Skip header and navigation

10 records – page 1 of 1.

Corpus callosotomy in children with intractable epilepsy using frameless stereotactic neuronavigation: 12-year experience at the Hospital for Sick Children in Toronto.

https://arctichealth.org/en/permalink/ahliterature155422
Source
Neurosurg Focus. 2008 Sep;25(3):E7
Publication Type
Article
Date
Sep-2008
Author
Andrew Jea
Shobhan Vachhrajani
Keyne K Johnson
James T Rutka
Author Affiliation
Division of Pediatric Neurosurgery, Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
Source
Neurosurg Focus. 2008 Sep;25(3):E7
Date
Sep-2008
Language
English
Publication Type
Article
Keywords
Adolescent
Child
Child, Preschool
Cohort Studies
Corpus Callosum - pathology - surgery
Epilepsy - diagnosis - pathology - surgery
Female
Follow-Up Studies
Hospitals, Pediatric - trends
Humans
Male
Neuronavigation - methods - trends
Neurosurgical Procedures - methods - trends
Ontario
Psychosurgery - methods - trends
Abstract
Although corpus callosotomy has been used effectively since the late 1930s to treat severe, medically intractable seizure disorders, particularly atonic or drop-attack seizures, controversy remains as to when, how, and how much surgery should be performed. Intraoperative determination of the extent of callosotomy, the need to stage the procedure, and the side of the interhemispheric approach represent technical issues that remain debatable. The authors report the 12-year experience of the senior author as well as surgical outcomes with corpus callosotomy using a frameless stereotactic neuronavigation system (ISG View Wand and BrainLab).
Thirteen consecutive children at The Hospital for Sick Children underwent single-stage corpus callosotomy for medically intractable seizures. The mean age was 10.3 years. Five children underwent partial callosotomy, and 8 underwent complete callosotomy. The side of operative approach to avoid large parasagittal bridging veins was determined by preoperative study of 3D MR imaging/MR venography reconstructed by the neuronavigation system. The extent of callosotomy was determined using intraoperative feedback from the neuronavigation system and postoperative MR imaging.
The extent of callosotomy determined by intraoperative neuronavigation and postoperative MR imaging correlated closely in all cases. There were no operative deaths. There was no significant postoperative morbidity related to venous infarction. Four of 5 patients in the partial callosotomy cohort and 7 of 8 patients in the complete callosotomy cohort showed significant improvement in seizure control.
The use of frameless stereotactic neuronavigation is a safe, effective, and important surgical adjunct in the planning and execution of successful corpus callosotomy in children with intractable epilepsy.
PubMed ID
18759631 View in PubMed
Less detail

The Ronald McDonald House: a "home" for families of the seriously ill child.

https://arctichealth.org/en/permalink/ahliterature243532
Source
Patient Care. 1982 Feb 15;16(3):82-3
Publication Type
Article
Date
Feb-15-1982

[Status and developmental prospects of hospital oral surgical care for children in Perm and Perm Province].

https://arctichealth.org/en/permalink/ahliterature233452
Source
Stomatologiia (Mosk). 1988 Mar-Apr;67(2):81-2
Publication Type
Article

[The status and developmental prospects of hospital surgical care for children in the Ukrainian SSR]

https://arctichealth.org/en/permalink/ahliterature38089
Source
Stomatologiia (Mosk). 1989 Jul-Aug;68(4):72-3
Publication Type
Article

[Ways of reforming the pediatric service in Khabarovsk]

https://arctichealth.org/en/permalink/ahliterature29987
Source
Probl Sotsialnoi Gig Istor Med. 2004 Sep-Oct;(5):34-8
Publication Type
Article
Author
M F Rziankina
L P Chicherin
Source
Probl Sotsialnoi Gig Istor Med. 2004 Sep-Oct;(5):34-8
Language
Russian
Publication Type
Article
Keywords
Adolescent
Adult
Attitude of Health Personnel
Child
Child Health Services - trends
Child Welfare - trends
Child, Preschool
English Abstract
Family
Female
Health Care Reform
Hospitals, Pediatric - trends
Humans
Infant
Infant, Newborn
Male
Maternal Welfare - trends
Middle Aged
Physicians
Pregnancy
Questionnaires
Siberia
Abstract
Results of a sociological study made among the heads of pediatric services in the city of Khabarovsk and related with different aspects of therapeutic, preventive and social care of children are discussed in the paper. It is demonstrated as necessary to transform the primary pediatric-care facilities within the national healthcare reform; suggestions are made on promoting the pediatric service.
PubMed ID
15606043 View in PubMed
Less detail

10 records – page 1 of 1.