RESUMO
78 patients underwent surgery for scaphocephaly at the mean age of 1.2 (0.2-14.7) years in Faculty Hospital Motol in Prague. All operated children ("free bone flap" technique) have been longitudinally followed-up by the same neurosurgeon and by the same anthropologist. Non-invasive direct cephalometry has been an inevitable part of diagnostics, surgical treatment indication, postoperative follow-up and evaluation of the outcome of the treatment. Better cosmetic results in children operated before one year of age (the change of index cephalicus 6.5 units) in comparison with those treated later (3.7 units) is demonstrated (p = 0.02).
Assuntos
Craniossinostoses/cirurgia , Adolescente , Fatores Etários , Transplante Ósseo , Cefalometria , Criança , Pré-Escolar , Craniossinostoses/patologia , República Tcheca , Estética , Seguimentos , Humanos , Lactente , Estudos Longitudinais , Osso Parietal/anormalidades , Osso Parietal/patologia , Osso Parietal/cirurgia , Crânio/patologia , Resultado do TratamentoAssuntos
Face/cirurgia , Crânio/cirurgia , Pré-Escolar , Disostose Craniofacial/cirurgia , Face/anormalidades , Feminino , Humanos , Lactente , Masculino , Métodos , Crânio/anormalidadesRESUMO
A new method of treatment for arachnoid intracranial cysts is described, involving introduction of a catheter which enables fluid passage from the cyst into the ventricular system, and its resorption. Successful drainage has been achieved in 17 patients.
Assuntos
Ventriculostomia , Cistos Aracnóideos/diagnóstico por imagem , Cistos Aracnóideos/cirurgia , Humanos , Radiografia , Ventriculostomia/métodosAssuntos
Craniossinostoses/cirurgia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , MasculinoRESUMO
The children in the population of the district of Prague 4 were screened for the prevalence of hypertension. From the age group 6--11 years (1st--5th forms), a representative sample was selected, comprising 2 152 children; of the age group 12--19 years (6th--9th forms and adolescents), 90% of the population (11 323 individuals) were examined. The arbitrarily set criteria of hypertension 130/80 mmHg in the children aged 6--11 years and 135/80 mmHg in those aged 12--19 years, were found acceptable for identification of potential hypertonics. In the population examined, such or higher pressures were found in 0.5--3.4% of the subjects examined. By thorough clinical and laboratory examinations of children aged 11--15 years with elevated blood pressures the participation of secondary hypertension was determined. In comparison with a control group, these children exhibited statistically significantly more frequent diseases, obesity, and faulty regimen of living, as well as hypertension in their parents.
