Posted on April 30th 2011
Authors: Simonsz HJ, Kolling GH
Infantile esotropia (IE) is defined as an esotropia before the age of 6 months, with a large angle, latent nystagmus, dissociated vertical deviation, limitation of abduction, and reduced binocular vision, without neurological disorder. Prematurity, low birth weight, and low Apgar scores are significant risk factors for IE. US standard age of first surgery is 12-18 months, in Europe 2-3 years. The only study to date with prospectively assigned early- and late-surgery groups and evaluation according to intention-to-treat, was the European Early vs. Late Infantile Strabismus Surgery Study (ELISSS). In that study 13.5% of children operated around 20 months vs. 3.9% (PÂ =Â 0.001) of those operated around 49 months had gross stereopsis (Titmus Housefly) at age...
Posted on April 30th 2011
CONCLUSIONS:
On the basis of our results, physicians' decisions to resuscitate seem to be context-specific, rather than based on prognosis or consistent application of best-interest or autonomy principles. Despite their different professional perspectives, neonatologists and high-risk obstetricians seemed to converge on these judgments. (Source: PEDIATRICS)
Posted on April 29th 2011
Abstract Septo-optic dysplasia (SOD), also called De Morsierâs syndrome, is a highly heterogeneous condition comprising a spectrum
of central nervous system malformations that involves in various degrees the optic nerves, the hypothalamicâpituitary axis,
and other midline structures such as the septum pellucidum and the corpus callosum. In a discrete number of cases, schizencephaly,
agenesis of the corpus callosum or other cortical malformations are associated (SOD-plus). The authors present a 6-year-old
boy with dyskinetic cerebral palsy (athetoid-dystonic subtype) associated with SOD-plus. Cranial magnetic resonance imaging
(cMRI) revealed the total absence of septum pellucidum, optic nerve hypoplasia, hypoplasia of the corpus callosum and right
occipital cortical dy...
Posted on April 29th 2011
Conclusions: Hippotherapy provided by licensed health professionals using the multidimensional movement of the horse may be used in conjunction with standard physical therapy for improvement of gait and balance in children with bilateral spastic cerebral palsy. (Source: Archives of Physical Medicine and Rehabilitation)
Posted on April 28th 2011
Authors: Stotz S
Summary. Patients with infantile cerebral palsy often develop a typical adduction-, internal rotation- and flexion contracture of the hip, caused by a central disturbance of muscle tone coordination. This deviation leads, when verticalisation and weight-bearing of the child is absent or insufficient, to coxa valga and spastic hip dislocation. In order to prevent or correct this faulty form, soft tissue release operations or bony joint reconstructive procedures of the proximal femur and acetabular roof or, in severely impaired patients, palliative measures can be performed. The indication must be judged critically, especially in patients with total body involvement. In this paper special procedures, performed for a number of years at the Orthopedic Poliklinik of the Uni...
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