RESUMO
Congenital chromosomal abnormality with trisomy 13 is known to be associated with poor life prognosis and lethal. Therefore, physician advice the patients be kept in intensive treatment with resuscitation and state of the art intensive care when sudden change in the general condition with this trisomy is observed. We report herein, the treatment with mild brain hypothermia therapy for cardiopulmonary resuscitation after myoclonic seizures in infant with Robertsonian type of trisomy 13 in intensive care unit. Our study indicated that brain hypothermia therapy and steroid pulse therapy on an infant who was believed to have post-resuscitation hypoxic encephalopathy was highly effective as the patient's general condition recovered to the original state after four months.
Assuntos
Encéfalo/patologia , Reanimação Cardiopulmonar/efeitos adversos , Transtornos Cromossômicos/terapia , Epilepsias Mioclônicas/terapia , Hipotermia Induzida/métodos , Transtornos Cromossômicos/diagnóstico , Transtornos Cromossômicos/genética , Cromossomos Humanos Par 13/genética , Epilepsias Mioclônicas/diagnóstico , Epilepsias Mioclônicas/genética , Feminino , Parada Cardíaca/diagnóstico , Parada Cardíaca/genética , Parada Cardíaca/terapia , Humanos , Hipóxia Encefálica/diagnóstico , Hipóxia Encefálica/genética , Hipóxia Encefálica/terapia , Lactente , Resultado do Tratamento , Trissomia/diagnóstico , Trissomia/genética , Síndrome da Trissomia do Cromossomo 13RESUMO
The authors report on a patient with pelvic neuroblastoma in whom the tumor was totally resected using a combination of the abdominal and posterior sagittal routes. In the treatment of patients with pelvic neuroblastoma, this approach can provide good exposure and improve the chance of total excision.
Assuntos
Neuroblastoma/cirurgia , Neoplasias Pélvicas/cirurgia , Humanos , Lactente , Masculino , Neuroblastoma/patologia , Neoplasias Pélvicas/patologia , Procedimentos Cirúrgicos Operatórios/efeitos adversos , Procedimentos Cirúrgicos Operatórios/métodos , Bexiga Urinaria Neurogênica/etiologiaRESUMO
Loss of the spleen in infants and young children frequently results in overwhelming infection. To preserve splenic function, heterotopic splenic autotransplantation after splenectomy was performed on a newborn in whom the spleen was traumatized beyond repair because of birth trauma. Postoperatively, the percentage of pitted red blood cells that accurately reflects splenic reticuloendothelial function was normal. Splenic scintigrams obtained 3 weeks after the operation showed uptake by the reimplanted tissue. The otherwise mandatory long-term antibiotic prophylaxis could be reduced to 3 weeks in the newborn. At 7 years of age, the patient has not shown any increased susceptibility to infections.
Assuntos
Traumatismos do Nascimento/cirurgia , Baço/transplante , Esplenectomia , Ruptura Esplênica/cirurgia , Transplante Autólogo/métodos , Antibioticoprofilaxia , Contagem de Eritrócitos , Humanos , Recém-Nascido , Masculino , OmentoRESUMO
Tension and infection often cause wound dehiscence or incisional herniation after the fascial closure of congenital abdominal wall defects in neonates. To overcome these problems, a modification of the Boerema technique (a method for repairing large incisional hernia in adults) was applied to repair abdominal wall defects in 14 neonates. The efficacy of this technique is discussed in this report.
Assuntos
Músculos Abdominais/anormalidades , Hérnia Ventral/prevenção & controle , Complicações Pós-Operatórias/prevenção & controle , Infecção da Ferida Cirúrgica/prevenção & controle , Humanos , Recém-Nascido , Procedimentos Cirúrgicos Operatórios/métodosRESUMO
The authors report a case of 6-month-old boy with cerebellar medulloblastoma associated with malignant rhabdoid tumor of the kidney, presenting with an abdominal mass, large head and projectile vomiting. Following removal of the renal tumor, the mass arising from the superior vermis about 6 cm in diameter was removed by a combined right occipital transtentorial and suboccipital approach. The patient had been well for 3 months after surgery followed by chemotherapy but died eventually of tumor recurrence in the abdomen. Reported cases of malignant rhabdoid tumor of the kidney associated with brain tumor are reviewed and its characteristics are discussed.