[2 cases of spontaneous intracerebral hematoma in children].
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Biomedical subjects
Publications and source records attributed to H Adamová.
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The authors present a report on 64 children operated between January 1, 1982 and December 31, 1986 on account of infantile hydrocephalus. As the primary operation in the great majority of children ventriculo-atrial drainage with a valve according to Spitz- Holter (60 times) was indicated, in exceptional cases ventriculo-mastoidostomy according to Nosik without a valve (four times). Thirty-eight patients (59%) had to be re-operated, some repeatedly on account of different disorders of the system. Most frequently the valve failed (22 times). Forty-four children (62.6%) of the group survive. Twenty-four (37.6%) thrive, sixteen are retarded as regards psychomotor development (25%), thirteen died (20.3%), eleven did not attend examination (17.1%).
Comparison of ultrasound (US) and computer tomography (CT) examinations of intracranial pathology in early childhood yielded results speaking in favor of CT examination both in the light of overall precision and completeness of the information provided. The distress involved in the examination of generally seriously threatened children (anesthesia, radiation, transport) on the other hand, advocates US examination as the method of choice, particularly due to its noninvasiveness, the possibility to follow up the dynamics of the process in a series of examinations, its cost effectivity, mobility, threedimensional imaging ability, as well as the possibility to assess conditions that can be affected by treatment in early childhood.
The authors emphasize the importance of the long-term follow up of intracranial disorders of the CNS by two-dimensional ultrasonic B-visualization in early infancy. They demonstrate the practical results on examinations of four patients with different types of intracranial lesions where "monitoring" by the B-visualization made it possible to follow up the fate of the non-operated focus and in operated patients to visualize the outcome or failure of neurosurgical intervention. The authors prefer ultrasonic examination in early infancy to other neuroradiological methods, in particular because it is unpretentious, simple, safe and the results are easily interpreted.
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