Pediatric radiology
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Pediatric radiology · Jan 1989
Case ReportsBasilar impression and osteogenesis imperfecta in a three-year-old girl: CT and MRI.
A 3-year-old girl with osteogenesis imperfecta developed symptomatic basilar impression. Her neurological symptoms were treated by foramen magnum decompression and laminectomy. This is an unusually young patient to have this condition.
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Pediatric radiology · Jan 1989
Comparative StudyHow accurate is chest radiography in the diagnosis of tracheobronchial foreign bodies in children?
The radiographic and endoscopic findings of 83 consecutive patients with suspected foreign body (FB) inhalation into the tracheobronchial tree were compared and the accuracy of chest radiography was estimated. Typical radiologic signs of FB aspiration, such as localized air trapping, atelectasis and infection occurred on radiographs of patients with and without FB. ⋯ In an analysis of radiographs of 83 consecutive patients, in which the prevalence of FB aspiration was 41%, the diagnostic accuracy was 67%, sensitivity 68% and specificity 67%. Plain film radiology alone is not a sufficiently sensitive nor specific method for the diagnosis of FB aspiration.
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Pediatric radiology · Jan 1989
Therapeutic approach to ingested button-type batteries. Magnetic removal of ingested button-type batteries.
Button-type batteries ingested by 13 children were removed from the esophagus and the upper gastro-intestinal tract by means of the FE-EX "OGTM-technique". An initial radiogram from the nasopharynx to the anus was performed. ⋯ All patients tolerated the procedure without subjective complaints and were discharged soon without a need of anesthesia, surgery/endoscopy or more radiography. The FE-EX "OGTM" procedure is a relatively non-invasive approach to a potentially catastrophic pediatric problem.