conclusion: In this report, we mainly focus on expert surgical management and excellent nursing care helped in managing the complicated case very nicely. The patient response was positive to conservative and nursing management. The patient was discharged without postoperative complications and satisfactory with recovery.


Neurosurgery ◽  
1983 ◽  
Vol 12 (4) ◽  
pp. 451-453 ◽  
Author(s):  
Román Garza-Mercado ◽  
Dagoberto Tamez-Montes

Abstract A 30-month-old Mexican girl with an inclusion subgaleal cyst located over the anterior fontanel is described. This is the first such case ever diagnosed at our institution and, we believe, the first reported from Mexico. Radical excision of the lesion was accomplished. The internal table of the skull was eroded, but no intracranial extension was noticed. As the cyst contained no hair follicles nor any sebaceous or sweat glands, it was histologically classified as an epidermoid cyst. This is another example of such a lesion in an infant of non-African descent.


Author(s):  
Mayur B. Wanjari ◽  
Deeplata Mendhe ◽  
Pratibha Wankhede

Introduction: Abdominal aortic aneurysms more commonly affect men than women and are estimated to affect 4% to 8% of men older than age 60 years. Mortality because of a ruptured AAA is high, but elective repair is an effective and relatively safe intervention. Case Presentation: A 69-year-old male patient comes to the outpatient department with a complaint of abdominal pain from 2-3 months back. Interventions- The treatment of patients was started immediately after admission. The surgical repair of Aortic Stent Placement for Pseudoaneurysm was done under general anesthesia on date 12 June 2021. Conclusion: In this report, we mainly focus on expert surgical management and excellent nursing care helped in managing the complicated case very nicely. The patient response was positive to conservative and nursing management. The patient was discharged without postoperative complications and satisfactory with recovery.


Author(s):  
Archana Shukla ◽  
Rajpal Kori ◽  
Rahul Shivhare ◽  
Lalit Dhurve ◽  
Sonveer Gautam

Background: Tuberculosis is a communicable disease that is a major cause of morbidity and mortality worldwide. Abdominal tuberculosis is the sixth most common form and is associated with serious complications like perforation and stricture formation.Methods: Observational and prospective study conducted in Hamidia Hospital, Bhopal from September 2018 to September 2020 included 122 patients, between the age of 16 to 60 years who underwent surgical management of abdominal tuberculosis.Results: The incidence of abdominal tuberculosis was higher in young age groups mostly belonging to male sex. The most common presentation was of subacute intestinal obstruction. On surgical exploration ileocecal tuberculosis was the most common finding which was managed most commonly by segmental resection with anastomosis followed by adhesiolysis and strictureplasty. Post-operative wound infection was the most common complication followed by pulmonary complication which was the most common cause of death.Conclusions: Early diagnosis of abdominal tuberculosis with the help of newer diagnostic tools and early referral to higher centers is necessary to decrease the morbidity and mortality. Early start of anti-tubercular drug therapy along with surgical management can help us reduce the mortality and long-term complications associated with abdominal tuberculosis.


Author(s):  
Rajesh Kumar Ramaswamy ◽  
Ramyashri Chandresekaran ◽  
Anitha Chandrasekhar ◽  
Pradeep Gnanasekaran ◽  
Ganapathy Subramaniam ◽  
...  

Submitral aneurysm (SMA) is a rare anomaly that typically occurs adjacent to the posterior leaflet of the mitral valve. We report the case of a ten-year-old female child presenting with SMA with anteroinferior extension, differing from the more typical posterior and lateral extension. Successful surgical management is described.


2017 ◽  
Vol 32 (3) ◽  
pp. 667-676 ◽  
Author(s):  
Shannon K. Bennetts ◽  
Amanda R. Cooklin ◽  
Sharinne Crawford ◽  
Fabrizio D’Esposito ◽  
Naomi J. Hackworth ◽  
...  

Purpose: To identify factors associated with generalized and stranger-specific parental fear (PF) about children’s independent mobility (CIM), a critical aspect of physical activity. Design: Cross-sectional survey; random sampling frame, minimum quotas of fathers, rural residents. Setting: State of Victoria, Australia. Subjects: Parents of children aged 9 to 15 years (n = 1779), 71% response rate. Measures: Validated measures of PF and fear of strangers (FoS); parent, child, social, and environmental factors. Analysis: Unadjusted and adjusted linear regression stratified by child age (9-10; 11-13; 14-15). Results: Adjusted models explained a substantial proportion of variance across all age groups (PF: 33.6%-36.7%; FoS: 39.1%-44.0%). Perceived disapproval from others was consistently associated with both outcomes (PF: β =.11 to 23, p ≤ .05; FoS: β =.17-.21, p ≤ .001) as was parents’ perception of children’s competence to travel safely (PF: β = −.24 to −.11, p ≤ .05; FoS: β = −.16 to −.13, p ≤ .01). Factors associated with FoS included having a female child (β = −.21 to −.13, p ≤ .001), language other than English (β = .09 to.11, p ≤ .01), and low levels of parent education (β = −.14 to −08, p ≤ .05). Conclusion: The current study suggests that social norms, child competence, and perceptions about the benefits of CIM underpin PF. This evidence informs the development of interventions to reduce PF and promote CIM and children’s physical activity.


1983 ◽  
Vol 91 (2) ◽  
pp. 197-202 ◽  
Author(s):  
Robert G. McRae ◽  
K.J. Lee ◽  
Eugene Goertzen

First branchial cleft anomaly is an uncommon clinical problem that can be difficult to diagnose and treacherous to treat. It is generally believed that branchial anomalies arise from incomplete resolution of branchial cleft remnants. They may be a fistulous tract or cystic lesions, and they may be found in all age groups. This article presents three cases of first branchial cleft anomaly and offers an overview of the regional embryology and guidelines for surgical management and facial nerve preservation.


1989 ◽  
Vol 32 (1) ◽  
pp. 175-183 ◽  
Author(s):  
Pat Mirenda ◽  
Douglas Eicher ◽  
David R. Beukelman

The purpose of this investigation was to examine the preferences of listeners of both sexes in four age groups with regard to natural and computer-generated synthetic speech in six different contexts. The subjects (listeners) for this study included 5 males and 5 females in each of four age groups (6–8 year olds, 10–12 year olds, adolescents, and adults). The listeners rated their preferences for 11 different voices (four natural and seven synthetic) on a 5-point Likert scale. Their preferences were rated for six communication contexts dependent on the potential user of the voice (adult male, adult female, child male, child female, computer, and self). The data were analyzed separately for each of the six communication contexts. In general, female listeners across the age range indicated that only natural female voices (adult or child) were acceptable alternatives to their own speech, thus rejecting the natural male voices as well as the synthetic voices. Male listeners appeared to be somewhat more flexible in terms of gender-appropriateness for themselves and other adult men, but selected female-sounding voices for women and female children. Children preferred to have computers produce synthesized speech, while adults preferred computers with more natural-sounding voices. The results of this investigation raise a number of issues related to the combined effects of age and gender-appropriateness of natural and synthetic speech. These are discussed in terms of their implications for the future development of synthetic speech technology used in communication devices.


Author(s):  
Seema Yelne ◽  
Mayur Wanjari ◽  
Hina Rodge ◽  
Sagar Alwadkar ◽  
Pratibha Wankhede ◽  
...  

Introduction: Pneumonia and respiratory infections impact infants and children with Down syndrome; pneumonia is a leading cause of mortality in adults with Down syndrome. Case Presentation: A 2 years old child came to AVBRH hospital with a history of fever, cough and cold for 6 days. The patient was admitted to the pediatric ward for management. Suddenly patient started to breathlessness, increase in serum creatinine and acidotic breathing. The patient shifted to the pediatric intensive care unit. Intervention: The treatment of patients was started immediately after admission. The patient's condition was dull after the examination and patient condition inspection doctors decide to intubate the patient for further management and recovery of the patient. Conclusion: In this report, we mainly focus on expert medical management and excellent nursing care helped in managing the complicated case very nicely. The patient response was positive to conservative and nursing management. The patient was discharged without postoperative complications and satisfactory with recovery.


Author(s):  
Mayur Wanjari ◽  
Pratibha Wankhede ◽  
Deeplata Mendhe ◽  
Sagar Alwadkar ◽  
Hina Rodge

The testicles develop in the abdomen while a male baby is still in the uterus. Before birth, the testicles typically drop from inside the abdomen down into the scrotum. The scrotum is the sack of skin hanging behind the penis where the testicles are housed. Undescended testicles fail to drop into the scrotum before birth or in the first few months of life. The condition is also called cryptorchidism. Here we discussed, A 15 Years old male child was brought to Acharya Vinobha Bhave Rural Hospital with a complaint of undescended testis and is brought for surgical management. The history of previous illness as narrated by the father the child was born with an undescended testis on the right side.


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