[The radiologic case of the mouth: cortical hyperostosis].
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Biomedical subjects
Publications and source records attributed to C Fauré.
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The authors report 17 cases of iatrogenic complications occurring during the neonatal period over an interval of 5 years in a surgical service. Such complications concern the radiologist, either in their cause or their discovery. These cases are taken together with findings reported in the literature and lead the authors to draw conclusions with regard to the practical management of certain examinations in the neonatal period and the radiological surveillance of the newborn in a surgical department.
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On the basis of two cases of sub-adventitial traumatic rupture of the left renal artery, as well as data from the literature, the authors indicate the relative poverty of clinical signs of traumatic rupture of the renal arteries. They stress the value of early intravenous pyelography in lumbar trauma, with immediate arteriography in the presence of a non-functioning kidney, making conservative surgery possible.
The aim of this technical note is to show that ketamine hydrochloride anesthesia, owing to the preservation of muscle tone, enables one to safely and comfortably carry out gaseous encephalography on a simple radiological table in the toddler or child. However the authors very strictly select the indications for this investigation. Whenever the child's clinical condition leads one to suspect intracranial hypertension and/or a cerebral tumor, they think it more prudent, owing to the vasopressor effect of ketamine hydrochloride and a possible elevation in the cerebrospinal fluid pressure, to transfer the child to a specialized neuroradiological center, where the investigations would be carried out under the best technical conditions, and close to a neurosurgical unit which is capable of intervening rapidly in case of complications. The authors voluntarily limit their indications to children suffering from psychomotor retardation, epilepsy or neurological disorders which make one suspect a congenital malformation.
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