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51.
An unusual case of pyogenic cervical osteomyelitis is reported in a newborn who immediately after birth had no movements in the left shoulder. There was a fullness in the left cervical region. Left Erb's palsy due to an unrecognized birth trauma was diagnosed in a peripheral hospital. Later, the child developed fever and a significant swelling in the left cervical region. On transfer to our institution, the X-rays of the cervical spine, ultrasound and computed tomography (CT) established the diagnosis of C(6) cervical osteomyelitis and paraspinal abscess which extended to the posterior triangle of the neck. The abscess was drained, and the lamina and lateral mass of the C(6) vertebra were debrided. Staphylococcus aureus was grown from the pus. The patient was put on long-term antibiotics to which he responded very well, and he became asymptomatic. In the immediate post-operative period, some movements at the left shoulder were noted, and at 6-month follow-up in the out-patient clinic, the child was virtually normal with near-complete regeneration of the C(6) lamina and lateral mass. 相似文献
52.
Kalra A Mahapatra GK Dhalla D 《Journal of the Indian Society of Pedodontics and Preventive Dentistry》2000,18(3):111-114
A case of fourteen year old healthy girl with complaint of a discharging sinus on the lower right side of face is reported. All teeth were vital and there was no evidence of periodontitis. There was no history of extraction of a tooth. Total leucocyte count, differential leucocyte count, fasting blood sugar, chest x-ray and routine urine examination were within normal limits. Actinomycosis and scrofuloderma which simulate such a condition were ruled out by culture study. The intraoral periapical x-ray of mandibular molar showed questionable periapical changes at the time of presentation. But definite osteolysis was observed in the repeat radiograph after three months. It was decided to extract the second molar and curette the sinus tract. The extraction proved to be difficult. On examination of the extracted tooth, it was found that the mandibular second molar and second premolar were fused together. The radiograph of the tooth taken after extraction showed confluence of the premolar pulp with the periodontal membrane. On follow up, the lesion was found to heal satisfactorily. 相似文献
53.
VP shunt is the most common pediatric neurosurgical procedure. It has been shown to result in variety of complications, which
may have devastating consequences. Discussed below is one of the rare complications and the strategy to manage it successfully. 相似文献
54.
55.
Leiomyosarcoma of the parotid gland 总被引:1,自引:0,他引:1
S Sandhyamani A K Mahapatra B M Kapur 《The Australian and New Zealand journal of surgery》1983,53(2):179-181
An unusual case of leiomyosarcoma of the parotid gland is reported. The tumour recurred thrice and metastasized to one of the adjacent lymph nodes. Histologically, a leiomyosarcoma in the salivary gland closely resembles a tumour of myoepithelial cells origin but lacks the dual cell morphology seen in the latter. 相似文献
56.
Ahmad FU Suri A Mahapatra AK Mehta VS Garg A Sharma MC Sridhar E 《Indian journal of pediatrics》2005,72(8):693-696
Malignant rhabdoid tumor (MRT) most commonly occurs in kidney. In the central nervous system, cerebellum is the most common
site of occurrence. CNS rhabdoid tumors typically occur in small children, do not respond favorably to treatment and are usually
fatal within 1-year. Here is reported a 4-year-old child who presented with features of raised intracranial pressure. Apart
from papillodema, there were no neurological signs. Imaging revealed a left lateral ventricular heterogeneous mass abutting
the foramen of monro, with mild irregular contrast enhancement and hydrocephalus. the child underwent right ventriculo-peritoneal
shunt followed by craniotomy and gross total tumor resection. He was discharged 10-days after surgery without any neurological
deficits. Histopathology revealed features compatible with rhabdoid tumor. Despite radiotherapy and chemotherapy, the child
died of progressive disease 10-months after surgery. the highly malignant nature of this tumor makes early diagnosis essential
for aggressive management and prognostication. 相似文献
57.
Mahapatra RK Mir P Edwards MJ Allen D Bhatia KP 《Parkinsonism & related disorders》2005,11(2):121-123
We report the case of a woman who developed generalized dystonia, severe cognitive deficits and dysphagia following an overdose of the hypoglycaemic drug, sulphonylurea. The MRI reveals frontal and temporal lobe atrophy, but no evidence of damage to the basal ganglia. This case adds to the small number of previously reported cases with secondary dystonia seemingly due to cortical rather than subcortical damage. 相似文献
58.
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60.
Management of hemophilic pseudotumor of thumb in a child 总被引:1,自引:0,他引:1
Issaivanan M Shrikande MP Mahapatra M Choudhry VP 《Journal of pediatric hematology/oncology》2004,26(2):128-132
A case of hemophilic pseudotumor of the thumb in a child is reported. Combined treatment with radiation therapy and factor VIII replacement resulted in complete resolution of the lesion with no recurrence at the 6-month follow-up. The combination of radiotherapy and factor replacement should be strongly considered in the treatment of bone pseudotumors in children. 相似文献