Congenital adrenal hyperplasia. Report of a case with neurological complications

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A controlled trial of baclofen in children with cerebral palsy

A double-blind crossover trial against placebo was conducted to assess the effects of the GABA derivative, baclofen, on the disabilities due to muscle spasticity in twenty children suffering from cerebral palsy. Baclofen performed very significantly better than placebo in reducing spasticity and significantly better than placebo in allowing both active and passive limb movements to be carried out. Notable improvement was also seen in scissoring. Side-effects were minimal and responded promptly to dose reduction. The evaluation of drug effects on muscle spasticity and the pharmacodynamics of baclofen are discussed. Recommendations are made regarding dosage of baclogen in childhood.

Pulmonary resection in cystic fibrosis. Results in 23 cases, 1957-1970

The results of pulmonary resection in 23 patients with cystic fibrosis are described. Before surgery, patients were classified into three groups on clinical and radiological grounds, those in whom (A) a good prognosis was expected after surgery, (B) surgery was considered palliative but it was hoped to improve general health and to reduce symptoms, (C) surgery might be immediately life saving. Preoperative and postoperative management is described, and the results are reviewed one year after operation and at the present time. It is concluded that pulmonary resection has a place in the management of cystic fibrosis: it may result in clearing of staphylococci from sputum and pharynx, with lessening of the generalized bronchial changes seen on chest x-ray. Careful selection is essential and surveillance must be continued after operation. Immediate postoperative complications may lead to an increase of localized disease. The ability of the parents or child to accept long-term supervision and medical management is a big factor in success.

Cardiofacial syndrome

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