A 5-month-old infant presented with severe dyspnea and dysphagia resulting from a right-sided cervical mass. At 5 months of age, a large aberrant thymus was excised, resulting in the disappearance of all symptoms. Pathological examination showed normal thymus tissue. Since the preoperative chest X-ray film showed a normal thymic shadow and the T-lymphocyte functions were normal, we conclude that this was not an ectopic gland but an undescended thymic implant.
Two children were admitted for clinical and radiologic signs of small-bowel obstruction. Examination revealed an abdominal mass that was suspected of being a mass of intussusception. Bowel obstruction caused by Ascaris lumbricoides was found at surgery. The laboratory, radiologic, and surgical findings are presented with a short review of the literature with emphasis on diagnosis, incidence, complications, and treatment.
Benign masseteric hypertrophy in a young child is presented. Diagnosis was confirmed by sonography and computed tomography. Recognition of this disorder obviates the need for further invasive investigations.
SYNOPSIS
Two children with severe transient focal headaches are presented. Complete relief was obtained aftercyproheptadine treatment. A characteristic feature of these cases was focal persistent irritative EEGdisturbances. All the other diagnostic examinations were normal. The possibilities of migraine alone, or ofheadache as an equivalent of epileptic fit, are discussed separately with a review of the relevant literature.Finally, the probability of an underlying autonomic epileptic phenomenon causing a classic migraineattack is raised.
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