Alexander
10.07.2004, 16:41
To my son 3, 5 months Okr. Heads 42 see. A fontanel 1, 51, 5, a tremor of a chin at a load, spontaneous r. moro with a delay in 1 phase, spontaneous grefe, distonichnyj a muscle tone, distal (?) Hyperhidrosis. Other parameters in norm or rate. The child in the afternoon a restless, exacting, night dream of 5 6 hours without interruption + 2 3 hours after feeding. Development corresponds or meets to age. Was born in time, apgar 7/8, attributes morfofunktsionalnoj dismaturities. Results NSG: Structures or Frames horoho are differentiated, symmetric. The drawing of sulcuses and gyruses "will emphasize". Expansions of tanks subrahnoidalnogo are not present space. mezhbolusharnaja a cleft or rima at a level of frontal lobes of 6 mm, parietal or bregma shares of 4 mm, occipital shares of 6 mm. On konvekstialnoj surfaces in podobolochechnom space anehogennaja a stria of 5 6 mm. Lateralnye ventricles: forward rogra D = 4 mm, S = 6, bodies D = 3 mm, S = 7 mm, occipital horns D = 12 mm, S = 15, 3, 4 ventricles up to 3 mm, are not expanded. Dop. A stalemate. Includings or incorporations are not present, periventikuljarnye tissues and areas of basal ganglions usual ehogennosti, soud. Plexuses are not expanded, parameters of a hemodynamic are not broken or disturbed. Index of a resistance in pool of a forward cerebral artery 0, 654, a flow rate in vein Galena 13, 2 sm/with. The conclusion: a clump of a liquid in podobolochechnom space, azygomorphous expansion left lateralnogo a ventricle.
On the basis of all aforesaid the neurologist diagnoses: PEP, SPNRV, gipertenzionno-gidrotsefalnyj a syndrome in a stage of subindemnification, SMD. Purposes or appointments for 1 month Triampur compositum 1/4 in day under the scheme or plan + ++-, Cavintonum 0, 005 1/8 t. h 2 r. In day, Fenobarbitalum 0, 005 + Ca gluc 1 items for the night.
Please, comment on the diagnosis and purposes or appointments. Whether really the child requires medicamental treatment (especially confuses Triampur compositum and Fenobarbitalum. In advance I thank for the help and comprehension.
On the basis of all aforesaid the neurologist diagnoses: PEP, SPNRV, gipertenzionno-gidrotsefalnyj a syndrome in a stage of subindemnification, SMD. Purposes or appointments for 1 month Triampur compositum 1/4 in day under the scheme or plan + ++-, Cavintonum 0, 005 1/8 t. h 2 r. In day, Fenobarbitalum 0, 005 + Ca gluc 1 items for the night.
Please, comment on the diagnosis and purposes or appointments. Whether really the child requires medicamental treatment (especially confuses Triampur compositum and Fenobarbitalum. In advance I thank for the help and comprehension.