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Biomedical subjects

R J Starshak

Publications and source records attributed to R J Starshak.

At least 73 records · Page 4Linked to original sources

Imaging the intracranial complications of Hemophilus influenzae meningitis.

Computed tomography (CT) and radionuclide imaging of the central nervous system (CNS) are important modalities in both the diagnosis and management of CNS complications from Hemophilus influenzae meningitis. Both examinations are sensitive indicators of CNS abnormalities associated with bacterial meningeal infections and are important determinants of the therapy and ultimate prognosis of such complications. Representative findings from CT and radionuclide imaging of children with complications from H. influenzae infection of the meninges are presented.

Brain↗

Neurofibromatosis: lymphoscintigraphic observations.

The authors describe the lymphoscintigraphic findings in a 4-year-old child with neurofibromatosis, the principal manifestation of which was elephantiasis neuromatosa involving the right lower extremity. The lymphoscintigram demonstrated dilated lymphatics and enlarged lymph nodes.

Child, Preschool↗

Bridging bronchus: a rare airway anomaly.

The authors describe an infant whose right-lower-lobe bronchus arose from the left main bronchus and bridged the lower mediastinum. Other major congenital anomalies were present as well. Possible explanations for crossed airways, which would seem to contradict the current theory of embryonic lung development, are suggested.

Abnormalities, Multiple↗

Bladder displacement due to dilated veins.

The authors report three children who demonstrated unilateral displacement of the urinary bladder associated with acute iliofemoral vein thrombosis. The displacement is caused by dilated collateral veins. Th anatomic considerations are discussed. Other causes for bladder displacement are listed.

Acute Disease↗

Neonatal proximal femoral epiphysiolysis.

The authors pressent two cases of proximal femoral epiphysiolysis (PFE) in neonates. Radiographs show superolateral displacement of the proximal femoral metaphysis in relation to a normal acetabulum, which differentiates PFE from a congenital hip dislocation. Early diagnosis and treatment of PFE can prevent coxa vara.

Birth Injuries↗

Anatomic observations and etiologic and surgical considerations in choledochal cyst.

Twenty-five operative and postoperative cholangiograms in children with choledochal cysts indicated an intimate relationship between these cysts and anomalous pancreatico-biliary ductal junction. In all of these patients the distal main pancreatic duct (MPD) is excluded from the sphinctor of Oddi mechanism and free reflux of pancreatic juice up the biliary tree occurs. This leads to chronic cholangitis, which is presumed to be responsible for the formation of the choledochal cysts. Abrupt and intense exposure of the common bile duct (CBD) to pancreatic reflux may cause perforation and bile peritonitis. Long-standing exposure may induce malignant transformation in the choledochal cyst. Total cyst excision and separation of the biliary system from exposure to pancreatic reflux is suggested as the procedure of choice. Long-term results and metabolic and digestive consequences of this operation are yet to be determined.

Cholangiography↗

Caroli disease: the diagnostic approach.

Two new pediatric examples of Caroli disease are reported; one was diagnosed by operative cholangiography and one by percutaneous transhepatic cholangiography. Although a variety of approaches may lead one to suspect the diagnosis, percutaneous transhepatic cholangiography is now the method of choice to establish the diagnosis.

Bile Ducts, Intrahepatic↗