Neuropediatric rehabilitation for psychogenic gait disorders in children and adolescents

2020 ◽  
Vol 26 (1) ◽  
pp. 26-30
Author(s):  
G. Siefen ◽  
B. Kirkcaldy ◽  
T. Lücke
Keyword(s):  
Children And Adolescents ◽  
Clinical Picture ◽  
Gait Disorders ◽  
Patient Relationship ◽  
Pathological Findings ◽  
Pivotal Point ◽  
X Ray ◽  
Child Psychologists ◽  
Physical Laboratory ◽  
Case Vignettes

AbstractPsychogenic gait disorders in children and adolescents represent a unique neuropediatric and rehabilitative challenge. The inability to walk frequently strikes abruptly. Triggers are not easily identifiable. Patients are commonly admitted to the hospital in an emergency. In view of the dramatic clinical picture, parents are perturbed. They expect rapid diagnostic clarification and therapy. If physical, laboratory, and X-ray examinations do not disclose any significant pathological findings, parents generally insist on consulting diverse specialists and clinics. The pivotal point of the course of treatment is the parent–doctor–patient relationship. This is notably true when child psychologists or psychiatrists have to be consulted. Typical risks and decision conflicts of the rehabilitation dynamics are described – these are augmented by several case vignettes.

scholarly journals Automatic Evaluation of the Lung Condition of COVID-19 Patients Using X-ray Images and Convolutional Neural Networks

2021 ◽  
Vol 11 (1) ◽  
pp. 28
Author(s):  
Ivan Lorencin ◽  
Sandi Baressi Šegota ◽  
Nikola Anđelić ◽  
Anđela Blagojević ◽  
Tijana Šušteršić ◽  
...  
Keyword(s):  
Neural Networks ◽  
Convolutional Neural Networks ◽  
Clinical Picture ◽  
Data Augmentation ◽  
Lower Amount ◽  
Training Procedure ◽  
X Ray ◽  
Severe Clinical Picture ◽  
Lung Condition

COVID-19 represents one of the greatest challenges in modern history. Its impact is most noticeable in the health care system, mostly due to the accelerated and increased influx of patients with a more severe clinical picture. These facts are increasing the pressure on health systems. For this reason, the aim is to automate the process of diagnosis and treatment. The research presented in this article conducted an examination of the possibility of classifying the clinical picture of a patient using X-ray images and convolutional neural networks. The research was conducted on the dataset of 185 images that consists of four classes. Due to a lower amount of images, a data augmentation procedure was performed. In order to define the CNN architecture with highest classification performances, multiple CNNs were designed. Results show that the best classification performances can be achieved if ResNet152 is used. This CNN has achieved AUCmacro¯ and AUCmicro¯ up to 0.94, suggesting the possibility of applying CNN to the classification of the clinical picture of COVID-19 patients using an X-ray image of the lungs. When higher layers are frozen during the training procedure, higher AUCmacro¯ and AUCmicro¯ values are achieved. If ResNet152 is utilized, AUCmacro¯ and AUCmicro¯ values up to 0.96 are achieved if all layers except the last 12 are frozen during the training procedure.

scholarly journals Why heel spurs are traction spurs after all

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Johann Zwirner ◽  
Aqeeda Singh ◽  
Francesca Templer ◽  
Benjamin Ondruschka ◽  
Niels Hammer
Keyword(s):  
Achilles Tendon ◽  
Soft Tissues ◽  
Plantar Fascia ◽  
Trabecular Architecture ◽  
Pathological Findings ◽  
Traction Forces ◽  
X Ray ◽  
Developmental Mechanism ◽  
Common Features ◽  
Compressive Loads

AbstractIt is unclear whether plantar and posterior heel spurs are truly pathological findings and whether they are stimulated by traction or compression forces. Previous histological investigations focused on either one of the two spur locations, thereby potentially overlooking common features that refer to a uniform developmental mechanism. In this study, 19 feet from 16 cadavers were X-ray scanned to preselect calcanei with either plantar or posterior spurs. Subsequently, seven plantar and posterior spurs were histologically assessed. Five spur-free Achilles tendon and three plantar fascia entheses served as controls. Plantar spurs were located either intra- or supra-fascial whereas all Achilles spurs were intra-fascial. Both spur types consistently presented a trabecular architecture without a particular pattern, fibrocartilage at the tendinous entheses and the orientation of the spur tips was in line with the course of the attached soft tissues. Spurs of both entities revealed tapered areas close to their bases with bulky tips. Achilles and plantar heel spurs seem to be non-pathological calcaneal exostoses, which are likely results of traction forces. Both spur types revealed commonalities such as their trabecular architecture or the tip direction in relation to the attached soft tissues. Morphologically, heel spurs seem poorly adapted to compressive loads.

Hemangioma Calcificans in the Fourth Ventricle

Neurosurgery ◽  
1984 ◽  
Vol 14 (6) ◽  
pp. 737-739 ◽  
Author(s):  
Kobayashi Hidenori ◽  
Kawano Hirokazu ◽  
Ito Haruhide ◽  
Hayashi Minoru ◽  
Yamamoto Shinjiro
Keyword(s):  
Computed Tomography ◽  
Intracranial Pressure ◽  
Posterior Fossa ◽  
Clinical Picture ◽  
Fourth Ventricle ◽  
Obstructive Hydrocephalus ◽  
Increased Intracranial Pressure ◽  
X Ray ◽  
4Th Ventricle

Abstract A case of hemangioma calcificans in the 4th ventricle is reported. Skull x-ray films demonstrated a dense calcification in the posterior fossa. Computed tomography disclosed a hyperdense mass in the 4th ventricle. The clinical picture was of increased intracranial pressure due to obstructive hydrocephalus. An hemangioma calcificans in the 4th ventricle was removed successfully.

Three-dimensional measurements of the lower extremity in children and adolescents using a low-dose biplanar X-ray device

2011 ◽  
Vol 22 (4) ◽  
pp. 765-771 ◽  
Author(s):  
Ramon Gheno ◽  
Eric Nectoux ◽  
Bernard Herbaux ◽  
Matteo Baldisserotto ◽  
Luiz Glock ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Children And Adolescents ◽  
Low Dose ◽  
Three Dimensional ◽  
X Ray ◽  
Dimensional Measurements

Dual-Energy X-ray Aborptiometry Assessment in Children and Adolescents with Diseases that May Affect the Skeleton: The 2007 ISCD Pediatric Official Positions

2008 ◽  
Vol 11 (1) ◽  
pp. 29-42 ◽  
Author(s):  
Nick Bishop ◽  
Pierre Braillon ◽  
Jon Burnham ◽  
Rolando Cimaz ◽  
Justin Davies ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Dual Energy ◽  
X Ray

scholarly journals Environmental pollution with fluoride compounds and their influence on children health

2019 ◽  
Vol 95 (12) ◽  
pp. 1133-1137 ◽  
Author(s):  
Tamara I. Shalina ◽  
L. A. Nikolaeva ◽  
M. F. Savchenkov ◽  
Y. N. Bykov ◽  
R. S. Manueva
Keyword(s):  
Environmental Pollution ◽  
Children And Adolescents ◽  
Musculoskeletal Diseases ◽  
Technogenic Pollution ◽  
X Ray ◽  
Hand Bones ◽  
Children Health

Data of hygienic studies of air and soil during last 20 years have confirmed their correlating relationship with the general morbidity and a group of musculoskeletal diseases in children living in cities with the technogenic pollution of the environment. Their bones were established to grow unevenly and disproportionally, in 76% of children there have been violations in the development and growth of bones. The results of X-ray examination of hand bones in children and adolescents in the Irkutsk and Shelekhov cities are presented. Significant differences in morbidity patterns among children and adolescents including an increased incidence of musculoskeletal diseases by 5.6 in children and by 12 in adolescents have been revealed.

scholarly journals Experience of Using Hyperbaric Oxygenation in the Treatment of Radionecrosis That Developed as a Complication of Stereotactic Radiosurgical Treatment of Meningioma on the Example of a Clinical Case

2021 ◽  
Vol 9 (4) ◽  
pp. 670-676
Author(s):  
A. S. Tokarev ◽  
V. N. Stepanov ◽  
V. A. Rak ◽  
O. L. Yevdokimova ◽  
I. A. Terekhin ◽  
...  
Keyword(s):  
Clinical Picture ◽  
Hyperbaric Oxygenation ◽  
Radiation Necrosis ◽  
Late Complication ◽  
Intravenous Contrast ◽  
X Ray ◽  
Combined Use ◽  
Radiation Induced ◽  
Magnetic Resonance Imaging Mri ◽  
And Control

In contrast to conventional microsurgery, stereotactic radiosurgery has an advantage in the treatment of intracranial masses, avoiding severe complications associated with open surgery. In rare cases, the use of the method is associated with the development of radiation-induced injuries, one of which is radiation necrosis (RN). This is a late complication of radiosurgery, developing mainly 6 months after radiation exposure. The neurological manifestations of this complication depend on location, and the clinical picture is very diverse. The method of magnetic resonance imaging (MRI) with intravenous contrast enhancement is quite often the first link in neuroimaging, which helps to suggest the presence of this complication based on the X-ray picture and to clarify the location of changes.We presented the experience of radiation necrosis treatment in a 47-year-old patient who was referred to our department with a diagnosis of frontal meningioma. The patient underwent stereotactic radiosurgical treatment using the Elekta Leksell Gamma Knife Perfextion device, and 6 months later the gradual deterioration began, the patient complained of headache, nausea; central prosoparesis developed. Considering the clinical picture and control MRI data, the changes were interpreted as radionecrosis. In order to control the complication, the patient underwent standard glucocroticosteroid therapy, supplemented by hyperbaric oxygenation (HBO), which made it possible to achieve regression of the adverse clinical and radiological manifestations of the complication. Thus, on a clinical example, it was demonstrated that the combined use of glucocorticosteroids and HBOs is highly effective in the treatment of RN.

scholarly journals Vertebrogenic back pain syndrome in children 9–17 years with spinal deformities

2019 ◽  
Vol 7 (1) ◽  
pp. 5-14 ◽  
Author(s):  
Marchel S. Vetrile ◽  
Aleksandr A. Kuleshov ◽  
Nikolai A. Eskin ◽  
Mikhail B. Tsykunov ◽  
Alexey I. Kokorev ◽  
...  
Keyword(s):  
Back Pain ◽  
Children And Adolescents ◽  
Pain Syndrome ◽  
Cross Sectional Study ◽  
Spinal Deformities ◽  
Age Group ◽  
Healthy Individuals ◽  
Sectional Study ◽  
Cross Sectional ◽  
X Ray

Aim. We defined the prevalence of back pain in children and adolescents aged 917 years with spinal deformities. Material and methods. The cross-sectional study included 230 students with different spinal deformities aged 917 years. The prevalence of back pain, intensity, location, and situations in which it occurred were assessed via questionnaire. Results. Among 230 respondents, 186 (80.9%) admitted that they had experienced back pain (mainly in the lumbar spine) at various frequencies within the year preceding the study. Mild pain was prevalent (71% of respondents). Girls experienced back pain significantly more frequently than boys. Conclusions. Back pain in children and adolescents requires clinical and instrumental examination, including X-ray. Back pain is a frequent phenomenon in children with different spinal deformities. Тhe incidence of pain in children and adolescents with spinal deformities in our study is statistically higher than that of healthy individuals of the same age group.

Syndromes of postural stability and gait disorders in patients with discirculatory encephalopathy: clinical forms and features of pathogenesis

2021 ◽  
Vol 22 (2) ◽  
pp. 141-143
Author(s):  
Yu. I. Doyan ◽  
◽  
O. A. Kicherova ◽  
L. I. Reikhert ◽  
L. V. Graf ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Picture ◽  
Postural Stability ◽  
Modern Medicine ◽  
Postural Instability ◽  
Gait Disorders ◽  
Gait Disturbance ◽  
Clinical Forms ◽  
High Prevalence

The problem of discirculatory encephalopathy (DEP) is still relevant in modern medicine due to the high prevalence of this pathology. The symptoms of gait disturbance and postural instability, which are an additional factor of disability and a decrease in the quality of life in patients with DEP, are discussed in this article. Modern concepts of the pathogenesis and clinical picture of static-dynamic disorders are highlighted.

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