Innominate artery compression of the trachea, which is included within the vascular rings, although rare can cause serious respiratory disorders in childhood even putting at risk the child's life. Most cases are asymptomatic but can also occur with cough, stridor, cyanosis and/or apneas. Diagnostic images play a fundamental role, specially computed tomography and magnetic resonance imaging that provide detailed anatomical information. Bronchoscopy allows confirmation of the diagnosis and assesses the severity of the disorder; moreover, this procedure is also used as support in surgery (aortopexy). Conservative treatment is indicated in less severe cases. Two cases of pediatric patients are presented, one a newborn with severe symptoms and an asymptomatic lactating infant.
Limb length discrepancy or anisomelia has long been objectified with imaging.The biomechanical implications for patients with a developing skeleton are more relevant than the cosmetic aspects, both in treatment and in follow-up. The aim of this publication is to review the most common causes of lower limb asymmetry in children, with emphasis on imaging findings, which are of great importance for clinical management. A retrospective review was performed on patients younger than 15 years, who required evaluation at our center for lower limb asymmetry, using simple X-ray, CT scan and /or MRI. The anatomical findings and morphometric analysis were recorded for each case. The causes of limb length discrepancy are many, including congenital and sequelae conditions. A knowledge and proper assessment of the imaging findings helps to improve and standardize the radiology report.
Uretrocystography in Children: Parents' Perception Voiding cystourethrography (VCUG) has been usually consider as a painful and badly tolerated procedure in children. This opinion is not agree with local experience of the authors. Objective: To evaluate the parent's perception about VCUG in children before and after the procedure. Methods: In 2009, parents of children who came to Radiology Department for a VCUG completed an anonymous survey, including age and sex of their children, physician referent specialty, information received about the exam, expectation before and opinion after the procedure. Results: During 12 months 86 surveys were evaluated; patient's age was ranged between 1 month to 8 years with 52.3% (45) girls and 47.7% (41) males. Patients were referred from general pediatric in 59% or nephrology practice in 33%; 20% of the patients did not receive any information about the procedure before. About the expectation of VCUG, previous the exam, parents considered the examination as a pediatrician visit in 2.3%, uncomfortable in 26.7%, a little painful in 16.3%, painful in 21% and aggressive or terrible in 33.7%. After the examination, parents' opinion was: 24.4% as a pediatrician visit, 45.3% uncomfortable, 22.1% a little painful, 4.7% painful and 3.5% aggressive or terrible. The global parents' perception about VCUG after the exam improved in 66% cases, did not change in 29% and went worse in 5%. Conclusion: Parent's perception about VCUG in children signifi cantly improves after the procedure; in 91.8% the examination was considered uncomfortable or only a little painful.
Material y métodosRevisión retrospectiva de pacientes menores de 15 años que presentaron tortícolis entre sus síntomas de ingreso, entre junio del 2007 y julio del 2011, evaluados con radiografía simple, ultrasonido, tomografía computada (TC) o resonancia magnética (RM).
IntroducciónLa infección del tracto urinario es una patología frecuente en pediatría, sin embargo, los algoritmos de estudios por imágenes siguen siendo fuente de controversia. El ultrasonido (US) es de rutina la primera modalidad de imágenes, pero posee sensibilidad y porcentaje de falsos negativos variable. El cintigrama renal DMSA ha sido considerada la técnica de referencia para demostrar pielonefritis aguda (PNA), pero de acuerdo a las guías internacionales actuales no se recomienda su uso rutinario 1,2 . Varios estudios han mostrado la utilidad de la resonancia magnética (RM) en niños con PNA y en los últimos años algunas publicaciones han demostrado que las secuencias de difusión (DWI) son comparables a las secuencias standard contrastadas con gadolinio en la capacidad de identificar compromiso parenquimatoso renal en niños con sospecha de PNA 3,4,5,6 . Descripción de la técnicaCon el fin de obtener un examen no invasivo que
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.