Developmental medicine and child neurology
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Dev Med Child Neurol · Apr 1988
Case ReportsCerebral arteriovenous fistula in the Klippel-Trenaunay-Weber syndrome.
A 12-week-old girl presented with cutaneous haemangiomata and hemihypertrophy of the chest and right upper extremity--stigmata of the Klippel-Trenaunay-Weber syndrome. Screening cranial CT-scan followed by cerebral angiogram revealed what is believed to be the first reported occurrence of a cerebral arteriovenous fistula in a patient with this syndrome. ⋯ Although rare at present, neurovascular involvement in the Klippel-Trenaunay-Weber syndrome may be found more frequently with the newer non-invasive diagnostic methods for screening these children. Such findings may strengthen the putative classification of this syndrome within the group of primary mesodermal (vascular) phakomatoses.
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Dev Med Child Neurol · Oct 1983
ReviewSymptomatic neurogenic bladder in a cerebral-palsied population.
This study reports the incidence of symptomatic neurogenic bladders in a cerebral-palsied population. Of the 50 patients screened, 13 underwent routine urological assessment, including cystometrograms. ⋯ The authors speculate that a continuum of the disorder exists. Preliminary follow-up revealed a significant response to medication in symptomatic patients, both with and without demonstrable neurogenic bladders.
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Several measures of self-concept and self-esteem were applied to a sample of 15 'mainstreamed', upper-middle-class, cerebral-palsied children aged between four and eight years, and to 15 matched controls. Over-all self-concept scores were similar for both groups, although they tended to be lower for the handicapped group. ⋯ These tentative findings, supplemented by interview data, support the hypothesis that children with cerebral palsy begin to regard themselves as different as early as four years of age. However, these self-views and their potentially negative effects on self-esteem do not appear to crystallize until the children are in the primary grades at school.
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Dev Med Child Neurol · Apr 1981
Parents' views of medical and social-work services for families with young cerebral-palsied children.
A specialist social worker interviewed the parents of 67 cerebral-palsied children aged between three and 10 years who were attending or had recently attended for treatment at centres in Dundee and Glasgow. Data were collected on how the presence of a handicapped child affected family life, and on the parents' perceptions of the services they had received and found helpful. ⋯ Nearly half of the parents questioned were dissatisfied about the way they were first told of their child's handicap, and a majority felt they had not received enough help at this time. The requirements for a flexible and comprehensive service to meet the needs of such families are outlined.