Abstract:
BACKGROUND:Influenza A (H1N1) can cause severe neurological complications. OBJECTIVE:The purpose of this study was to analyze clinical and MRI features of neurological complications after H1N1 infection in critically ill children. MATERIALS AND METHODS:We retrospectively analyzed clinical and neuroimaging findings in 17 children who were hospitalized in an intensive care unit with severe neurological complications after H1N1 infection in South China between September 2009 and December 2011. All children underwent pre- and post-contrast-enhanced brain MRI. Postmortem studies were performed in two children. RESULTS:Six children died, five because of acute necrotizing encephalopathy (ANE) and one because of intracranial fungal infection. Eleven recovered; their manifestations of H1N1 were meningitis (3), encephalitis (1) and influenza encephalopathy (7). MRI features of ANE included multiple symmetrical brain lesions demonstrating prolonged T1 and T2 signal in the thalami, internal capsule, lenticular nucleus and pontine tegmentum. Postmortem MRI in two children with acute necrotizing encephalopathy showed diffuse prolonged T1 and T2 signal in the bilateral thalami, brainstem deformation and tonsillar herniation. CONCLUSION:Fatal neurological complications in children after H1N1 infection include ANE and opportunistic fungal infection. MRI is essential for identification of neurological complications and for clinical evaluation.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Zeng H,Quinet S,Huang W,Gan Y,Han C,He Y,Wang Ydoi
10.1007/s00247-013-2682-5subject
Has Abstractpub_date
2013-09-01 00:00:00pages
1182-9issue
9eissn
0301-0449issn
1432-1998journal_volume
43pub_type
杂志文章abstract::To evaluate cystourethrography in the era of fetal screening, we evaluated retrospectively the clinical and imaging findings of all children up to the age of 1 year who underwent a cystourethrogram in a 5-year period (1987-1992). There were 292 children, 64 neonates (< 1 month, 51 boys, 13 girls) and 228 infants (1 mo...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02015017
更新日期:1994-01-01 00:00:00
abstract::Clavicle fractures are the most common bony injury that occurs during the delivery process. We present a case of medial clavicular physeal fracture mimicking sternoclavicular dislocation diagnosed by ultrasound (US) in a neonate. The infant presented to our clinic at 12 days old with improving left upper extremity pse...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-019-04583-2
更新日期:2020-04-01 00:00:00
abstract::The above article was published online with an incorrect author name. ...
journal_title:Pediatric radiology
pub_type: 已发布勘误
doi:10.1007/s00247-019-04453-x
更新日期:2019-08-01 00:00:00
abstract::This paper is a comprehensive review of the Doppler waveform appearance of ureteric jets. Six jet waveform patterns have been identified: monophasic, biphasic, triphasic, polyphasic, square and continuous. Details of the physical properties of jet patterns and their changes under various physiological conditions are i...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-007-0433-1
更新日期:2007-05-01 00:00:00
abstract::Cystic dysplasia of the testis is an uncommon benign cause of an intratesticular mass in children. It is often associated with renal abnormalities, which reflects the close developmental association between the kidneys and testes. The diagnosis is usually suspected based on sonographic findings. We present a case of c...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050508
更新日期:1998-12-01 00:00:00
abstract::The original version of this paper included errors in Fig. 3. The corrected Fig. 3 is presented here. ...
journal_title:Pediatric radiology
pub_type: 已发布勘误
doi:10.1007/s00247-020-04665-6
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:In contrast to adults, intraparenchymal haemorrhage (IPH) is at least as common as ischaemic stroke in children. There is often uncertainty about the most appropriate modality for imaging in the acute stage. OBJECTIVE:To examine the diagnostic value of MRI and MR angiography (MRA) in the detection of underl...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-006-0236-9
更新日期:2006-09-01 00:00:00
abstract::The practice of contrast-enhanced ultrasound in children is in the setting of off-label use or research. The widespread practice of pediatric contrast-enhanced US is primarily in Europe. There is ongoing effort by the Society for Pediatric Radiology (SPR) and International Contrast Ultrasound Society (ICUS) to push fo...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-013-2746-6
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:There are many controversies surrounding the effectiveness of endoscopic treatment of vesicouretheral reflux (VUR) in children, thus it is of highest priority to analyze factors influencing the outcome of therapy and to search for new methods that would increase the success rate and reduce the number of rein...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-014-2963-7
更新日期:2014-09-01 00:00:00
abstract::In a group of 70 premature and newborn infants, treated with artificial ventilation, 24.3% developed bronchopulmonary dysplasia (BPD). Only in a very few cases did the typical radiological stages, as described by Northway, succeed each other in a chronological order. It is impossible to differentiate BPD stage I or II...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973978
更新日期:1977-03-17 00:00:00
abstract::Physiologic changes in renal transplant patients, such as transiently low central venous pressure, may be related to increased intra-abdominal pressure, from the volume of the transplanted kidney itself. Using intraoperative and postoperative Doppler ultrasound of the transplant renal vessels, we identified changes in...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-003-1094-3
更新日期:2004-05-01 00:00:00
abstract::We prospectively evaluated a group of patients with sickle cell disease and a clinical history of prior stroke, comparing transcranial Doppler sonography (TCD) to both magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) to determine its efficacy for the detection of flow abnormalities associated ...
journal_title:Pediatric radiology
pub_type: 临床试验,杂志文章
doi:10.1007/BF02012192
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:Posterior rib fractures in young children have a high positive predictive value for non-accidental injury (NAI). Combined data of five studies on birth trauma (115,756 live births) showed no cases of rib fractures resulting from birth trauma. There have, however, been sporadic cases reported in the literatur...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-008-1035-2
更新日期:2009-01-01 00:00:00
abstract::Three newborns with thin ribs and thin long bones with multiple fractures are reported. Whereas one patient presents a syndromic association of bone dysplasia and intrauterine dwarfism two other patients cannot be appropriately evaluated due to lack of basic clinical and pathologic data. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02388044
更新日期:1988-01-01 00:00:00
abstract::Limb-sparing procedures utilizing endoprostheses improve both the quality of life and functional level of patients treated for primary bone sarcomas. Herein, we present the imaging findings of an uncommon cause of prosthetic failure, i. e., foreign body reaction, manifested by progressive multifocal osteolysis along t...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/BF01372099
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:In the setting of clinically suspected Legg-Calvé-Perthes (LCP) disease and negative/equivocal radiographs, contrast-enhanced MRI can be performed to confirm the diagnosis. OBJECTIVE:To determine the frequency of unexpected causes of hip pain as identified by MRI in children with clinically suspected LCP di...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-010-1841-1
更新日期:2011-03-01 00:00:00
abstract::Technical and clinical aspects of esophageal transit scintigraphy in pediatric patients are reviewed via several illustrative cases that highlight its utility in evaluating primary and secondary esophageal motility disorders. ...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-018-4301-y
更新日期:2019-05-01 00:00:00
abstract::Congenital solitary nonparasitic cysts of the liver (CSNCL) are extremely rare causes of abdominal masses in newborns and infants. We describe a cystic abdominal mass virtually all extrahepatic in a newborn that proved to be a CSNCL. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02013009
更新日期:1992-01-01 00:00:00
abstract:BACKGROUND:Subglottic haemangioma causes progressive and life-threatening stridor, typically manifesting at age 2-3 months. Standard diagnosis is by laryngoscopy. Larynx sonography is rarely used but allows assessment of the presence and extension of a mass that impinges on the subglottic airway. The additional use of ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-011-2213-1
更新日期:2011-11-01 00:00:00
abstract::Four children with Type I hepatorenal glycogen storage have been studied by barium enema. All showed strikingly similar changes of a smooth-walled, slightly narrow but normal length colon without any haustration. The findings simulated colitis but the patients had either mild diarrhea or no gastrointestinal complaints...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01000116
更新日期:1975-03-20 00:00:00
abstract::An unusual case is presented of a vascular ring due to a right arch with mirror-image branching and a left ligamentum arteriosum from the descending aorta to the left pulmonary artery. There have been only four previous reports of this rare arch anomaly. In addition, the patient had no underlying congenital heart lesi...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02019065
更新日期:1995-01-01 00:00:00
abstract::Pediatric multiple sclerosis (MS) deserves special attention because of its impact on cognitive function and development. Although knowledge regarding pediatric MS has rapidly increased, understanding the peculiarities of this population remains crucial for disease management. There is limited expertise about the effi...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-019-04582-3
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Traditionally, every patient with an acute scrotum needed surgical exploration for definitive exclusion of testicular torsion. OBJECTIVE:In this study, we aimed to evaluate the improved accuracy in clinical diagnosis with colour Doppler Ultrasonography (US) added to normal clinical assessment. MATERIALS AN...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-005-1411-0
更新日期:2005-06-01 00:00:00
abstract::Large-cell calcifying Sertoli cell tumors are exceedingly rare testicular tumors which can be distinguished from pure Sertoli cell tumors by distinctive microscopic features and multifocal and bilateral calcifications [1]. We describe the characteristic sonographic appearance of the tumor with pathologic correlation. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
abstract::Classic metaphyseal lesions associated with childbirth are rare. We report a distal tibial metaphyseal fracture following a difficult breech delivery. Classic metaphyseal fractures are considered highly specific injuries associated with non-accidental trauma. This case depicts a classic metaphyseal lesion sustained du...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-019-04490-6
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:A technique for reinsertion of an inadvertently removed tunneled central venous catheter is presented. A 6-year-old boy with short-gut syndrome caused by necrotizing enterocolitis accidentally removed his tunneled central venous catheter. MATERIALS AND METHODS:The existing subcutaneous catheter tract was re...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050724
更新日期:1999-12-01 00:00:00
abstract::Gastrointestinal tract duplications are relatively uncommon in the paediatric age group. This is a report of an infant who had a tubular duplication of the jejunum which extended into the thoracic cavity via the aortic hiatus of the diaphragm. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02015363
更新日期:1992-01-01 00:00:00
abstract::An otherwise healthy 11-month-old boy presented with bilateral abdominal masses. Imaging findings, differential diagnosis, histological findings, and pertinent discussion are presented. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050197
更新日期:1997-07-01 00:00:00
abstract::One case of hemorrhage in the cavum septi pellucidi (CSP) is presented. This unusual location of intracranial hemorrhage was demonstrated by cranial sonography in a premature neonate. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02386822
更新日期:1986-01-01 00:00:00
abstract::Malignant metastasis to the breast, rare in adults, has occurred in children from hematologic malignancies and from neuroblastoma and rhabdomyosarcoma. We report a case of bilateral breast metastases in a 14-year-old girl with a prior nephrectomy for renal cell carcinoma; the breast masses were the first sign of recur...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050111
更新日期:1997-03-01 00:00:00