ABSTRACT
Shprintzen-Goldberg syndrome (SGS) is a rare condition characterized by craniofacial, cardiac, and neurologic alterations that can challenge an anesthesiologist. There are a few case reports of pediatric patients with SGS receiving general anesthesia but none about other techniques. A patient with SGS and insufficient dura mater was once reported, and this has caused some anesthesiologists to be wary of regional anesthesia. However, the link between SGS and insufficient dura mater remains unclear. We report the case of a 19-year-old patient with SGS who safely underwent an open cholecystectomy with regional anesthesia.
Subject(s)
Anesthesia, Conduction , Arachnodactyly , Craniosynostoses , Marfan Syndrome , Humans , Child , Young Adult , AdultABSTRACT
El presente estudio dará a conocer la relación entre la presencia de flecha furcal y las lesiones de furca grado I, II y III en cráneos humanos secos, se pretende contribuir al diagnóstico clínico de las lesiones periodontales. Determinando los signos radiográficos como apoyo al diagnóstico de lesiones de furca en molares maxilares, estableciendo la relación de flecha furcal definida como una imagen radiolúcida en el sector de molares superiores en áreas de furcación proximales con lesiones de furca. El desarrollo de esta investigación de tipo descriptivo, se realizó de agosto/2005 a abril/2006, en la Facultad de Odontología de la Universidad de El Salvador, teniendo el apoyo de instituciones del área de la salud de diferentes regiones del país. Los objetos de estudio fueron 188 superficies proximales de primeras y segundas molares maxilares de 40 cráneos humanos secos, a los cuales se les realizó una evaluación clínica a través del sondeo y toma radiográfica para determinar la frecuencia y las características de la imagen flecha furcal. Obteniendo como resultados un promedio general de relación de imagen de flecha furcal del 63.79% con lesiones de furca. Con una incidencia de la imagen flecha furcal del 62.67% para lesiones grado I, 64.62% en lesiones grado II y 70% para grado III.
The present study will reveal the relationship between the presence of furcal arrows and grade I, II and III furcation lesions in dry human skulls, it is intended to contribute to the clinical diagnosis of periodontal lesions. Determining the radiographic signs to support the diagnosis of furcation lesions in maxillary molars, establishing the furcal arrow relationship defined as a radiolucent image in the upper molar sector in proximal furcation areas with furcation lesions. The development of this descriptive research was carried out from August / 2005 to April / 2006, at the Faculty of Dentistry of the University of El Salvador, having the support of institutions in the health area of ââdifferent regions of the country. The study objects were 188 proximal surfaces of maxillary first and second molars from 40 dry human skulls, which underwent a clinical evaluation through probing and radiographic taking to determine the frequency and characteristics of the furcal arrow image. Obtaining as results a general average of the furcal arrow image ratio of 63.79% with furcation lesions. With an incidence of the furcal arrow image of 62.67% for grade I lesions, 64.62% for grade II lesions and 70% for grade III.