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Biomedical subjects

P Fehlow

Publications and source records attributed to P Fehlow.

At least 19 recordsLinked to original sources
PubMed1992

[Neuropsychiatric manifestations of Saethre-Chotzen syndrome].

Four psychiatric patients with SCS are described. All exhibited essential tremor, minimal cerebral dysfunctions, speech disorders, bradyphrenia, disorders of personality with psychasthenie and suspicious traits, restrictions, increased irritability and depressivity, one case of mutism due to abnormal reaction and one of alcohol hallucinosis. The possibility of cosmetic handicap caused by craniofacial dysplasia should be taken into mind and perhaps surgically corrected. Because the craniofacial dysplasia is mostly moderate and the syndactylies are slight the SCS remains often unrecognized, but apart from psychic maldevelopment it is significant as the result of frequent association with other malformations.

Acrocephalosyndactylia↗
PubMed1992

[Significance of EEG findings in craniosynostosis].

Literature of the topic is reviewed and own findings of 80 patients with turricephaly and 38 with dolichocephaly are exhibited. Striking was the increased frequency of spike potentials, 8,8 resp. 16% (SW 5%). Genetical connection between causes of premature synostosis and increased associated epilepsy resp. spike potentials is supposed. In cases of craniosynostosis associated with epileptic fits the EEG remains further irreplaceable, moreover it is useful in the assessment of cerebral functioning prior to surgical intervention.

Cerebral Cortex↗
PubMed1991

[Encephalomyocarditis syndrome].

From 28 autopsy-cases with EMC, among them 10 with an age from 7 days to 16 years, had been none diagnosed clinically before. Typically we found an interstitial myocarditis and perivenous encephalitis with a preferred participation of the brain stem. Central failure was dominating cause of death. There were only 5 cases (3 adults) with meningitis. Myelitis was not found. Former cardiac, less often cerebral lesions are likely risks for the lethal event.

Adolescent↗
PubMed1991

[Symptoms of tic in childhood].

Literature at the tic phenomen of the last 100 years is reviewed. Phenomenology, incidence, etiology, differential diagnosis and therapy are exhibited.

Child↗
PubMed1991

[Primary hypogonadism associated with neuropsychiatric disorders].

Among 43 female patients aged 17-46 years, most with severe oligophrenia, there were 4 with primary hypogonadism (olfactory-genital dysplasia, Smith-Lemli-Opitz syndrome and lastly a Kanner syndrome). The incidence of genital underdevelopment is assumed to be higher among mentally retarded female patients. In cases of hypogonadism and hypogenitalism a search should always be made for possible mental and neurological disorders.

Abnormalities, Multiple↗
PubMed1991

[Forensic importance of premature craniosynostosis].

In agreement with Canabis craniosynostosis as a little known organic partial factor of sociopathy is demonstrated. A psychic syndrome of the frontal lobe with increased susceptibility in environmental damages is assumed to be basic disorder. In the criminals of the material sexual offenders were preponderating. Associated craniofacial dysplasias are a risk for psychic maldevelopment. The importance of premature craniosynostocis as a biological risk factor, incidence, diagnostic, indication for an operation, also in the meaning of a neurosurgical "Konflikttherapie" (cosmetical indication) are discussed.

Adolescent↗
PubMed1991

[Significance of electroencephalography in the physical examination of children with encopresis].

At an one time transversal examination 28 of 36 children with encopresis exhibited abnormal findings, increased incidence of sharp waves, a back ground that was too slow for their age and subcortical dysfunctions was striking. The abnormalities are approached as constitutional risks and maturational retardation with increased environmental propensity. Increased frequency of enuresis and encopresis in premature craniosynostosis was found. Electroencephalography should be used in paediatric and child psychiatric examination as a not burdening screening method for clarifying the aetiologic conditions of encopresis and getting hints of brain maturation, constitutional disorders and may be signs of brain damage.

Adolescent↗
PubMed1991

[Hirschsprung-Galant infantilism].

Report about a 17 1/2 year-old girl with severe mental retardation, dwarfism, hypogenitalism and short segment type of HIRSCHSPRUNG's disease, abortive SMITH-LEMLI-OPITZ syndrome is supposed. Literature about etiology and genetics of HIRSCHSPRUNG's disease is reviewed.

Abnormalities, Multiple↗
PubMed1990

[Dolicocephaly and premature synostosis of the sagittal suture].

Guided by the literature historical, racial, genetical and diagnostical aspects, likewise associated syndromes and malformations of dolichocephaly and premature sagittal synostosis are represented, also own clinical, roentgenological, pneum- and electroencephalographic findings of 57 patients. Vascular disturbances of brain were striking, further emotional lability and tendency for relapsing depressions. Psychosocial problems of patients with scaphocephaly are discussed in detail and from that a conditional indication for cosmetic correction is asserted.

Cephalometry↗
PubMed1990

[Significance of EEG findings in pavor nocturnus].

Sleep disorders have an incidence of approximately 65 percent in early childhood. Etiologic there are constitutional and neurotic factors in night terror. Neurophysiologically it occurs at fast arousal out of non-REM-sleep. There are no relations to epilepsy, also not at existence of spike potentials in the EEG. At a cross-sectional examination of 20 children with pavor nocturnus 14 exhibited sharp waves and one SW. The EEG can hint at constitutional factors, retardation of cerebral maturation, but psychological examination is in severe cases more useful for effective therapy.

Brain↗
PubMed1990

[The significance of EEG findings in somnambulism].

In the EEG of 26 patients with somnambulism of an one time transversal examination sharp waves were more frequent than in patients with other diseases, 12 records of 13 children exhibited sharp waves, 5 records of 13 adults, 16 cases exhibited subcortical dysfunctions. There were no relations between epilepsy and somnambulism. Somnambulism was be found preponderantly in episodes of peculiar psychic charge of pupils and young adults. For effective therapy psychological examination is more useful than electrocephalographical examination. The treatment with transquilizer and psychotherapy is rich in meaning.

Adolescent↗
PubMed1990

[Encephalomyocarditis syndrome (EMC syndrome)].

Among 28 autopsy-cases with EMC had been none diagnosed clinically before. Typically we found an interstitial myocarditis and perivenous encephalitis with a preferred participation of the brain stem, eventually resulting in a central failure. There were only 5 cases with meningitis. Myelitis was not found. Former cardiac, less often cerebral lesions are likely risks for the lethal event.

Adolescent↗
PubMed1990

[Historic, social psychiatric, genetic and anthropologic aspects of turricephaly].

At first estimations of turricephaly from antiquity till modern times are exhibited and at last also results of own examination of over an average disturbed social behaviour and constitutional biological aspects of patients with turricephaly. The dominant inheritance of turricephaly and also peristatic and influences of races in the genesis of premature craniosyntosis are viewed by current literature.

Child↗
PubMed1990

[Oculo-auriculo-vertebral dysplasia with abnormal social development].

Report of a 17-year-old boy with oculo-auricolo-vertebral dysplasia. He exhibited microphthalmos on the left and auricular deformity at hemifacial microsomia, scoliosis, dysraphia and other malformations of vertebras and ribs further other minor anomalies of face and hands. The disfiguring microphthalmia with ptosis was an essential cause of a social maldevelopment with temporary important aggressivity. Patients with oculoauriculovertebral dysplasia should be examined for associating cardial and renal dysplasias and cases of psychosocial disorders treated psychotherapeutically in time.

Adolescent↗
PubMed1990

[Gingival fibromatosis with oligophrenia and self-injurious behavior].

It is reported on a 14-year-old girl with a hirsutism gingival fibromatosis syndrome, which is combined with moderate generalised muscle hypotonia, inhibition of physical maturation, severe scoliosis, diastasis recti abdominis and aplasia of a rib. Psychically there are idioty, autism and severe selfinjurious behaviour.

Abnormalities, Multiple↗
PubMed1990

[Chotzen-Saethre syndrome with oligophrenia and psychological abnormal development].

A weak minded man aged 31 years exhibited with moderate acrobrachycephalia, basal cutaneous syndactylies of the 2nd and 3rd fingers, marking symptoms of the Saethre-Chotzen syndrome (SCS), with dominant inheritance in three generations. Additionally there were symptoms of Ascher's syndrome, blepharochalasis, goitre and broad lower lip. The psychic maldevelopment is considered in association with a syndrome of the frontal lobe. Severe craniostenosis is rare at SCS; cosmetic handicap and obstruction of the nasal airway can be corrected by craniofacial surgeon.

Acrocephalosyndactylia↗
PubMed1989

[Neuropsychiatric and neuropathologic findings in an adult case of cri-du-chat syndrome (Lejeune syndrome, crying cat syndrome)].

It is reported on a mental retarded female, observed from 3-33 years of age, which demonstrated even in adulthood with long lasting shrill crying the clinical leading symptom of Lejeune syndrome and further typical symptoms with inhibition of physical maturation, important delayed motoric and mental development, microcephaly resp. characteristic craniofacial dysmorphia, anomalies of extremities, muscular hypotonia and susceptibility to infection. Psychically there were a striking affective instability and irritability, neuropathologically pachygyria and multiple cortical heterotopias.

Adult↗