Open Spina Bifida: Outcome For A Complete Cohort Treated Unselectively And Followed Into Adulthood / Gillian M. HUNT in Developmental Medicine & Child Neurology, 32-2 (February 1990)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 32-2 (February 1990) . - p.108-118 Titre : Open Spina Bifida: Outcome For A Complete Cohort Treated Unselectively And Followed Into Adulthood Type de document : Texte imprimé et/ou numérique Auteurs : Gillian M. HUNT, Auteur Année de publication : 1990 Article en page(s) : p.108-118 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Spina bifida ouvert: devenir d'un groupe complet, traité defaçon non sélective et suivi jusqu'à l'âge adulte Entre 1963 et 1977, 117 cas consécutifs de spina bifida ouverts ont été traités non sélectivement depuis la naissance, à la suite d'un examen neurologique complet. L'auteur analyse le devenir de 16 à 20 ans plus tard. 48 moururent avant leur seizième anniversaire. Parmi les 69 survivants, 60 avaient eu une valve et deux devinrent aveugles après mauvais fonctionnement de la valve; 22 présentaient un retard mental (Q.I. à moins de 80); 35 étaient en fauteuil roulant; 52 étaient incontinents et 32 d'entre eux dépendaient d'une tierce personne; neuf pesaient plus de 75kg; un tiers, dans les deux sexes, présentaient une puberté précoce; trois avaient un diabète insulino-dépendant; 12 nécessitaient la poursuite d'un traitement anti-comitial; 32 avaient soufferts d'escharres; 33 dépendaient d'une tierce personne et seulement 17 étaient capables d'un travail en milieu ouvert. Ces données démontrent le champ étendu des incapacités impliquées par le diagnostic de spina bifida ouvert. Les données neurologiques recueillies à la naissance se reflétaient dans la mortalité et le degré d'incapacité des survivants. Le niveau sensoriel présentait une règie de prédiction de l'importance du handicap à l'âge adulte, à condition qu'il n'y ait pas eu, comme chez sept des survivants, des troubles supplémentaires provenant de complications sérieuses. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=133 [article] Open Spina Bifida: Outcome For A Complete Cohort Treated Unselectively And Followed Into Adulthood [Texte imprimé et/ou numérique] / Gillian M. HUNT, Auteur . - 1990 . - p.108-118. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 32-2 (February 1990) . - p.108-118 Index. décimale : PER Périodiques Résumé : Spina bifida ouvert: devenir d'un groupe complet, traité defaçon non sélective et suivi jusqu'à l'âge adulte Entre 1963 et 1977, 117 cas consécutifs de spina bifida ouverts ont été traités non sélectivement depuis la naissance, à la suite d'un examen neurologique complet. L'auteur analyse le devenir de 16 à 20 ans plus tard. 48 moururent avant leur seizième anniversaire. Parmi les 69 survivants, 60 avaient eu une valve et deux devinrent aveugles après mauvais fonctionnement de la valve; 22 présentaient un retard mental (Q.I. à moins de 80); 35 étaient en fauteuil roulant; 52 étaient incontinents et 32 d'entre eux dépendaient d'une tierce personne; neuf pesaient plus de 75kg; un tiers, dans les deux sexes, présentaient une puberté précoce; trois avaient un diabète insulino-dépendant; 12 nécessitaient la poursuite d'un traitement anti-comitial; 32 avaient soufferts d'escharres; 33 dépendaient d'une tierce personne et seulement 17 étaient capables d'un travail en milieu ouvert. Ces données démontrent le champ étendu des incapacités impliquées par le diagnostic de spina bifida ouvert. Les données neurologiques recueillies à la naissance se reflétaient dans la mortalité et le degré d'incapacité des survivants. Le niveau sensoriel présentait une règie de prédiction de l'importance du handicap à l'âge adulte, à condition qu'il n'y ait pas eu, comme chez sept des survivants, des troubles supplémentaires provenant de complications sérieuses. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=133

Some factors relating to intelligence in treated children with spina bifida cystica / Gillian M. HUNT in Developmental Medicine & Child Neurology, S35 (December 1975)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > S35 (December 1975) . - p.65-70 Titre : Some factors relating to intelligence in treated children with spina bifida cystica Type de document : Texte imprimé et/ou numérique Auteurs : Gillian M. HUNT, Auteur ; Alec E. HOLMES, Auteur Année de publication : 1975 Article en page(s) : p.65-70 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The 83 survivors of a consecutive series of children with spina bifida cystica, born between 1963 and 1971 and treated non-selectively since birth, were assessed by intelligence and developmental testing. In nine of the children who had not required shunts the distribution of intelligence was within the normal range. The need for a shunt was significantly related to the presence of craniolacunae and to the sensory level of the lesion recorded at birth. Seven of the 74 shunt-treated children had suffered ventriculitis, meningitis or septicaemia, and their intelligence was significantly worse than the others. In the 67 shunt-treated children who had not suffered infection, intelligence was significantly related to the thickness of the pallium when the shunt was inserted during the first four weeks of life, and to the sensory level of the lesion recorded at birth. Intelligence was not related to the function of the shunt at time of assessment, to the number of revisions of the shunt, or to the rate of increase in head size during the first four weeks of life. It is concluded that the best indication of later intelligence can be gained at birth from the thickness of the pallium and the sensory level of the lesion. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450 [article] Some factors relating to intelligence in treated children with spina bifida cystica [Texte imprimé et/ou numérique] / Gillian M. HUNT, Auteur ; Alec E. HOLMES, Auteur . - 1975 . - p.65-70. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > S35 (December 1975) . - p.65-70 Index. décimale : PER Périodiques Résumé : The 83 survivors of a consecutive series of children with spina bifida cystica, born between 1963 and 1971 and treated non-selectively since birth, were assessed by intelligence and developmental testing. In nine of the children who had not required shunts the distribution of intelligence was within the normal range. The need for a shunt was significantly related to the presence of craniolacunae and to the sensory level of the lesion recorded at birth. Seven of the 74 shunt-treated children had suffered ventriculitis, meningitis or septicaemia, and their intelligence was significantly worse than the others. In the 67 shunt-treated children who had not suffered infection, intelligence was significantly related to the thickness of the pallium when the shunt was inserted during the first four weeks of life, and to the sensory level of the lesion recorded at birth. Intelligence was not related to the function of the shunt at time of assessment, to the number of revisions of the shunt, or to the rate of increase in head size during the first four weeks of life. It is concluded that the best indication of later intelligence can be gained at birth from the thickness of the pallium and the sensory level of the lesion. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450

Spina bifida: implications for 100 children at school / Gillian M. HUNT in Developmental Medicine & Child Neurology, 23-2 (April 1981)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 23-2 (April 1981) . - p.160-172 Titre : Spina bifida: implications for 100 children at school Type de document : Texte imprimé et/ou numérique Auteurs : Gillian M. HUNT, Auteur Année de publication : 1981 Article en page(s) : p.160-172 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : One hundred children with spina bifida were examined at home and reviewed at the schools they attended. The severity of the handicap had not been appreciated at the time of school entry. 27 of the 41 children who were over 10 years of age had become wheel-chair dependent; 39 of the 100 children had an IQ below 80, and incontinence remained a problem for 68 children. 64 had visual defects, including two who were totally blind, 27 had epilepsy, and 87 had suffered fractures, burns, scalds or pressure sores. Most of the children had started at an ordinary school. The teachers had to give a disproportionate amount of attention to the handicapped child, but were themselves often given inadequate information and support. Many children had learning difficulties. As they grew older their incontinence was less well tolerated. Wheelchair dependency precluded their admission to an ordinary secondary school with stairs, so the majority of older children attended special schools. Only very few will enter normal employment, and many will require a period of education and training beyond the usual school-leaving age. The education of such children should have realistic goals and aim at achieving the maximum degree of self-care. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=516 [article] Spina bifida: implications for 100 children at school [Texte imprimé et/ou numérique] / Gillian M. HUNT, Auteur . - 1981 . - p.160-172. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 23-2 (April 1981) . - p.160-172 Index. décimale : PER Périodiques Résumé : One hundred children with spina bifida were examined at home and reviewed at the schools they attended. The severity of the handicap had not been appreciated at the time of school entry. 27 of the 41 children who were over 10 years of age had become wheel-chair dependent; 39 of the 100 children had an IQ below 80, and incontinence remained a problem for 68 children. 64 had visual defects, including two who were totally blind, 27 had epilepsy, and 87 had suffered fractures, burns, scalds or pressure sores. Most of the children had started at an ordinary school. The teachers had to give a disproportionate amount of attention to the handicapped child, but were themselves often given inadequate information and support. Many children had learning difficulties. As they grew older their incontinence was less well tolerated. Wheelchair dependency precluded their admission to an ordinary secondary school with stairs, so the majority of older children attended special schools. Only very few will enter normal employment, and many will require a period of education and training beyond the usual school-leaving age. The education of such children should have realistic goals and aim at achieving the maximum degree of self-care. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=516

The pattern of congenital renal anomalies associated with neural-tube defects / Gillian M. HUNT in Developmental Medicine & Child Neurology, 29-1 (February 1987)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 29-1 (February 1987) . - p.91-95 Titre : The pattern of congenital renal anomalies associated with neural-tube defects Type de document : Texte imprimé et/ou numérique Auteurs : Gillian M. HUNT, Auteur ; Robert H. WHITAKER, Auteur Année de publication : 1987 Article en page(s) : p.91-95 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : This is a retrospective study of 190 patients with neural-tube defects for whom there were precise data, both on sensory levels (to pin-prick) and on the presence or absence of congenital renal anomalies. There were 17 renal anomalies, of which three were renal agenesis, five horseshoe kidneys, eight ureteral duplications and one simple ureterocele. There was a consistent pattern of congenital renal anomalies in relation to the extent of the neurological lesion, as measured by the sensory level. Renal agenesis was associated with a sensory level in the dermatomes T5 to T8, horseshoe kidneys with a T9 to L1 level and ureteral duplications predominantly with a sensory level in the sacral dermatomes. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=623 [article] The pattern of congenital renal anomalies associated with neural-tube defects [Texte imprimé et/ou numérique] / Gillian M. HUNT, Auteur ; Robert H. WHITAKER, Auteur . - 1987 . - p.91-95. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 29-1 (February 1987) . - p.91-95 Index. décimale : PER Périodiques Résumé : This is a retrospective study of 190 patients with neural-tube defects for whom there were precise data, both on sensory levels (to pin-prick) and on the presence or absence of congenital renal anomalies. There were 17 renal anomalies, of which three were renal agenesis, five horseshoe kidneys, eight ureteral duplications and one simple ureterocele. There was a consistent pattern of congenital renal anomalies in relation to the extent of the neurological lesion, as measured by the sensory level. Renal agenesis was associated with a sensory level in the dermatomes T5 to T8, horseshoe kidneys with a T9 to L1 level and ureteral duplications predominantly with a sensory level in the sacral dermatomes. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=623

---

1 (1 - 4 / 4)