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Biomedical subjects

F Rosenmayr

Publications and source records attributed to F Rosenmayr.

At least 19 recordsLinked to original sources

[Computerized tomography in epilepsy in children].

We present a retrospective study of 160 children attending our epilepsy out-patient department. Computed tomography (CT) was performed on 123 (77%) patients, namely all children with the exception of those with febrile seizures, typical absence seizures, and benign Rolandic epilepsy. Incidence of CT abnormalities and their correlation with clinical features were evaluated. The CT scan was normal in 84 and abnormal in 39 patients. Although in general, the detection of abnormality on CT will not alter the management of the child, in a small percentage (2%) of our cases a lesion treatable by surgery was discovered. The indications for CT are summarized.

Anticonvulsants↗

Transient cerebellopontine demyelinisation revealed by MRI in acute cerebellar ataxia.

An eight year old boy was admitted to our ward with a history of abrupt onset of rapidly progressive gait disorder, nausea, vertigo and vomiting. The clinical as well as the laboratory findings suggested the diagnosis of acute cerebellar ataxia. Magnetic resonance imaging (MRI), however, showed marked demyelinisation in the cerebellar region and visual evoked potentials were pathologic. After immunosuppression the patient promptly improved clinically and the lesions depicted by MRI disappeared almost completely.

Acute Disease↗

[Discrimination between epileptic and non-epileptic seizures using defined prolactin studies].

Prolactin blood levels (HPRL) increase within 20 minutes postictally after generalized epileptic, especially generalized tonic-clonic seizures and return to normal values within one hour. Elevated HPRL levels were also observed after complex partial seizures, but usually in less extent, exceeding normal ranges only slightly. Therefore baselin HPRL measurements are necessary for estimation of spontaneous fluctuations in comparison to changes after seizures. Unchanged PRL levels after attacks do not support their epileptic origin. Rage attacke showed no clear pattern of PRL changes.

Adolescent↗

[Psychopharmacological drugs in childhood (author's transl)].

The use of psychopharmacological drugs on children is still widely disputed. A questionnaire sent to Austrian pediatricians should give a realistic picture of the individual doctor's opinion to this question. The results are compared with reports in literature and the experience gained from patients in the medical pedagogical department of the University Children's Hospital, Vienna. A plan of treatment which has proved efficacious in hospitals is presented.

Aggression↗

[Ultrasound B-scan in Splenomegaly].

Examples demonstrate how by combination of transversal and longitudinal sections splenomegaly may be prooved. This is an important help in differential diagnosis of the enlarged spleen.

Child↗

[Brain damage and epilepsy in childhood (author's transl)].

Among the 1100 patients with convulsive disorders attending out-patient paediatric clinics of the Universities of Vienna and Graz, there are 14 cases of postnatal posttraumatic epilepsy. The characteristic features of this condition, as evidenced even by this small group of patients are focal epilepsy with focal paroxysms in the EEG, often combined with neurological defects and psychological abnormalities, but more seldom with defects of intelligence; resistance to anticonvulsive drugs is a frequent observation. In a retrospective study such as this, the criteria which could predict the development of epilepsy following posttraumatic brain damage are not sufficiently accurately definable; prospective serial studies on brain-damaged children would be of greater prognostic value. The following parameters seem to be important: the kind of brain damage, the duration of unconsciousness, the frequency of initial convulsive attacks and the persistance of the progression of the EEG changes.

Adolescent↗