
By Dr. Abbas Mostafawy (auth.)
Clinical sono-encephalography, even if a comparatively new process, is swiftly gaining popularity in medical institution and professional perform. No challenge was once enthusiastic about its creation, because the approach is self-evidently appropriate for the analysis of acute and protracted intracranial lesions. As an auxiliary exami state it really is, inside its barriers, nearly perfect: it calls for no huge make investments ment in equipment, it really is swiftly performed, the sufferer suffers no soreness, and there's no threat of problems. within the palms of an skilled examiner, who has a superior grounding in neurological idea and perform to let him . to interpret his findings, it yields very important and trustworthy info. using this technique in childrens calls for certain wisdom, overlaying the age of the kid, the means of exam, the variety of normality and the translation of the pathological findings from the neuropediatric perspective. those targeted good points of pediatric sono-encephalography are seldom mentioned within the literature, broad because it is. This monograph is designed to bridge the space. The ebook is predicated at the author's large adventure obtained over a couple of years within the neuropediatric division of the collage kid's medical institution Heidelberg. properly used, pediatric sono-encephalography should still supply a great tool, not just for specialists in hugely really expert medical institution de partments, but additionally for pediatricians, neuropediatricians, baby psychiatrists, neurologists and neurosurgeons engaged in additional regimen scientific paintings. Heidelberg, February 1971 HORST BICKEL Preface Neuropediatrics has skilled huge, immense advances inside of fresh years.
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Extra info for Pediatric Sonoencephalography: The Practical Use of Ultrasonic Echoes in the Diagnosis of Childhood Intracranial Disorders
Example text
Increased dizziness and vomiting prompted -clinical admittance in another city. During this admission extensor cramping, meningismus, and hemorrhage into the cerebrospinal fluid were reported. At this point the patient was transferred to our clinic. 28/ 12 42 Brain Trauma Fig. 27 a. Sonoencephalogram of a 21/2 year old child with an intracerebral hematoma on the left side. Hemorrhage location is characterized by a group of additional reflections, the socalled hematoma complex (H), on the left side.
6% of the subjects are included. Two further cases demonstrated deviations of ± 2 mm in the two procedures. Projection divergence in the X-rays, reported by SCHIEFER and KAZNER to be from 25-35%, must be considered when comparing values obtained in the two procedures. This was accomplished by placing the PEG value for the third ventricle in relation to the PEG cranial diameter and multiplying this by the SEG cranial diameter. A comparison of our results and those reported by other authors is presented in Table 5.
2 0/0), we were unable to measure the ventricular system. Epidural Hematoma 37 In one of the above cases, the patient had undergone a birth trauma with hemorrhage into the spinal fluid. 38). For a more detailed description of this case see Figs. 41 a and 41 b. Table 6. SEG results of 70 examinations performed on patients with a brain contusion or concussion No. '" .... s~ ..... s <"I Brain <"I .... '"8 -;8 ci.... 8'" .... 8 0 c 64 8 8 r.... ,8 0 c 5 -; 8 .... 0 c ..... N .... '"0> 26 15 "'0 '"....