Olga
15.05.2004, 13:34
Hello, the doctor. We in the mytarstvah and struggle for health have tried very much much, have seen a heap of experts and have tried the sea of preparations. It would be desirable to receive your consultation and an estimation of our status. In krattse from our case history:
At a birth weight 3, 580, body height 50 see, a circle of a head 34 see, an estimation on APGAR 8 9 points. In sorts or labors fracture of the right clavicle.
In 3 weeks it is examined by the neuropathologist, the diagnosis: perinatalnaja postgipoksicheskaja an encephalopathy, the easy or light;mild form (mezhpolusharnaja a cleft or rima up to 3 mm. In occipital departments, ventricular system without features, a pulsation of vessels moderated or moderate), moderated or moderate gipertenzionnyj a syndrome. Survey of the orthopedist in three weeks: without a pathology.
In 9 months at us convulsive displays have begun, is diagnosed - a convulsive syndrome. On this background following inspections are made:
Survey of an eyeground: attributes of a somatic pathology are not present.
Eletroentsefalogramma: Irritatsija diencephalic structures or frames of a brain. Attributes of the raised or increased convulsive readiness.
Ehoentsefaloskopija, the conclusion: Shift of median structures or frames of a brain is not defined or determined. The increased quantity or amount eho-the signals, symmetric from two parties or sides is recorded. The pulsation eho-signals is not changed.
In 1 year and 1 month have got on inspection in a hospital in occasion of our cramps where have spent additional inspections:
Results EhoES: Shift of median structures or frames of a brain is not revealed. The third ventricle is not expanded. Pulsation M-an echo usual.
The oculist: an eyeground without a pathology.
EEG: the basic rhythm is teta-wave activity of 6 7 m sec, ampl. Up to 80, attributes of zone distribution are expressed not precisely, is pointed. Beta-a rhythm up to 10 12 mkv. Diffusively. Delta-waves in zatylochno-sincipital contact points up to 150 mkv. alfa-a rhythm episodes in occipital leads (up to 70 mkv.) Reaction to light and a sound satisfactory. Obshchemozgovye changes. Convulsive readiness. A delay of maturing of a cerebral electrogenesis.
"Somatom" - the tomogram of a brain: the moderate expansion of subarachnoidal clefts or rima visochn Is defined or determined. A share, 3 y a ventricle up to 0, 4 mm., per. Up to 0, 8 mm.; the internal hydrocephalus is expressed; kistozno-adherent or adhesive processes of infratemporal departments; consequences perinatalnoj pathologies of vascular postinflammatory character.
In 2 years of a cramp proceed, have got on repeated inspection:
EhoEs: Median structures or frames of a brain are not displaced. Additional eho-signals are expressed from both parties or sides. Eho-a pulsation sufficient.
Results EEG: Alfa-activity is presented in the form of single waves and groups of waves more in temenno-occipital and temporal departments, but there are and in frontal And up to 80 100 mkv, synchronous, deformed acute potentials in a range an alpha.
Betta-activity is recorded mainly in lobno-the central departments, but there is diffusively a frequency up to 24 and And up to 20 30 50 mkv, sites with and up to 100 mkv.
Tetta-activity - there are single waves and groups of waves diffusively And up to 80 100 mkv, frequency up to 4 Hz.
Delta-activity - is not present.
Paroksizmalnaja, epileptic activity: the deformed acute potentials in a range an alpha, and hypersynchronous betta.
mezhpolusharnoj assimetrii is not present.
The conclusion: Amplitudno-the frequency spectrum corresponds or meets to age. On a background obshchemozgovyh, functional changes elements paroksizmalnoj activity are recorded. The center of pathological activity is not registered.
Survey of the orthopedist: Instability of a cervical department of a backbone (a consequence of a birth trauma). Naznachenny massage, an electrophoresis, an ozocerite, MRT on a collar zone.
3 years. Dopplerografija: All the main vessels of a brain are passed or taken place;passable. Visible assimetry a blood flow it is not revealed. Control roentgenography the SHOP: instability the SHOP.
For today to us 4 years it is had following diagnoses: Consequences of early organic lesion TSNS, epi-a syndrome, the moderate syndrome of an intracranial hypertensia with rare or infrequent paroxysms, instability the SHOP, a neurosolike syndrome, the minimal cerebral and spinal dysfunction, a syndrome of hyperactivity. Convulsive displays send away or have left, but there were habit spasms in the form of podmigivany. The child is very erethitic, giperaktiven, emotional, restless. At us greater or big problems with a withdrawal to a dream.
Very much excite two more sounded, costing or standing in doubt the diagnosis:
1) the Nanocephalia - at us with 3 h years and 3 h months absolutely are not present a gain of a circle of a head. The picture is those: at a birth - 34 see, in 2 years 3 months - 46, 5 see, in 2 years 8 months - 47 see, in 3 years 3 months - 48 see, for today 4 years - 48 see (a circle of a thorax 55 see, body height 100 see, weight of 17 kg.) the neuropathologist speaks, that a circle and so mismatches age frameworks, moreover has ceased to grow. Whether can speak it about a nanocephalia? The child develops very well, psychologists and teachers estimate or appreciate development as corresponding or meeting I shall increase and even advancing. Whether there can be it a craniostenosis? What inspections are necessary to confirm or reject these diagnoses?
2) the Mesenchymal failure (collagenoses)? What is it such? On the basis of what such diagnosis is put? What are necessary inspections?
Advise, please, the further course of our treatment.
Thankful in advance. Olga.
At a birth weight 3, 580, body height 50 see, a circle of a head 34 see, an estimation on APGAR 8 9 points. In sorts or labors fracture of the right clavicle.
In 3 weeks it is examined by the neuropathologist, the diagnosis: perinatalnaja postgipoksicheskaja an encephalopathy, the easy or light;mild form (mezhpolusharnaja a cleft or rima up to 3 mm. In occipital departments, ventricular system without features, a pulsation of vessels moderated or moderate), moderated or moderate gipertenzionnyj a syndrome. Survey of the orthopedist in three weeks: without a pathology.
In 9 months at us convulsive displays have begun, is diagnosed - a convulsive syndrome. On this background following inspections are made:
Survey of an eyeground: attributes of a somatic pathology are not present.
Eletroentsefalogramma: Irritatsija diencephalic structures or frames of a brain. Attributes of the raised or increased convulsive readiness.
Ehoentsefaloskopija, the conclusion: Shift of median structures or frames of a brain is not defined or determined. The increased quantity or amount eho-the signals, symmetric from two parties or sides is recorded. The pulsation eho-signals is not changed.
In 1 year and 1 month have got on inspection in a hospital in occasion of our cramps where have spent additional inspections:
Results EhoES: Shift of median structures or frames of a brain is not revealed. The third ventricle is not expanded. Pulsation M-an echo usual.
The oculist: an eyeground without a pathology.
EEG: the basic rhythm is teta-wave activity of 6 7 m sec, ampl. Up to 80, attributes of zone distribution are expressed not precisely, is pointed. Beta-a rhythm up to 10 12 mkv. Diffusively. Delta-waves in zatylochno-sincipital contact points up to 150 mkv. alfa-a rhythm episodes in occipital leads (up to 70 mkv.) Reaction to light and a sound satisfactory. Obshchemozgovye changes. Convulsive readiness. A delay of maturing of a cerebral electrogenesis.
"Somatom" - the tomogram of a brain: the moderate expansion of subarachnoidal clefts or rima visochn Is defined or determined. A share, 3 y a ventricle up to 0, 4 mm., per. Up to 0, 8 mm.; the internal hydrocephalus is expressed; kistozno-adherent or adhesive processes of infratemporal departments; consequences perinatalnoj pathologies of vascular postinflammatory character.
In 2 years of a cramp proceed, have got on repeated inspection:
EhoEs: Median structures or frames of a brain are not displaced. Additional eho-signals are expressed from both parties or sides. Eho-a pulsation sufficient.
Results EEG: Alfa-activity is presented in the form of single waves and groups of waves more in temenno-occipital and temporal departments, but there are and in frontal And up to 80 100 mkv, synchronous, deformed acute potentials in a range an alpha.
Betta-activity is recorded mainly in lobno-the central departments, but there is diffusively a frequency up to 24 and And up to 20 30 50 mkv, sites with and up to 100 mkv.
Tetta-activity - there are single waves and groups of waves diffusively And up to 80 100 mkv, frequency up to 4 Hz.
Delta-activity - is not present.
Paroksizmalnaja, epileptic activity: the deformed acute potentials in a range an alpha, and hypersynchronous betta.
mezhpolusharnoj assimetrii is not present.
The conclusion: Amplitudno-the frequency spectrum corresponds or meets to age. On a background obshchemozgovyh, functional changes elements paroksizmalnoj activity are recorded. The center of pathological activity is not registered.
Survey of the orthopedist: Instability of a cervical department of a backbone (a consequence of a birth trauma). Naznachenny massage, an electrophoresis, an ozocerite, MRT on a collar zone.
3 years. Dopplerografija: All the main vessels of a brain are passed or taken place;passable. Visible assimetry a blood flow it is not revealed. Control roentgenography the SHOP: instability the SHOP.
For today to us 4 years it is had following diagnoses: Consequences of early organic lesion TSNS, epi-a syndrome, the moderate syndrome of an intracranial hypertensia with rare or infrequent paroxysms, instability the SHOP, a neurosolike syndrome, the minimal cerebral and spinal dysfunction, a syndrome of hyperactivity. Convulsive displays send away or have left, but there were habit spasms in the form of podmigivany. The child is very erethitic, giperaktiven, emotional, restless. At us greater or big problems with a withdrawal to a dream.
Very much excite two more sounded, costing or standing in doubt the diagnosis:
1) the Nanocephalia - at us with 3 h years and 3 h months absolutely are not present a gain of a circle of a head. The picture is those: at a birth - 34 see, in 2 years 3 months - 46, 5 see, in 2 years 8 months - 47 see, in 3 years 3 months - 48 see, for today 4 years - 48 see (a circle of a thorax 55 see, body height 100 see, weight of 17 kg.) the neuropathologist speaks, that a circle and so mismatches age frameworks, moreover has ceased to grow. Whether can speak it about a nanocephalia? The child develops very well, psychologists and teachers estimate or appreciate development as corresponding or meeting I shall increase and even advancing. Whether there can be it a craniostenosis? What inspections are necessary to confirm or reject these diagnoses?
2) the Mesenchymal failure (collagenoses)? What is it such? On the basis of what such diagnosis is put? What are necessary inspections?
Advise, please, the further course of our treatment.
Thankful in advance. Olga.