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D Emons

Publications and source records attributed to D Emons.

34 records · Page 2Linked to original sources

[Technique of the introduction of duodenal sounds in children (author's transl)].

Duodenal Sounds, provided they are sufficiently rigid, can be introduced actively with simultaneous x-ray control. Good sedation promotes rapid passage; further important aids are: appropriate positioning of the patient, instillation of air, and palpation. In recent years, intravenous administration of diazepam and metoclopramid has proved successful as premedication. The described procedure reduces the strain on the children and the amount of time required by the medical staff.

Child↗

[Familial vesicoureteral reflux (author's transl)].

One family with all four children affected by vesicoureteral reflux is reported. The mother of children has shrinking kidneys. The possibility, that the congenital abnormality of vesicoureteral reflux is inherited, is discussed. The awareness, that reflux may be familial, led to search for the abnormality in close relatives.

Adolescent↗

[Congenital chylous ascites. Case reports and review of 51 recorded cases (author's transl)].

A case of a nearly 3-year old girl with chylous ascites in neonatal period is reported. Repeated paracentesis were performed and the child was treated with a low fat diet. After time of 8 weeks ascites did not recur. It is purposed, that there was an abdominal lymphdysplasia. The 51 cases in the reviewed literature are analyzed in terms of symptoms, treatment, etiology and prognosis. It is suggested, that congenital chylous ascites should be treated conservative at first.

Child, Preschool↗

Serum lipid analysis confirms the diagnosis of X-linked dominant chondrodysplasia punctata - Conradi-Hünermann-Happle syndrome.

We present the morphological and biochemical findings in a twelve month old girl with chondrodysplasia punctata X2 - Conradi-Hünermann-Happle syndrome. This disease is characterized by limb length discrepancies, growth retardation, ichthyosis, cataracts, and punctate calcification. The diagnosis could finally be confirmed by increased concentrations of cholesterol precursors as recently found in the plasma and tissues of affected patients.

Cholestadienols↗

[Differential diagnosis of periventricular pseudocysts in the neonatal period].

Periventricular pseudocysts are important sequelae of different noxious insults in the developing brain. Accurate diagnosis of those pathologic entities during early life has therefore become of direct concern to the clinician. When present at birth, they suggest an intrauterine pathology. It has only been with the advent of real-time cranial ultrasonography that subependymal cystic lesions can be detected antemortem. 25 infants were postnatal diagnosed in ultrasound as having periventricular cystic lesions. They belonged to different pathological entities: focal paraventricular pseudocysts (5 cases), periventricular leukomalasia (6 cases), polycystic encephalomalacia (1 case), subependymal pseudocyst (9 cases), connatal viral infection (3 cases), and chromosomal abnormality (1 case). Sequelae of noxious insults in fetal life appear clearly different to those after perinatal injury. Ultrasound findings should be interpreted in combination with obstetric history. Some obstetric complications during 2. trimester can cause paraventrikular cystic formation in fetus. Neurotrophic viral infection and chromosomal abnormalities have also been implicated to produce cystic lesions in this region. This work implies that a wide variety of intracranial pathology is found in newborns with periventricular cystic lesion. Those lesions are not a terminal event in infant, but may be a condition of major clinical importance for further neurologic development.

Cerebral Hemorrhage↗

[Schizencephaly].

Schizencephaly is a developmental disorder of the human brain caused by a defect of neuronal migration. We observed a 7 month old african boy suffering from nystagmus and hemiparesis. The neuroimaging reveals a large cleft in cortical and subcortical structures and typical changes of polymicrogyria. In the differential-diagnosis encephaloclastic porencephaly should be considered.

Agenesis of Corpus Callosum↗

[Neurenteric cyst of the mediastinum--case report and review of the literature].

A case of an infant with a mediastinal neurenteric cyst is used to review this rare entity. By definition a neurenteric cyst is the combination of an entodermal cyst with a vertebral dysplasia. Neurenteric cysts are located in the posterior mediastinum, preferentially on the right side. In a third of the patients these cysts are associated with malformations of CNS a./o. GI tract. They occur predominantly in males. The symptoms of a mediastinal mass usually become obvious during the first months of life. The therapy of choice is complete resection.

Diagnosis, Differential↗

[Idiopathic juvenile osteoporosis--report of 2 cases].

Idiopathic juvenile osteoporosis appears in temporal coherence with puberty leading to a reversible generalized osteoporosis of the skeletal system, spontaneous fractures and skeletal deformities. First symptoms in a 14 years old boy occurred as muscle pareses. A lymphocytic pleocytosis could be detected in cerebrospinal fluid. The next two years more than 20 spontaneous fractures occurred. Height was reduced by 15 cm. We first saw the boy at 17 years and could find decreased serum concentrations of calcitriol. Substitution with calcitriol resulted in regression of the pareses within days. Spontaneous fractures did not develop during the next two years of therapy. Subsequently serum calcitriol level was normalized. In a 10 years old boy first symptom occurred as fractures resulting from minimal traumas. In this case also during previous calcitriol therapy no new fractures occurred.

Adolescent↗