Sergey
30.07.2004, 22:34
Please answer my question!
To the SON 1 YEAR 2. With 3 X MONTHS the HEAD of the CHILD HAS bent TO THE RIGHT, THEN HAS risen EXACTLY, ZATEM-TO THE LEFT, And IT PROCEEDS WITH STRANGE PERIODICHNOSTJU-5 7 DAYS In ONE PARTY or SIDE, 4 6 DNEJ-is equal And 5 7 DAYS VDRUGUJU the PARTY or SIDE. SHOWED to ALL DOCTORS... PLANT ARMS or HAND And WRITE "IS healthy", BUT the PROBLEM REMAINS! PROMPT us - WHAT IS IT?
The DIAGNOSIS the BASIC: Perinatalnoe lesion TSNS gipoksicheski - a traumatic genesis, a syndrome of a muscular dystonia. Right-hand functional krivosheja.
FROM the ANAMNESIS: the child from the first pregnancy proceeded on a background of a chronic pyelonephritis, threat of discontinuing, an edema.
Labors by cesarean sections, on a background obshchesuzhennogo a basin of the first degree.
The child was born full-term on scale Apgar of 8/8 points, with mass of a body 3400 g, of 54 sm, a circle of a head of 35 sm, a circle of a breast 34 see To a breast have put or applied body height for the third day. The umbilical rest has disappeared for the fifth day. The early neonatal period proceeded on a background perinatalnogo lesions TSNS, a syndrome of exaltation. A dismaturity. Has received treatment: sernokislaja magnesia, luminal, bifidumbakterin. It is written out with mass of a body 3132 g under observation of the local pediatrist.
Bacterination in volume is spent: BSZH, AKDS, W1-2, OPV W 1 2, a hepatitis In W1-2.
It is repeatedly advised by experts on a residence: the neurologist: perinatalnoe lesion TSNS, a syndrome of exaltation. It is recommended: mixture with tsitralju, Cavintonum, glitsin, massage weakening or relaxing on muscles of a neck and an anticnemion, fortifying.
The surgeon: data for a surgical pathology are not present.
The orthopedist: right-hand static krivosheja. It is recommended: weakening or relaxing massage of a neck.
The oculist: observation.
The transferred or carried diseases: ranofaringit, a bilateral catarral average otitis in 3 months. Were treated on a residence. a nasopharyngitis. Are advised by the doctor - pediatrist ODB.
During observation in an out-patient department inspections are spent:
The General or Common analysis of a blood from 14.01. 03.
Ayr. 4.52; Hb 134, the CENTRAL PROCESSING UNIT 1.0, lejk. 6.82, E 4, P 2, With 26, L 62, M 6, ROE 3 mm/ch
The General or Common analysis wet from 14.01.03 epithelium 0 1, lejk. 1 2
The General or Common analysis of a blood from 26.05 (on a background about. A nasopharyngitis) Ayr 3.9, Hb 110, the CENTRAL PROCESSING UNIT 0.84, Lejk. 5.0, E 4, P 5, With 23, L 53, M 15, ROE 6 mm/ch.
The General or Common analysis wet from 27.05.03 fiber is not present, leucocytes individual in p/zr.
nejrosonografija 19.11.03: consequences of the transferred or carried fetal hypoxia of a brain.
nejrosonografija 26.05. Fine pseudocysts of a vascular plexus. Ventricular systems are not expanded.
EMG 19.11: attributes mainly nadsegmentarnoj and partially segmentary failure at a level of a cervical thickening of a spinal cord.
EMG 28.03: attributes moderated or moderate nadsegmentarnoj and partially segmentary failure at a level of cervical inspissation and nadsegmentarnoj - at a level of lumbar inspissation of a spinal cord
EMG 26.05.03: attributes moderated or moderate sochetannoj nadsegmentarnoj (it is more on the right) and a segmentary failure (more at the left) failures of a spinal cord at a level of a cervical department and nadsegmentarnaja a failure at a level lumbar departments.
Assimetrija on gemitipu.
Status of the child without essential dynamics or changes, at will of mum it is advised by experts ODB:
The Regional psychoneurologist: a syndrome of a muscular dystonia.
Disturbance of a dream. Roentgenography of a cervical department of a backbone on arms or hand.
The Regional hematologist: a monocytosis on a background of a virus infection.
Manager. Ortopedotravmaticheskim unit BSMP, regional ortoped-the traumatologist: Right-hand functional krivosheja.
References are given:
1. The Differentiated massage on muscles of a neck and collar area 5
2. Fixing collar SHantsa
3. Mixture with tsitralju on 1 ch. L. 3 times a day
The child is directed on consultation to an advisory out-patient department to ortopedu-to the traumatologist and the psychoneurologist.
Time Inspection The Conclusion
1 months The neurologist Consequence PEP in the form of hypererethism or hyperexcitability Treatment: Cavintonum, Glitsin, calming or abirritating mixture.
2 months ENT A bilateral catarral otitis
2 months The surgeon Is healthy
2 months and 3 ned. The neurologist Improvement after treatment Link sided krivosheja Is recommended: consultation of the orthopedist
3 months The orthopedist Right-hand krivosheja Are recommended: Massage of muscles of a neck 10 15 with. Survey in 1, 5 months
4, 5 months The orthopedist Static right-hand krivosheja Are recommended: consultation of the oculist
4, 5 months The oculist ZdorovRekomendovano: consultation of the neurologist
4, 5 months The neurologist Link sided krivosheja Are recommended: consultation of the orthopedist
5 months The orthopedist Link sided krivosheja smeshennogo a genesis Are recommended: massage of muscles of a neck 10 15 with.
7 months The oculist Is healthy
7 months The surgeon Holds a head with an inclination to the right. Turns of a head are symmetric. It is recommended: 1) consultation of the orthopedist 2) consultation of the neurologist
The Regional neurologist The Head holds 7 months exactly. It is healthy. It is recommended: 1) repeated consultation of the orthopedist 2) the electromyography 3) nejrosonografija to repeat
The Regional orthopedist The Head holds 7 months to the right. Turn of a head free. Kivatelnye muscles are symmetric. DS. Right-hand functional krivosheja. It is recommended: 1) weakening or relaxing massage of muscles of a neck 5. 2) calming or abirritating mixture 3) consultation of the neuropathologist
8 months - An extract from history of development of the child, it is directed to the Republican Children's Hospital (RDKB)
Moskvakonsultatsija the psychoneurologist In the neurologic status a habitual inclination of a head to the right S, movement of eyes in full. Psychomotor development corresponds or meets to age. Easy or light;mild asymmetry of muscle tone S, easy or light;mild asymmetry of reflexes S: 1) the orthopedist 2) the oculist
Moskvaokulist Strabismus it is not revealed
8 months Moscow consultation of the orthopedist Are not present Orthopedic pathology Is recommended: consultation of the neuropathologist
10 months Moscow consultation of the neuropathologist Are saved the compelled or forced position of a head, more - is left. The soft similar strabismus, soft asymmetry suhozhilnyh reflexes is marked or celebrated. DS. Functional krivosheja. It is recommended: 1) consultation of the orthopedist 2) MRT a brain with capture of a cervical department
10 months The orthopedist Is healthy
1 year Consultation of the neurologist, to. M. n., the senior lecturer of faculty poslediplomnogo educations RMA SHeritorovoj of D.I.Zakljuchenie the Transient dystonic equipment or installation on a background of intensifying of a strabismus. EMG (electromyography) reveals or taps lungs segmentary and nadsegmentarnye changes of a regulation of a muscle tone that testifies to consequences of an ischemia of a spinal cord probably in gentranatalnom the period. Now the child has statiko-motor and PRRObem movements in a cervical department of a backbone is not limited, muscles of a neck are not azygomorphous, are not condensed, strabismus is not revealed.
To the SON 1 YEAR 2. With 3 X MONTHS the HEAD of the CHILD HAS bent TO THE RIGHT, THEN HAS risen EXACTLY, ZATEM-TO THE LEFT, And IT PROCEEDS WITH STRANGE PERIODICHNOSTJU-5 7 DAYS In ONE PARTY or SIDE, 4 6 DNEJ-is equal And 5 7 DAYS VDRUGUJU the PARTY or SIDE. SHOWED to ALL DOCTORS... PLANT ARMS or HAND And WRITE "IS healthy", BUT the PROBLEM REMAINS! PROMPT us - WHAT IS IT?
The DIAGNOSIS the BASIC: Perinatalnoe lesion TSNS gipoksicheski - a traumatic genesis, a syndrome of a muscular dystonia. Right-hand functional krivosheja.
FROM the ANAMNESIS: the child from the first pregnancy proceeded on a background of a chronic pyelonephritis, threat of discontinuing, an edema.
Labors by cesarean sections, on a background obshchesuzhennogo a basin of the first degree.
The child was born full-term on scale Apgar of 8/8 points, with mass of a body 3400 g, of 54 sm, a circle of a head of 35 sm, a circle of a breast 34 see To a breast have put or applied body height for the third day. The umbilical rest has disappeared for the fifth day. The early neonatal period proceeded on a background perinatalnogo lesions TSNS, a syndrome of exaltation. A dismaturity. Has received treatment: sernokislaja magnesia, luminal, bifidumbakterin. It is written out with mass of a body 3132 g under observation of the local pediatrist.
Bacterination in volume is spent: BSZH, AKDS, W1-2, OPV W 1 2, a hepatitis In W1-2.
It is repeatedly advised by experts on a residence: the neurologist: perinatalnoe lesion TSNS, a syndrome of exaltation. It is recommended: mixture with tsitralju, Cavintonum, glitsin, massage weakening or relaxing on muscles of a neck and an anticnemion, fortifying.
The surgeon: data for a surgical pathology are not present.
The orthopedist: right-hand static krivosheja. It is recommended: weakening or relaxing massage of a neck.
The oculist: observation.
The transferred or carried diseases: ranofaringit, a bilateral catarral average otitis in 3 months. Were treated on a residence. a nasopharyngitis. Are advised by the doctor - pediatrist ODB.
During observation in an out-patient department inspections are spent:
The General or Common analysis of a blood from 14.01. 03.
Ayr. 4.52; Hb 134, the CENTRAL PROCESSING UNIT 1.0, lejk. 6.82, E 4, P 2, With 26, L 62, M 6, ROE 3 mm/ch
The General or Common analysis wet from 14.01.03 epithelium 0 1, lejk. 1 2
The General or Common analysis of a blood from 26.05 (on a background about. A nasopharyngitis) Ayr 3.9, Hb 110, the CENTRAL PROCESSING UNIT 0.84, Lejk. 5.0, E 4, P 5, With 23, L 53, M 15, ROE 6 mm/ch.
The General or Common analysis wet from 27.05.03 fiber is not present, leucocytes individual in p/zr.
nejrosonografija 19.11.03: consequences of the transferred or carried fetal hypoxia of a brain.
nejrosonografija 26.05. Fine pseudocysts of a vascular plexus. Ventricular systems are not expanded.
EMG 19.11: attributes mainly nadsegmentarnoj and partially segmentary failure at a level of a cervical thickening of a spinal cord.
EMG 28.03: attributes moderated or moderate nadsegmentarnoj and partially segmentary failure at a level of cervical inspissation and nadsegmentarnoj - at a level of lumbar inspissation of a spinal cord
EMG 26.05.03: attributes moderated or moderate sochetannoj nadsegmentarnoj (it is more on the right) and a segmentary failure (more at the left) failures of a spinal cord at a level of a cervical department and nadsegmentarnaja a failure at a level lumbar departments.
Assimetrija on gemitipu.
Status of the child without essential dynamics or changes, at will of mum it is advised by experts ODB:
The Regional psychoneurologist: a syndrome of a muscular dystonia.
Disturbance of a dream. Roentgenography of a cervical department of a backbone on arms or hand.
The Regional hematologist: a monocytosis on a background of a virus infection.
Manager. Ortopedotravmaticheskim unit BSMP, regional ortoped-the traumatologist: Right-hand functional krivosheja.
References are given:
1. The Differentiated massage on muscles of a neck and collar area 5
2. Fixing collar SHantsa
3. Mixture with tsitralju on 1 ch. L. 3 times a day
The child is directed on consultation to an advisory out-patient department to ortopedu-to the traumatologist and the psychoneurologist.
Time Inspection The Conclusion
1 months The neurologist Consequence PEP in the form of hypererethism or hyperexcitability Treatment: Cavintonum, Glitsin, calming or abirritating mixture.
2 months ENT A bilateral catarral otitis
2 months The surgeon Is healthy
2 months and 3 ned. The neurologist Improvement after treatment Link sided krivosheja Is recommended: consultation of the orthopedist
3 months The orthopedist Right-hand krivosheja Are recommended: Massage of muscles of a neck 10 15 with. Survey in 1, 5 months
4, 5 months The orthopedist Static right-hand krivosheja Are recommended: consultation of the oculist
4, 5 months The oculist ZdorovRekomendovano: consultation of the neurologist
4, 5 months The neurologist Link sided krivosheja Are recommended: consultation of the orthopedist
5 months The orthopedist Link sided krivosheja smeshennogo a genesis Are recommended: massage of muscles of a neck 10 15 with.
7 months The oculist Is healthy
7 months The surgeon Holds a head with an inclination to the right. Turns of a head are symmetric. It is recommended: 1) consultation of the orthopedist 2) consultation of the neurologist
The Regional neurologist The Head holds 7 months exactly. It is healthy. It is recommended: 1) repeated consultation of the orthopedist 2) the electromyography 3) nejrosonografija to repeat
The Regional orthopedist The Head holds 7 months to the right. Turn of a head free. Kivatelnye muscles are symmetric. DS. Right-hand functional krivosheja. It is recommended: 1) weakening or relaxing massage of muscles of a neck 5. 2) calming or abirritating mixture 3) consultation of the neuropathologist
8 months - An extract from history of development of the child, it is directed to the Republican Children's Hospital (RDKB)
Moskvakonsultatsija the psychoneurologist In the neurologic status a habitual inclination of a head to the right S, movement of eyes in full. Psychomotor development corresponds or meets to age. Easy or light;mild asymmetry of muscle tone S, easy or light;mild asymmetry of reflexes S: 1) the orthopedist 2) the oculist
Moskvaokulist Strabismus it is not revealed
8 months Moscow consultation of the orthopedist Are not present Orthopedic pathology Is recommended: consultation of the neuropathologist
10 months Moscow consultation of the neuropathologist Are saved the compelled or forced position of a head, more - is left. The soft similar strabismus, soft asymmetry suhozhilnyh reflexes is marked or celebrated. DS. Functional krivosheja. It is recommended: 1) consultation of the orthopedist 2) MRT a brain with capture of a cervical department
10 months The orthopedist Is healthy
1 year Consultation of the neurologist, to. M. n., the senior lecturer of faculty poslediplomnogo educations RMA SHeritorovoj of D.I.Zakljuchenie the Transient dystonic equipment or installation on a background of intensifying of a strabismus. EMG (electromyography) reveals or taps lungs segmentary and nadsegmentarnye changes of a regulation of a muscle tone that testifies to consequences of an ischemia of a spinal cord probably in gentranatalnom the period. Now the child has statiko-motor and PRRObem movements in a cervical department of a backbone is not limited, muscles of a neck are not azygomorphous, are not condensed, strabismus is not revealed.