Biomedical subjects

Sven Thonell

Publications and source records attributed to Sven Thonell.

4 recordsLinked to original sources

PubMed2005

Primary sternal osteomyelitis: a case series and review of the literature.

PURPOSE: Primary sternal osteomyelitis is rare in the pediatric population. METHODS: We present 4 recent cases that demonstrate a wide range in age, presenting features, and clinical course, and we performed a literature review. RESULT: A combination of diagnostic aspiration with prolonged appropriate antibiotic therapy led to successful resolution in all cases. Surgical debridement should be reserved for cases that do not respond to medical therapy. CONCLUSION: Sternal osteomyelitis is a rare condition in children that usually resolves with aspiration and prolonged antibiotic therapy.

Adolescent↗

PubMed2004

Bipartite parietal bone: a rare cause of plagiocephaly.

A case of an infant with an asymmetrical head is presented. On clinical assessment the patient displayed features of deformational plagiocephaly. With the aid of three-dimensional CT imaging of the skull, a bipartite parietal bone was diagnosed. The prevalence and possible aetiology of a bipartite parietal bone is discussed as well as a brief overview of the common causes of plagiocephaly.

Craniosynostoses↗

PubMed2002

Cranial ultrasound as a predictor of outcome in term newborn encephalopathy.

As part of a patient-based case-control study of newborn encephalopathy, we examine the cranial ultrasound results of 212 patients to determine the validity of ultrasound in predicting an adverse outcome. Forty-six (22%) patients died or developed cerebral palsy (adverse outcome) by 2 years of age. On the basis of clinical decision, 125 (60%) patients had an ultrasound before 72 hours of age; of these, 29% had an adverse outcome. The resistive index is the primary measure of interest, with a value of 0.55 or less considered abnormal. Infants with an abnormal resistive index are 8.8 times (P < 0.001) more likely to have an adverse outcome than those with a normal result. The positive predictive value of an abnormal resistive index was 71%. The results are similar for the subgroup with intrapartum hypoxia and the subgroup that had ultrasound performed before 24 hours of age. It is clear that resistive index results cannot be used in isolation, although they may have a place, in combination with other factors, in the counseling of parents and, cautiously, in the clinical management of patients.

Australia↗

PubMed2002

Posterior urethral valves causing urinomas: two case reports.

The cases of two male babies with posterior urethral valves complicated by the formation of urinomas are reported. Early diagnosis and treatment of this condition is important, as morbidity and mortality from resultant renal failure can be significant if it is unrecognized.

Humans↗