RESUMO
A total of 100 clinical records have been studied to as certain the diagnostic use of brain CT. Most frequent diagnoses are: hypoxic-ischemic encephalopaty, seizure disorders, psychomotor delay, head enlargement and trauma. The first years of life was the period with a higher frequency of applications and the greater percentage of pathologic results (75-80 por 100) was found among intracranial hypertension, fetal distress, macrocephaly or infections of Central Nervous System and their sequelae. Minus than 50 por 100 of CT scans requested for seizures, psychomotor delay and trauma demonstrated true abnormal findings. Nearly half (53 por 100) of exams were pathological and 87 por 100 of them were useful to confirm or complete the diagnosis. It is possible to predict an increase in the number of examinations to perform in the future, although it many be replaced by alternative techniques.
Assuntos
Encefalopatias/diagnóstico , Tomografia Computadorizada por Raios X , Isquemia Encefálica/diagnóstico , Humanos , Hipóxia Encefálica/diagnóstico , Recém-Nascido , Pseudotumor Cerebral/diagnóstico , Transtornos Psicomotores/diagnóstico , Convulsões/etiologiaRESUMO
A seven year old girl developed recurrent bronchitis since three month of life. Chronic wheezing remain between exacerbations. Pathological examination of her lung biopsy disclosed bronchiolar obstruction due to peribronchiolar fibroses. Storage of anthracoid material, compatible with pneumoconiosis in relation to impairment on mucociliary function, was present. This is an unusual picture in childhood.
Assuntos
Bronquiolite Obliterante/complicações , Pneumoconiose/etiologia , Bronquiolite Obliterante/fisiopatologia , Criança , Feminino , HumanosAssuntos
Histiocitose de Células de Langerhans/complicações , Doenças da Glândula Tireoide/etiologia , Pré-Escolar , Clorambucila/uso terapêutico , Terapia Combinada , Otopatias/etiologia , Otopatias/radioterapia , Histiocitose de Células de Langerhans/patologia , Histiocitose de Células de Langerhans/terapia , Humanos , Pneumopatias/etiologia , Masculino , PneumonectomiaRESUMO
Clinical findings in the initial and developed stages were studied in 33 cases of craneopharyngiomas in children under sixteen. A predominance of intracraneal hypertension symptoms and sight defects over endocrine symptoms was discovered; the latter appearing later on or only being detected after exhaustive studies.
Assuntos
Neoplasias Encefálicas/fisiopatologia , Craniofaringioma/fisiopatologia , Adolescente , Fatores Etários , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Pressão Intracraniana , Masculino , Fatores SexuaisRESUMO
The authors present three cases of thyroid cancer in the child with comments on the etiologic, clinical and therapeutic aspects of this rare disease. The authors insist on the danger of local radiotherapy and on the need to suspect thyroid cancer in cases of persistent laterocervical adenopathies whose diagnosis can only be confirmed by means of a biopsy. It is of note that the illness took a favourable course and various therapeutic criteria are discussed.
Assuntos
Neoplasias da Glândula Tireoide , Adolescente , Criança , Feminino , Humanos , Neoplasias da Glândula Tireoide/tratamento farmacológico , Neoplasias da Glândula Tireoide/etiologia , Neoplasias da Glândula Tireoide/cirurgia , TireoidectomiaRESUMO
Report of five cases of juvenile myelomonocytic leukemia; authors describe an hemopathy of the young child with important splenomegaly, hepatomegaly and adenopathies; anemia with erytroblastemia; hyperleucocytosis with myelemia and monocytosis, rich and granulous bone marrow. Also remarkable is evolution, as it fatal outcome often occurs before a two year evolution, without remission looking like acute myeloblastic leukemia, a few patients have remission of most the symptoms, ending in an apparent recovery, which may be spontaneous.