ABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Solitary Fibrous Tumor, Pleural/diagnosis , Solitary Fibrous Tumor, Pleural/physiopathology , Lipoma/chemically induced , Lipoma/diagnosis , Facial Neoplasms/chemically induced , Solitary Fibrous Tumor, Pleural/chemically induced , Solitary Fibrous Tumor, Pleural/complications , Lipoma/pathology , Lipoma/psychology , Facial Neoplasms/psychologyABSTRACT
A rare case of a giant vulvar lipoma that developed in an adolescent is presented. A review of the world literature of 15 cases that occurred prior to adulthood confirmed that they tend to occur on the right side of the vulva.
Subject(s)
Lipoma/pathology , Lipoma/surgery , Vulvar Neoplasms/pathology , Vulvar Neoplasms/surgery , Adolescent , Body Image , Female , Humans , Lipoma/psychology , Vulvar Neoplasms/psychologyABSTRACT
Disturbed interhemispheric communication has been proposed as responsible for schizophrenia. We present a case of a schizophrenia-like episode with no neurologic or other psychiatric symptoms. However, magnetic resonance imaging revealed a lipoma on the splenium of the corpus callosum. Neuropsychologic examination revealed normal interhemispheric transfer, but a slight dysfunction associated with right-hemispheric anterior regions. Rather than supporting the hypothesis of a causal relationship between callosal abnormality and schizophrenia-like symptoms, our findings argue against a direct causal relationship between lesion site and psychotic episode. We conclude that cerebral abnormality per se may represent a risk factor for neuropsychiatric symptoms.
Subject(s)
Agenesis of Corpus Callosum , Brain Neoplasms/pathology , Lipoma/pathology , Schizophrenia/etiology , Adult , Brain Neoplasms/complications , Brain Neoplasms/psychology , Corpus Callosum/pathology , Electroencephalography , Female , Humans , Lipoma/complications , Lipoma/psychology , Magnetic Resonance Imaging , Neuropsychological TestsABSTRACT
OBJECT: The purpose of this study was to investigate the functional performance in children with spina bifida, using the Pediatric Evaluation of Disability Inventory (PEDI). A comparison was also made between the functional performance of children with myelomeningocele (MMC) and lipomyelomeningocele (LMC). METHODS AND RESULTS: Twenty-six children with MMC and 37 cases with LMC were enrolled in this study. There was no significant difference in gender, age or method of birth delivery between these two study groups. The normative standard scores of PEDI for children with spina bifida were all below the mean standard scores found in non-disabled children, but still within the average range, with exception of mobility score in the MMC group. Patients' neurological level, walking ability, intelligence, independence in activities of daily living, and bowel function showed significant correlation with the PEDI scores ( P<0.05) in the children with MMC. In comparing these two disease groups, the MMC had higher neurological level, poorer walking ability and poorer bladder and bowel function than did the LMC ( P<.05). The former also had significantly lower PEDI scores in the mobility and social function domains. PEDI provided valuable information regarding overall functional performance in daily life for children with spina bifida. CONCLUSION: This information is extremely important for planning a comprehensive and individualized rehabilitation program.
Subject(s)
Disability Evaluation , Spinal Dysraphism/physiopathology , Spinal Dysraphism/psychology , Activities of Daily Living , Child , Child, Preschool , Female , Humans , Infant , Interpersonal Relations , Intestines/physiopathology , Lipoma/physiopathology , Lipoma/psychology , Locomotion , Male , Meningomyelocele/physiopathology , Meningomyelocele/psychology , Mental Health , Nervous System/physiopathology , Self Care , Surveys and Questionnaires , Urinary Bladder/physiopathologyABSTRACT
Ten children with lipomyelomeningocele were evaluated with the WISC--R, the Wide Range Achievement Test--Revised, the Developmental Test of Visual-motor Integration, and the Child Behavior Checklist. These children were consecutive referrals to a birth defects clinic. Unlike their meningomyelocele counterparts, as a group these children appear to be average in their intellectual, academic, and behavioral characteristics. However, they exhibited low average perceptual motor skills, a feature more commonly seen in meningomyelocele.
