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Biomedical subjects

M Millner

Publications and source records attributed to M Millner.

21 records · Page 2Linked to original sources

[Successful peritoneal dialysis in a premature infant with a birth weight of 850 grams--a case report].

A very low birth weight (850 g) premature infant developed a life threatening hyperkalemia and cardiac dysrhythmia on the first day of life. Standard treatment of hyperkalemia with calcium, dextrose-insulin, sodium-polystyrene sulfonate was ineffective. Therefore peritoneal dialysis was performed, which rapidly lowered the plasma potassium concentration from 10 to 5 mEq/l. The baby is now nine months old and physically and mentally well developed. This case report should encourage the prompt decision for a peritoneal dialysis even in the very low birth weight infant if dangerous metabolic derangements are otherwise unamenable to treatment.

Birth Weight↗

[Long-term ambulatory EEG in pediatrics. Possibilities and limitations].

36 children aged 7 +/- 4 years with suspected seizure disorders had insufficient routine EEGs. After 54 long term EEG registrations the diagnosis and therapy had to be changed in 12 children, in 7 of them the frequency of epileptiform attacks therefore decreased. In 3 children with marked attention deficit in history during daytime and nighttime bedwetting the long term EEG showed mainly very short 3/sec spike and wave discharges (duration 0.5-2 sec). It is discussed that these bursts are EEG equivalents of attention deficit and bedwetting respectively, which disappeared by anticonvulsive treatment. Because the application of this method is very tedious we recommend the use of long term EEG recordings in children only under the following circumstances: 1. suspected attacks of seizures or episodic disturbances of behaviour and/or attention and/or enuresis at least twice a week; 2. lack of three conclusive routine EEG recordings despite of provocation procedures with full cooperation of the patient; 3. follow-up when initially abnormal. Our results are in favour of the more frequent use of a long term EEG in children having the above mentioned episodic disturbances.

Adolescent↗

[Experiences with lengthening the lower leg in dyplasia using the Wagner apparatus].

We report on the elongation of three different dysplasiae of the lower leg by means of Wagner's apparatur. We enter into the particular problems of elongations during the time of growth. The technical procedure as well as the problems of an elongation of dysplastic lower legs are pointed out. The experiences and results gained for the sake of an optimized proceeding in similar cases are discussed in particular.

Bone Diseases, Developmental↗