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Biomedical subjects

N P Cavanagh

Publications and source records attributed to N P Cavanagh.

25 records · Page 2Linked to original sources

The other handicap: brightness.

Because of changing attitudes to the measurement of mental abilities, only the slow child is assessed and receives special educational help. By contrast, the bright child may remain undetected because unassessed. For these children there are few special provisions, and they may present as behaviourally disturbed or educationally retarded. We describe four such children, and we feel that more facilities should be devoted to helping bright children, both at home and in school.

Child↗

Outcome in congenital stridor (laryngomalacia).

Twenty-one children who had been diagnosed as having laryngomalacia by direct laryngoscopy in infancy were reviewed 7 to 12 years later. The natural history of the disease is documented. A wide variation in the time of onset and duration of the stridor was found and there was a high incidence of feeding difficulties. A previously reported association with mental retardation or cerebral palsy is not confirmed. 4 out of the 21 children had early speech problems.

Feeding Behavior↗

Ulnar nerve tumours of the hand in childhood.

Two examples are presented of non-traumatic lesions of the deep motor branch of the ulnar nerve occuring in children. The clinical and histological features of solitary neurofibroma and neurilemmoma are compared and contrasted.

Adolescent↗

Thenar hypoplasia with associated radiologic abnormalities.

We report on five patients who presented with unilateral or bilateral hypoplasia of the thenar eminence. X rays of the affected limbs showed varying degrees of malformation and underdevelopment of the thumb phalanges and first metacarpal bone, and of the carpal bones at the base of the thumb, indicating a developmental abnormality. Our electrodiagnostic findings were compatible with this interpretation. We suggest that this condition is part of the clinical spectrum of radial club hand (radial dysplasia) and that when seen in adults, its recognition is important in the differential diagnosis of carpal tunnel syndrome.

Adolescent↗

Patterns of intellectual change in the dementing school child.

Four children with intellectual deterioration are discussed. The importance of a developmental and educational history and sequential psychological testing is emphasized. Progressive visual impairment, clumsiness and increasingly poorly-controlled fits should alert teachers and doctors to the possibility of associated intellectual deterioration. As well as global loss, tests of memory and mental arithmetic, manipulative and perceptual skills were the most sensitive index of dementia. We propose a further subcategory of the present codes of classification of childhood psychiatric disorders.

Adolescent↗