No abstract

It is found that the mothers' knowledge about neonatal jaundice is insufficient. Maternal education level and having a previous offspring with jaundice are major factors affecting the knowledge of the mothers on hyperbilirubinemia.

No abstract

Guillain-Barré syndrome is an acute inflammatory autoimmune polyradiculoneuritis. Progressive motor weakness and areflexia are essential for its diagnosis. Hyperreflexia has rarely been reported in the early healing period of Guillain-Barré syndrome following Campylobacter jejuni infection in patients with acute motor axonal neuropathy with antiganglioside antibody positivity. In this study, we report a 12-year-old girl presenting with complaints of inability to walk, numbness in hands and feet, and hyperactive deep tendon reflexes since the onset of the clinical picture, diagnosed with acute motor-sensory axonal neuropathy type of Guillain-Barré syndrome.

Hydrops of the gallbladder is rarely seen in childhood and characterized by massive acalculous distension of the gallbladder. It is defined by the absence of calculi, bacterial infection or congenital anomalies of the biliary system. We report a seven year old girl presenting with fever, vomiting,abdominal pain, icterus in scleras, hepatomegaly and tenderness in right hypochondrium. Laboratory investigations revealed hyperbilirubinemia and elevated liver enzymes but there was no evidence of bacterial or parasitic infection. Serology for viral hepatitis suggested acute hepatitis A infection. Abdominal ultrasonography revealed distended, hydropic gallbladder without calculous was observed.Here we report a child with acute viral acalculous cholecystitis due to hepatitis A virus infection. Keywords: Acalculous cholecystitis, Hepatitis A, Hydrops, Gallbladder ÖZSafra kesesi hidropsu, çocukluk çağında seyrek görülen ve safra kesesinin taşsız aşırı distansiyonu ile karakterizedir. Safra kesesi taşı,bakteriyel enfeksiyon veya safra sisteminin kongenital anomalilerinin yokluğu ile karakterizedir. Ateş, kusma, karın ağrısı, skleralarda ikter, hepatomegali ve sağ hipokondriyumda hassasiyet ile başvuran yedi yaşında bir kız çocuğunu sunduk. Laboratuar incelemeleri, hiperbilirubinemi ve artmış karaciğer enzim düzeylerini göstermekteydi. Bakteriyel veya parazitik enfeksiyon bulgusu yoktu. Viral hepatit serolojisi akut hepatit A enfeksiyonunu göstermekteydi. Abdominal ultrasonografi distandü, hidropik, taşsız safra kesesini göstermekteydi.Bu yazımızda, hepatit A virus enfeksiyonu nedeniyle gelişen akut viral taşsız kolesistitli yedi yaşında bir kız çocuğunu sunduk.

ABS TRACT Öz Hipogliseminin beyin gelişimi üzerine olan olumsuz etkileri ve infantil spazma neden olabileceği iyi bilinmekle birlikte, kısa sürede ve spontan olarak iyileşen hiperinsülinemik hipogliseminin infantil spazma neden olabileceği bildirilmemiştir. İnfantil spazm genellikle yaşamın ilk yılında ortaya çıkan, gövde, boyun ve bacak kaslarının ani, kısa süreli ve genellikle bilateral simetrik motor spazmları olarak tanımlanır. En sık görülen formu olan semptomatik infantil spazm prenatal, perinatal ve postnatal olayalara bağlı ortaya çıkar. Zamanında 3140 gram olarak doğan bebek postnatal ikinci gününde zayıf emme ve beslenme güçlüğü yakınmaları ile getirildi. Hiperinsülinemik hipoglisemi tanısı konan ve intravenöz glukoz infüzyonuna (15 mg/kg/dk) rağmen hipogisemisi devam eden olguya diazoksit başlandı. Bu tedavi ile hipoglisemisi gözlenmeyen olgunun diazoksit dozu kademeli olarak azaltılarak 21. günde kesildi. İzlemde sürekli normoglisemik olan bebek 45. günde fleksör spazmlar nedeni ile başvurdu. Elektroensefalografide modifiye hipsartimi paterni saptandı. Kraniyal manyetik rezonans görüntülemede temperopariyetal beyaz ve gri cevherde kistik ensefalomalazik alanlar gözlendi. Adrenokortikotropik hormon ve vigabatrin tedavileri ile nöbetleri kontrol altına alınamayan olguda topiramat ve valproat tedavilerinden kısmi fayda görüldü. Anahtar Kelimeler: İnfantil spazm, geçici hipoglisemi, hiperinsülinemi Although it is known that hypoglycemia could cause severe negative effects on brain development and also infantile spasm, it has not been reported that transient hyperinsulinemic hypoglycemia, which spontaneously improves over a short time, may cause infantile spasms. Infantile spasm is a disorder of early childhood typically seen in the first year of life, characterized by the occurence of sudden, brief, generally bilateral and symetric motor spasms of the muscles of the trunk, neck and limbs. Infantile spasms are classified as idiopathic or symptomatic. The most common form symptomatic infantile spasms is due to prenatal, perinatal or postnatal insults. A 3140 g, full-term baby was admitted with poor sucking and feeding difficulty on the postnatal second day. The patient was followed-up with the diagnosis of hyperinsulinemic hypoglycemia and intravenous glucose infusion (15 mg/kg/min) was administered, but due to the persistence of hypoglycemia, diazoxide treatment was initiated. Hypoglycemia was not observed under diazoxide treatment and the drug was gradually decreased; treatment was terminated on the 21 st day. The patient was continuously normoglycemic during follow-up and admitted with flexor spasms on the 45 th day. A modified hypsarrhythmia pattern was detected in the electroencephalography. On cranial magnetic resonance imaging, diffuse cystic encephalomalacia areas were observed in the temporoparietal white and gray matter. The convulsions were not completely controlled with adrenocorticotropic hormone and vigabatrin treatments. Topiramate and valproate were administered, by which convulsions were pa...

Duane syndrome is a congenital eye movement disorder characterized by limitation of abduction and/or adduction accompanied with lid fissure narrowing, and globe retraction in attempted adduction. Duane syndrome is mostly an isolated entity, but systemic anomalies have been reported in 6-10% of patients. Wildervanck syndrome (cervico-oculo-acoustic syndrome) is a very rare disease comprised of the triad of Klippel-Feil deformity (congenitally fused cervical vertebrae), Duane syndrome, and hearing loss. The disorder is limited, or almost completely limited, to females, raising the question of sex-linked dominance with lethality in the hemizygous male. Herein, we describe an adolescent girl who was admitted to our clinic for obesity and diagnosed with Wildervanck syndrome due to bilateral abducens paralysis (Duane syndrome), Klippel-Feil deformity and hearing loss.

No abstract