Pediatric gastrointestinal imaging

SCOPUS: re.jinfo:eu-repo/semantics/publishe

Les malformations du rachis cervical

SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Gastro-oesophageal scintiscanning in children

99mTc colloid scintigraphy is a sensitive technique for the detection of gastro-oesophageal reflux, compared to X-ray studies. A quantification index of reflux is used and can be of value when there is concern about the significance of a positive result. Continuous monitoring during one hour increases by 25% the detection of reflux in comparison with a 30 min test. In our series, no case of lung aspiration was recognized using this technique. The scintiscanning index cannot predict the existence of an associated oesophagitis. © 1981 Springer-Verlag.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

MRI evaluation and follow-up of bone necrosis after meningococcal infection and disseminated intravascular coagulation

Disseminated intravascular coagulation (DIC) is a serious complication of meningococcal septicaemia. It often results in infarction of various tissues namely the skin, adrenal glands, kidneys, brain and, much less commonly, bones. We describe a patient who presented bone lesions after meningococcal septicaemia. In addition to plain radiography and scintigraphy the lesions were evaluated with MRI and have proved to be extensive and still progressive, approximately 18 months after the onset of the disease.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

The Keutel syndrome: Report of a case and review of the literature

A 2-month-old boy presented with cartilage calcification, brachytelephalangism, peripheral pulmonary stenosis, hearing loss. short stature and slight psychomotor delay. This case is similar to the two cases described by Keutel in 1972. Since then, four other cases have been reported, we report the seventh case and discuss the clinical findings and the incidence of the disease.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Infants are not obligatory nasal breathers

It is widely believed that infants are obligatory nasal breathers. We studied 19 infants, 1 to 230 days of age, for respiratory responses to acute nasal occlusion. Lips were kept apart. Oropharyngeal structures were monitored by fluoroscopy, whereas respiratory movements and oral flow were recorded. We systematically observed before and during nasal occlusion tight apposition of the soft palate and the tongue, closing the oropharyngeal isthmus. After a variable time (mean 7.8 s, range 0.6 to 32 s), the soft palate rose and oral breathing was initiated. Time required to mouthbreathe was related to age and/or conscious state, older and/or awake infants responding faster than younger and/or asleep infants. In 9 others, when nasal occlusion was performed with the mouth closed, results were comparable to those obtained in infants with mouths open. In 3 infants, electroencephalograph (EEG) records showed quiet non-REM sleep. Nasal occlusion resulted in an immediate arousal reaction, followed after a variable time by mouth breathing. We conclude that infants are not obligatory nasal breathers. They can breathe through the mouth by detaching the soft palate from the tongue, thus opening the oropharyngeal isthmus.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Maternal diabetes and fetal malformations: A case associating cardiovascular, facial and skeletal malformations

Maternal diabetes is known to be a condition associated with a high frequency of fetal malformations. However, pathogenic factors for these malformations and their possible classification into different entities are not yet well established. We present the case of an infant born to a diabetic mother and affected by several malformations. This report consolidates different hypotheses put forward in recent years.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Ultrasonic study of pancreas in cystic fibrosis

Gray scale ultrasonography using digitalized memory scanners permits with quick, single-sweep contact scanning, visualization of pancreatic tissue in very young children. This innocuous technique which does not require sedation or abdominal preparation, except for a few hours fasting, can be successfully performed even in children in poor physical condition. We report in the present study the examination of pancreatic tissue of 35 patients with cystic fibrosis along with appropriate controls. Our preliminary results suggest that in cystic fibrosis the echographic parenchymal pattern of the pancreas changes from normal in babies to a progressively fibrotic aspect in children as young as 6 years of age and that the thickness of the pancreas diminished progressively.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Gaucher's disease: Plain radiography, US, CT and MR diagnosis of lungs, bone and liver lesions

SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Ureteral quadruplication: The fourth case report

Among development abnormalities of the upper urinary tract, ureteral duplication is a very common finding while triplication is quite rare. Ureteral quadruplication is exceedingly unusual; to our knowledge only three cases have been reported over the past 25 years and all of them concerned adult patients. We present a case of unilateral quadruplicated ureters in a 9-month-old infant. Review of the literature failed to reveal documentation of such a case.SCOPUS: ar.jinfo:eu-repo/semantics/publishe