Search

Authors report a paediatric patient with thoracic outlet syndrome (TOC) and complete cervical rib. The symptoms at the time of presentation result from pressure on either the subclavian vessels or the lower trunk of the brachial plexus. TOC is infrequent in young people and usually the symptomatology does'nt need a surgical approach. Some Authors affirm that there are necessary impulsive moments like growth, increased muscular mass and rib ossification, decreased elasticity of ligaments, vessels, muscles and nerves, for outcoming the clinical manifestations. Paediatric competention has risen until adolescent age and may be more frequent the observation of this syndrome that present problems of both diagnosis and management.

Neonatal stridor often relates with a serious respiratory distress. We report a case of stridor appeared in tenth day of life. In this case of double aortic arch the surgical intervention at 25 days had a favourable outcome. Three months later the child was completely asymptomatic. An early diagnosis allows a prompt surgical approach with a favourable outcome. We outline the diagnostic procedure in neonatal stridor.

We describe a case of superior mesenteric artery syndrome in a 12 years old girl. The patient had anorexia, emesis and weight loss. Rx-abdomen without and with contrast medium showed duodenum obstruction. The syndrome was associated with application of body cast.

A case of West's syndrome in a four months old child affected with aplasia cutis congenita is described. The Authors suggest the possibility of a link between the two diseases.

A case with spondylocostal dysostosis is reported. The Authors emphasize the different prognosis of the autosomal recessive form in comparison with the autosomal dominant one. The association between pericentric inversion of chromosome 9 and this dysplasia is discussed.