Assuntos
Hemorragia Cerebral/cirurgia , Hematoma/cirurgia , Adolescente , Criança , Pré-Escolar , Fossa Craniana Posterior , Feminino , Humanos , Lactente , MasculinoRESUMO
During the years 1967-1984, 91 children were operated on because of acute compressive traumatic intracranial hematoma: 16 (17%) had traumatic acute subdural hygromas. These were unilateral in 12 cases and bilateral in 4. The causes of injury were traffic accidents in 11 children, a fall in 1, and acute deceleration injuries in 5. Nine children suffered multiple injuries to the thorax, inferior extremities, and pelvis. Clinical manifestations and evolution of clinical symptoms included changes in conscious level, palsy, high fever, nystagmus, maximum dilation of either pupil and spontaneous, irregular breathing. The diagnosis was made on the basis of the clinical picture and supplementary clinical investigations: CT, EEG, echoencephalography, isotope cisternography, and arteriography. Treatment was by simple trephination of the cranium and evacuation of hygromatous liquid. All children survived the surgical treatment; 1 child died after the operation and 2 developed hydrocephalus.
Assuntos
Linfangioma/cirurgia , Neoplasias Meníngeas/cirurgia , Doença Aguda , Lesões Encefálicas/complicações , Criança , Feminino , Humanos , Linfangioma/diagnóstico , Linfangioma/etiologia , Masculino , Neoplasias Meníngeas/diagnóstico , Neoplasias Meníngeas/etiologia , Fraturas Cranianas/complicações , Espaço SubduralRESUMO
During the last 10 years (1973-1982), we have surgically treated 9 children for large echinococcus cysts with intraventricular localization. In 7 cases the cysts were localized in lateral ventricles and in 2 cases in IVth ventricle and cerebellum. The children were from 3 to 11 years old. All cases were with signs of mental retardation and immediately before surgical treatment with signs of brain incarceration. In 7 children there was a disorder of consciousness, from drowsiness to deep sleep. The treatment was conducted with two surgical methods. All children survived the surgical treatment.