Imagiologia crânio-encefálica nas crianças com baixa estatura.
To analyse the type and frequency of cranial CT and NMR imaging anomalies in children of short stature. Patients and Interventions: We studied 57 children of short stature with a mean age (+/-SD) of 10.1 +/- 3.8 years, 34 boys and 23 girls, all of them with auxometric criteria of GH deficiency. Afte...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ordem dos Médicos
1997-05-01
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| Series: | Acta Médica Portuguesa |
| Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2431 |
| _version_ | 1811242464965558272 |
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| author | L Barros C Ribeiro M Bastos D Rodrigues C Moura E Geraldes M Carvalheiro S Fernandes M M Ruas |
| author_facet | L Barros C Ribeiro M Bastos D Rodrigues C Moura E Geraldes M Carvalheiro S Fernandes M M Ruas |
| author_sort | L Barros |
| collection | DOAJ |
| description | To analyse the type and frequency of cranial CT and NMR imaging anomalies in children of short stature. Patients and Interventions: We studied 57 children of short stature with a mean age (+/-SD) of 10.1 +/- 3.8 years, 34 boys and 23 girls, all of them with auxometric criteria of GH deficiency. After studying the pituitary function and determination of karyotype in the girls, the children were classified in to five groups:-Isolated GHD (IGHD) (n = 32), multiple pituitary hormone deficiency (MPHD) (n = 6), neurosecretory dysfunction (NSD) (n = 8), Turner syndrome (n = 7) and idiopathic short stature (ISS) (n = 4). The imaging methods used were cranial CT or NMR.Of the 57 children studied the CT/NMR was abnormal in 37(64.9%) children. We found anomalies in 65.6% of IGHD patients, 62.5% of NSD patients, 100% of MPHD patients and 57.1% and 25% in the Turner s. patients and ISS patients respectively. The most frequent anomaly was hypoplastic pituitary found in 50% of IGHD patients, 37.5% of NSD patients and 33.3% of MPHD patients. None of the cases of Turner s. or ISS had hypoplastic pituitary. An empty sella was the second most frequent anomaly found in 7 patients (IGHD-3, MPHD-3, DNS-1). Of the 25 children in which NMR was performed, 8 had hypoplastic pituitary and stalk and 2 had interruption of the pituitary stalk and ectopic neurohypophysis.These results strengthen the necessity for CT/NMR imaging in children of short stature which, besides allowing identification of tumors, also permits the diagnosis of idiopathic GHD because of its frequent association with cranial imaging anomalies, mainly hypoplastic pituitary. |
| first_indexed | 2024-04-12T13:51:41Z |
| format | Article |
| id | doaj.art-f6d00328a7cd4df8b84b09b08c508a0d |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-12T13:51:41Z |
| publishDate | 1997-05-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-f6d00328a7cd4df8b84b09b08c508a0d2022-12-22T03:30:30ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07581997-05-0110510.20344/amp.2431Imagiologia crânio-encefálica nas crianças com baixa estatura.L Barros0C RibeiroM BastosD RodriguesC MouraE GeraldesM CarvalheiroS FernandesM M RuasDepartamento de Neuroradiologia, Hospitais da Universidade de Coimbra.To analyse the type and frequency of cranial CT and NMR imaging anomalies in children of short stature. Patients and Interventions: We studied 57 children of short stature with a mean age (+/-SD) of 10.1 +/- 3.8 years, 34 boys and 23 girls, all of them with auxometric criteria of GH deficiency. After studying the pituitary function and determination of karyotype in the girls, the children were classified in to five groups:-Isolated GHD (IGHD) (n = 32), multiple pituitary hormone deficiency (MPHD) (n = 6), neurosecretory dysfunction (NSD) (n = 8), Turner syndrome (n = 7) and idiopathic short stature (ISS) (n = 4). The imaging methods used were cranial CT or NMR.Of the 57 children studied the CT/NMR was abnormal in 37(64.9%) children. We found anomalies in 65.6% of IGHD patients, 62.5% of NSD patients, 100% of MPHD patients and 57.1% and 25% in the Turner s. patients and ISS patients respectively. The most frequent anomaly was hypoplastic pituitary found in 50% of IGHD patients, 37.5% of NSD patients and 33.3% of MPHD patients. None of the cases of Turner s. or ISS had hypoplastic pituitary. An empty sella was the second most frequent anomaly found in 7 patients (IGHD-3, MPHD-3, DNS-1). Of the 25 children in which NMR was performed, 8 had hypoplastic pituitary and stalk and 2 had interruption of the pituitary stalk and ectopic neurohypophysis.These results strengthen the necessity for CT/NMR imaging in children of short stature which, besides allowing identification of tumors, also permits the diagnosis of idiopathic GHD because of its frequent association with cranial imaging anomalies, mainly hypoplastic pituitary.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2431 |
| spellingShingle | L Barros C Ribeiro M Bastos D Rodrigues C Moura E Geraldes M Carvalheiro S Fernandes M M Ruas Imagiologia crânio-encefálica nas crianças com baixa estatura. Acta Médica Portuguesa |
| title | Imagiologia crânio-encefálica nas crianças com baixa estatura. |
| title_full | Imagiologia crânio-encefálica nas crianças com baixa estatura. |
| title_fullStr | Imagiologia crânio-encefálica nas crianças com baixa estatura. |
| title_full_unstemmed | Imagiologia crânio-encefálica nas crianças com baixa estatura. |
| title_short | Imagiologia crânio-encefálica nas crianças com baixa estatura. |
| title_sort | imagiologia cranio encefalica nas criancas com baixa estatura |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2431 |
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