INDIAN PEDIATRICS 673 VOLUME 51__AUGUST 15, 2014 A 9-month-old girl weighing 6.4 Kg presented with fever and three episodes of vomiting for one day. The infant was administered measles vaccine 10 hours prior to onset of fever. Vitamin A was not given. On examination, the infant was febrile (101oF) and had a bulging, tense and pulsatile anterior fontanelle measuring 3 cm. Systemic examination, i...

This case report describes a patient who had a foreign body in transverse sinus. A 35-year-old Korean-Chinese man visited the emergency room with lacerated wound in left eyelid and a foreign body which was stumbled upon in the skull. On examination, there was right side hemianopsia in his left eye. He did not complain any headache or show any abnormal neurological signs, but there was a foreign...

The premature infant brain has been thoroughly studied by sonography, and normal standards for ventricular size have been established. Whether these apply to normal full-term infants is uncertain. Fifty-three healthy full-term infants were electively examined by real-time sonography through the anterior fontanelle on the first to sixth days of life. Nine had asymmetric lateral ventricles; two o...

A 8 ical examination revealed a large head and an open anterior fontanelle. The child's head circumference was about the 95th percentile for age. The remainder of the physical examination was normal. The mother reported that the patient was born by spontaneous vaginal delivery at 42-weeks gestation after an uncomplicated pregnancy. Medical history was remarkable only for a large head at birth, ...

In recent years, neonatal cranial sonography has been extensively used to diagnose intracranial hemorrhages, congenital anomalies, and intracranial masses despite such limiting factors as the size of the anterior fontanelle and lack of contrast enhancement similar to cranial CT [1] . While cranial CT during infancy lacks easy access to direct sagittal scanning, sonography offers multiplanar ima...

A 37-year-old patient is reported with intracranial sewing needles, which were located in the right frontal lobe. Both clinical and radiological findings suggested that these needles must have been introduced in infancy before the closure of anterior fontanelle during an unsuccessful homicide. Usually intracranial foreign objects are placed due to penetrating trauma or surgical ...

We report on a newborn boy, who was delivered at 26 weeks' gestation by emergency caesarean section because of a prolapsed cord and breech presentation. Grade IV hyaline membrane disease subsequently developed, for which a surfactant was given. On day 8, there were frequent apnoeic attacks, and on day 30, marked irritability developed, as did intermittent stiffening of all four limbs. The anter...

We report the case of a 22-year old man with intracranial metallic foreign bodies who presented complaining of a headache. His history of headaches had begun when he was five years old and continued with increasing severity. Six months before hospital admission, nausea and vomiting began to accompany his headache. Computed tomography scan revealed that 2 metallic foreign bodies were located adj...

raw surface 2i inches long and 2 inches broad in the lumbar region. This raw surface was concave in outline, with the spinal cord clearly visible lying spread out in the middle line. Palpation revealed a cleft in the vertebral arch, the result of non-closure of the primitive medullary groove. The edges of the wound presented the appearance of normal skin. One very significant fact was that no l...