ABSTRACT
The pattern of alternating dense and lucent bands, with straight outer edges, at the youngest metaphysis of long bones, the "Afghan turban" sign, occurs when incompletely treated rickets has recurred and been retreated. Recognition of this, and other, rickets patterns allows the radiologist to influence treatment, as described in a very low birth weight infant.
Subject(s)
Infant, Premature , Rickets/diagnostic imaging , Clavicle/diagnostic imaging , Femoral Fractures/diagnostic imaging , Femoral Fractures/etiology , Femur/diagnostic imaging , Femur/injuries , Fractures, Spontaneous/diagnostic imaging , Fractures, Spontaneous/etiology , Humans , Humerus/diagnostic imaging , Infant, Newborn , Male , Radiography, Thoracic , Ribs/diagnostic imaging , Rickets/complications , Severity of Illness IndexSubject(s)
Cerebral Hemorrhage/complications , Cerebral Ventricles , Fibrinolytic Agents/therapeutic use , Hydrocephalus/drug therapy , Hydrocephalus/etiology , Tissue Plasminogen Activator/therapeutic use , Humans , Hydrocephalus/cerebrospinal fluid , Infant, Newborn , Injections, Intraventricular , Treatment Outcome , Ventriculoperitoneal ShuntABSTRACT
Hypoxia-ischemia produces brain damage by processes that continue for many hours after reoxygenation/reperfusion. This provides a window of opportunity for therapy aimed at preventing further loss of brain cells. Sulfate magnesium can prevent posthypoxic brain injury by blocking glutamate receptors within the calcium (Ca++) ion channel. We used sulfate magnesium in nine newborn infant after perinatal hypoxia. We investigated the brain damage, by ultrasound examination, on third day, in first, second and third week, and third, sixth month of life. We have estimated the neurological development in the first week of life and third and twelfth month of life. We did not find deviations in ultrasound examination. We did not observe convulsions. We did not observe any side effect of this therapy. The examination at 1 of year of life in all of children was correct.