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  • 1
    Electronic Resource
    Electronic Resource
    Neurogenic diabetes insipidus in children with hypoxic encephalopathy: Six new cases and a review of the literature (1996)
    Springer
    European journal of pediatrics 155 (1996), S. 245-248 
    Details
    ISSN: 1432-1076
    Keywords: Hypoxia/ischaemia ; Hypoxic encephalopathy ; Neurogenic diabetes insipidus ; Polyuria
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Hypoxic encephalopathy is rarely mentioned as a cause of neurogenic diabetes insipidus (DI) in children. We here report six cases of DI which occurred after severe hypoxic/ischaemic brain damage and include a review of the literature on 28 paediatric cases of neurogenic DI due solely to severe hypoxia/ischaemia. Airway obstruction, haemorrhagic shock and sudden infant death syndrome are the three major causes of hypoxia/ischaemia. The ages (25/28) ranged from 0.03 to 18 years (mean 7.27 years, median 5 years). The intervals between the hypoxic insult and the onset of DI (23/28) ranged from 0.08 days (2 h) to 13 days (mean 4.07 days, median 3.5 days). Linear regression analysis revealed no significant correlation between the age and the interval. Nineteen cases (82.6%) developed DI within 6 days after the hypoxic/ischaemic insult. Only two neonates survived with developmental delay. The remaining 26 cases died. Conclusion Neurogenic DI can be caused by hypoxia/ischaemia and is an ominous sign of severe brain damage in children with hypoxic encephalopathy. It is important to recognize this potential sequel by regularly monitoring intake and output, plasma sodium level, and urine specific gravity.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01953946
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  • 2
    Electronic Resource
    Electronic Resource
    Solitary maxillary central incisor and congenital nasal pyriform aperture stenosis (1997)
    Springer
    European journal of pediatrics 157 (1997), S. 39-44 
    Details
    ISSN: 1432-1076
    Keywords: Key words Solitary maxillary central incisor ; Holoprosencephaly ; Congenital nasal pyriform aperture Chromosome 18p- ; or ring(18) ; Stenosis ; Hypopituitarism
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Solitary maxillary central incisor (SMCI) and congenital nasal pyriform aperture stenosis (CNPAS) have been reported as an isolated morphogenic defect or associated with pituitary deficiency, holoprosencephaly, ocular coloboma, or chromosomal abnormalities. We report two cases and analyse 40 cases of SMCI and 24 cases of CNPAS, including 15 cases of combined SMCI and CNPAS, obtained from the literature. Of the patients with SMCI, 69% had short stature, 48% growth hormone deficiency or hypopituitarism, 23% pituitary absence or hypoplasia, and 17% had del (18p-) or r(18). Of the patients with CNPAS, 63% had SMCI, 75% were short, 43% had hypopituitarism or growth hormone deficiency, 36% had pituitary or CNS anomaly, and 33% had del (18p), r(18), or del (13q). Conclusions Solitary maxillary central incisor and congenital nasal pyriform aperture stenosis can be a diagnostic clue to pituitary hypofunction, CNS, ophthalmological and cytogenic anomalies.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004310050763
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  • 3
    Electronic Resource
    Electronic Resource
    Gastro-intestinal bleeding caused by leiomyoma of the small intestine in a child with neurofibromatosis (1999)
    Springer
    European journal of pediatrics 158 (1999), S. 460-462 
    Details
    ISSN: 1432-1076
    Keywords: Key words Gastro-intestinal bleeding ; Children ; Jejunal leiomyoma ; Neurofibromatosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Gastro-intestinal bleeding is an uncommon presentation in children with neurofibromatosis. Gastro-intestinal involvement caused by jejunal leiomyoma has only been described in adults. To the best of our knowledge, this is the first paediatric case of jejunal leiomyoma associated with neurofibromatosis. We present a 10-year-old girl with a 9-month history of anaemia and low gastro-intestinal bleeding. Abdominal sonography and small bowel series showed a submucosal mass in the proximal jejunum. On surgery, a submucosal tumour was excised and histological examination suggested a diagnosis of “smooth muscle tumour of undetermined malignant potential”. There were no recurrence of symptoms for 4 years after the operation. Conclusion Jejunal leiomyoma should be considered in a child with neurofibromatosis presenting with gastro-intestinal bleeding.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004310051120
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