Early physiotherapy ad modum Vojta or Bobath in infants with suspected neuromotor disturbance.

Thirty children with early signs of cerebral neuromotor disturbances according to "Vojta criteria" were followed until the age of thirty-three months to six years. Twelve children were treated with early physiotherapy according to Bobath, ten children were treated according to Vojta and eight constituted a control group. The infants tended for early physical therapy were divided by random into two different groups. The neonatal risk factors, however, proved to be unevenly distributed among the infants in the Vojta- and the Bobath-treated groups - the latter being more heavily burdened in this respect. Vojta has claimed that his method of early physiotherapy is able to prevent the development of cerebral palsy (cp) of "uncomplicated" (but not of "complicated") type. At follow-up we found one child out of nine with "uncomplicated" cp in the Vojta group against three out of six in the Bobath- and two out of six in the control group. These differences, however, are not statistically significant. Further detailed studies with greater groups of children seem necessary to help us to clarify these problems. The psychological aspects of early physiotherapy should be thoroughly considered and this is particularly important in connection with the Vojta method.

Intramural gastric hematoma in a hemophiliac with an inhibitor.

A rare complication of an intramural gastric hematoma developed in a hemophiliac with an inhibitor. Ultrasonography assisted in making the correct diagnosis.

Burkitt's lymphoma: obstetric and gynecologic aspects.

A 17-year-old white patient with Burkitt's lymphoma occurring during pregnancy is reported. Although it is primarily a disease of children, Burkitt's lymphoma occurs in women of childbearing age. In nonendemic areas (including the United States) this disease most frequently presents as abdominal or pelvic masses, and may appear initially to be a primary gynecologic problem. Bilateral massive breast enlargement due to tumor metastasis is always seen if the disease occurs during pregnancy. Although 5 previously reported pregnant patients and the present patient died, survival may be enhanced by prompt diagnosis and combination chemotherapy and radiation therapy. Obstetric and gynecologic aspects of Burkitt's lymphoma are discussed.

Prevention of cerebral palsy in motor risk infants by treatment ad modum Vojta. A controlled study.

The proposal by V. Vojta in 1974 to prevent development of cerebral palsy in "motor risk" infants by special treatment has been investigated in 11 Danish and 10 Swedish babies and compared with 30 control infants with similar risk, who were not given Vojta treatment. We found a tendency for "uncomplicated" cerebral palsy cases to accumulate in the control group, although the difference was non-significant on 1 5% level. Further controlled studies must be completed before it is possible to accept the prophylactive treatment of cerebral palsy recommended by Vojta.

Radionuclide pulmonary arteriography.

Radionuclide pulmonary arteriography offers a unique method for visualizing the main pulmonary artery and its major branches. Since the radioactive particles that are injected intravenously become lodged in the pulmonary capillaries and pre-capillary arterioles, there is no interference from the systemic circulation. Normally, the main pulmonary artery is visualized for no longer than 4 or 6 seconds; prolongation of the duration of visualization may be indicative of, for example, pulmonary hypertension and pulmonary embolism. The patency of the left and right pulmonary arteries may be determined and sites of occlusion identified.