Four- to seven-year evaluation in two groups of small-for-gestational age infants.

Fifty-five small-for-gestational age neonates were tested for intellectual and neurologic development at 4 to 7 years of age. When infants of mothers who had hypertensive disease (Group A) were compared with those who had no such disease (Group B), it was found that Group A scored generally better on developmental testing than Group B. Within Group B, it was found that heavier neonates of more advanced gestational ages tested higher unlike Group A where lighter neonates delivered earlier tested better, indicating terminal compromise in this group. Major neurologic problems were found more commonly in Group A than Group B, indicating a greater intrapartum vulnerability. It is concluded that in Group A, earlier delivery after the establishment of lung maturity followed by fully monitored delivery would result in better long-term outcome.

Displacement of the superior sagittal sinus associated with a brain tumor.

A 13-year-old girl with an 11 1/2-year history of seizures, was found to have a brain tumor and contralateral displacement of the superior sagittal sinus and falx. The rarity and possible mechanisms of sagittal sinus displacement are discussed.

Acute hemiplegia in children complicating upper respiratory infections. Report of three cases with angiographic findings.

Three children presented with acute onset of hemiplegia following an upper respiratory infection. Angiography revealed irregulaities, beading, and slow flow of a peripheral branch of a middle cerebral artery. In addition, one child had narrowing of the cervical segment of the internal carotid artery. An inflammatory arteritis of the cervical internal carotid artery is presumably the site of the formation of cerebral emboli.