EXPLORATION RADIOLOGIQUE DES VOIES AERIENNES SUPERIEURES DE L'ENFANT DANS LES OBSTRUCTIONS AIGUES

Plain X-ray film is the basis of radiological exploration of larynx and trachea in infancy and childhood. AP and side views during inspiration, expiration and phonation enable diagnosis of all acute pathological states. The technique used is detailed and selected examples are given of normal larynx X-ray, laryngitis, foreign body aspiration and epiglottitis.SCOPUS: NotDefined.jinfo:eu-repo/semantics/publishe

Apport de l'échographie digestive dans les mises au point de douleurs abdominales chez l'enfant.

The quality of modern ultrasonography allows to study not only solid abdominal organs but also digestive walls and abdominal lymphnodes, leading to accurate diagnosis in many cases, and decreasing the use of more aggressive radiological procedures (upper GI baryum studies, baryum enema, intravenous pyelography, etc.). In dealing with abdominal pain in children, the plain XRay film of the abdomen and abdominal echography are performed immediately after history taking and physical examination, and are equally important in the work up of these cases.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

Unusual early manifestation of multiple sulfatase deficiency

The case report concerns a rare disease consisting of a combination of MLD and MPS, until now less than 15 cases have been reported in the literature. Our patient presented with an unusual and exceptional early onset of the clinical manifestation more suggestive of MPS than of MLD. The changes were rapidly progressive and the infant died at 3 1/2 months of age. The clinical and radiological signs are described and compared with those of the other cases of the literature. The importance of an early diagnosis and the orientation value of the radiological signs are stressed.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Congenital Stridor in Infancy: Clinical Lessons Derived from a Survey of 31 Instances

Thirty-one cases of persistent stridor during infancy, which on study proved to be of congenital origin, were analyzed. The breakdown of these cases is as follows: 4 laryngotracheomalacia, 3 vascular anomalies, 4 angiomas, 1 mucous membrane, 1 laryngeal cyst. The remaining cases (18) belong to the so-called “benign” stridor group in that no specific etiology could be demonstrated and in that evolution was spontaneously favorable. In every case of stridor, the precise underlying cause should be looked for. In addition to clinical assessment the investigation of an infant with stridor calls for the following methods of examination: chest x-ray; larynx x-ray (anterior and lateral view) during inspiration and expiration; esophago gram; direct and laryngotracheoscopy. Angiopneumography should be confined to specific cases. © 1977, Sage Publications. All rights reserved.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Cerebral palsy: Initial experience with Tc-99m HMPAO SPECT of the brain

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

Determination of thyroid volume by ultrasound from the neonatal period to late adolescence

The voluem of the thyroid gland was determined by ultrasonography in 256 euthyroid subjects aged 0-20 years in Brussels, an area with borderline iodine intake (median urinary iodine: 6.8 μg/dl). The volume of each lobe was calculated separately using the formula of an ovoid (Depth × Length × Width × π/6). The total thyroid volume was obtained by summation of the volume of both lobes. In neonates, mean volume (SD) was 0.84 (0.38) ml and the distribution was asymmetric, skewed towards elevated values (median: 0.76 ml); the volume was best correlated with body surface area (P0.001) until the age of 8 without being influenced by sex and thereafter varied widely: it increased from 2.7 (0.8) ml in prepubertal subjects aged 8-11 years to 11.6 (4.4) ml in late pubertal aged >17 years. This increase was significantly correlated not only with chronological age but also with pubertal stage and seemed to happen early, with the onset of the first clinical signs of puberty. At all ages, the volume of the right lobe was slightly higher than the left lobe but the difference was not significant. © 1991 Springer-Verlag.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Diffuse intracranial calcification appearing during the follow up of acute lymphoblastic leukemia

An 11 yr old male North African child has been followed up and treated since June 1969 for acute lymphoblastic leukemia. At this time he already had important destructive malignant bone infiltration. Complete medullar remission was obtained less than 2 mth later. He consulted in May 1971 for seizures. The lumbar puncture, eye fundus, cerebral scan and skull Xray were normal. He nevertheless received prophylactic radiotherapy to the head (2,000 rads) and spine (1,000 rads). One yr later (July 1972) he was readmitted for hematologic recurrence and serious bone pain. Skeleton Xray showed still massive bone changes and this time generalized bilateral intracranial calcifications resembling those found in a Sturge Weber syndrome or in a meningo encephalitis. A cerebral biopsy revealed lesions never yet observed by the pathologist and that were neither of an extended Sturge Weber syndrome nor of a meningo encephalitis ossificans.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Unusual ventilation-perfusion mismatch in partial anomalous venous return

A 3-year-old girl with a complicated partial anomalous pulmonary venous return presented a scintigraphic pattern characterized by an absence of perfusion of the right lung, contrasting with normal ventilation.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Lethal course of X-linked dominant chondrodysplasia punctata in a male newborn.

We report a newborn with some manifestations of chondrodysplasia punctata. Additional abnormalities were hydrocephalus, bilateral syndactyly of the fourth and fifth fingers and toes, absence of the middle phalanx of all toes, hypoplasia of the second and third phalanges of all fingers and cryptorchidism. This observation suggests that we are possibly dealing with a rare male case of X-linked dominant chondrodysplasia punctata.Case ReportsJournal Articleinfo:eu-repo/semantics/publishe