RESUMO
Myoclonic astatic epilepsy (MAE) belongs to the epilepsies with generalized seizures. MAE occurs in 1-2% of all childhood epilepsies up to age 9. This disease is characterized by various clinical and EEG criteria. The course of this epileptic syndrome is variable but influenced by an early diagnosis and by a specific treatment.
Assuntos
Epilepsias Mioclônicas/patologia , Diagnóstico Diferencial , Eletroencefalografia , Humanos , Lactente , Masculino , PrognósticoRESUMO
The diameter of the aortic root was measured in 151 patients with small ventricular septal defect (Qp/Qs less than 2 and pulmonary vascular resistance less than 1.5 U.m-2) and correlated with the presence of absence of aortic regurgitation. In 26 cases the aortic juxtavalvular region (bulbus) was dilated above 2 SD compared to a control group. All patients with aortic regurgitation of with cusp prolapse belonged to this group of 26 cases. Aortic root dilatation seems to have a specificity of 89 p. 100, a sensitivity of 75 p. 100 and a negative predictive value of 98 p. 100 in relation to the occurrence of aortic insufficiency. The finding of an aortic root dilatation associated with a ventricular septal defect should incite to a closer supervision of non-operated patients should be used as an argument when discussing the surgical closure of the ventricular septal defect.
Assuntos
Insuficiência da Valva Aórtica/etiologia , Comunicação Interventricular/complicações , Angiocardiografia , Dilatação Patológica/complicações , Comunicação Interventricular/cirurgia , HumanosRESUMO
The clinical history of a 16-month old child with an arrhythmogenic right ventricular dysplasia is reported. This is one of the youngest patients described in the literature. The pitfalls of the diagnosis and the particularities of the treatment of recurrent ventricular tachycardias are underlined.