ABSTRACT
Cervical Agenesis is a relatively infrequent mullerian anomaly. Sixteen years old, unmarried girl presented to ELMC&H Lucknow, with complaints of primary amenorrhoea and cyclical abdominal pain for 1 year. On Per-rectal examination, tense cystic mass was felt on right side, approximately 5x5 cm in size, tender and freely mobile. Cervix could not be palpated. Small knob like structure was felt on left side, 1.5x1.5 cm in size, firm in consistency and freely mobile. USG showed uterus of size 5x4x3 cm with collection in endrometrial cavity with? hypoplastic cervix suggestive of- Hematometra with cervical agenesis. On laparotomy, tense unicornuate uterus on right side and solid rudimentary horn on left side was found, which was attached to the uterus by peritoneal fold. Cervix was absent. Both ovaries and tubes were normal. Right cornua of uterus was completely excised leaving both the tubes and ovaries.
ABSTRACT
Transcranial magnetic stimulation was performed in 40 subjects. Twenty patients in the age group of 3 to 8 years and having different grades of malnutrition were included in the 'study group' whereas 20 normal children having no complaints comprised the 'control group'. The coil of the magnetic stimulator was applied tangentially over the vertex to stimulate the cortex. The motor evoked potential (MEP) was obtained using root stimulation by applying the coil at the cervical and lumbosacral spines. Recordings were made from the abductor pollicis brevis (APB) and extensor digitorum brevis (EDB) muscles of both sides. Cortical threshold, latency and amplitude of motor evoked potential and central conduction time were recorded. Malnourished children showed significantly increased cortical threshold, prolonged cortical latency and central conduction time and reduction in amplitude of MEP. Observed delay in central motor conduction in malnourished children suggests asymptomatic involvement of corticospinal pathways.
Subject(s)
Child , Child, Preschool , Electromyography , Evoked Potentials, Motor , Female , Humans , Male , Muscle, Skeletal/innervation , Nutrition Disorders/physiopathology , Reference Values , Transcranial Magnetic Stimulation/diagnosisABSTRACT
We report a case of DeSanctis-Cacchione Syndrome presenting with unusual features like early onset of cutaneous lesions and optic atrophy.
Subject(s)
Atrophy , Cerebral Cortex/pathology , Child, Preschool , Humans , Male , Intellectual Disability/diagnosis , Optic Atrophy/diagnosis , Syndrome , Tomography, X-Ray Computed , Xeroderma Pigmentosum/diagnosisABSTRACT
One thousand and twenty four school children (574 boys and 450 girls) between the ages of 5-10 years, belonging to upper socio-economic status were cross sectionally studied to establish regional weight and height norms. The boys were heavier till the age of 9 years while the girls were heavier than boys beyond that age. The boys were taller than the girls between 5-9 years and thereafter the girls over took the boys.