Of Ministry of Healthcare of Russia
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Of Ministry of Healthcare of Russia





Video-EEG monitoring

Patient’s full name: Filimonchik Viktoriia Alekseevna; Sex: female; age: 1 year

Date of screening: July 07, 2016

Federal State publicly-funded institution “Federal clinical research center of Dmitriy Rogachev children’s hematology, oncology and immunology center”

Of Ministry of Healthcare of Russia

Video-EEG monitoring

Patient’s full name: Filimonchik Viktoriia Alekseevna; Sex: female; age: 1 year

Date of screening: July 07, 2016

Federal State publicly-funded institution “Federal clinical research center of Dmitriy Rogachev children’s hematology, oncology and immunology center”

Of Ministry of Healthcare of Russia

Video-EEG monitoring

Patient’s full name: Filimonchik Viktoriia Alekseevna; Sex: female; age: 1 year

Date of screening: July 07, 2016

Federal State publicly-funded institution “Federal clinical research center of Dmitriy Rogachev children’s hematology, oncology and immunology center”

Of Ministry of Healthcare of Russia

Video-EEG monitoring

Patient’s full name: Filimonchik Viktoriia Alekseevna; Sex: female; age: 1 year

Date of screening: July 07, 2016


Federal State publicly-funded institution “Federal clinical research center of Dmitriy Rogachev children’s hematology, oncology and immunology center”

Of Ministry of Healthcare of Russia

 

Date and time: July 07, 2016 03:00

 

Patient’s full name: Filimonchik Viktoriia Alekseevna

Patient’s ID: 41945

Date of birth/age: September 26, 2014 (21 months 1 week)

Medical records card No.: 2016/37953

Bronchoscopy

 

Instrument: Pentax(45)

Anesthesia:Combined

Trachea: Lingual tonsil is not enlarged. Vallecular sinuses are free. Pyriform sinuses are free. Larynx: arytenoid cartilages are not changed. Vocal cords are without abnormalities. Glottis is wide. Subglottic space is free. Tracheal lumen is not deformed, well-passed, at the C3 level of trachea is tracheostomy on frontal wall. Mucosa of trachea, main bronchi, lobar and segmented bronchi is pale-pink, smooth, vessel pattern is preserved. Slight serous drainage on lobar and segmented bronchi of both lungs is observed. Bronchial tree lumen is not deformed.

Cytology performed: no

Biopsy performed: no

Conclusion: installed tracheostomy

 

Doctor (endoscopy technician): I.V. Zakharov

Signature: /Signature/

 

Stamp: Polyclinic * Federal clinical research center of Dmitriy Rogachev children’s hematology, oncology and immunology center * Ministry of Healthcare of Russia * ID 1027739507212 * for certificates

 

Federal State publicly-funded institution “Federal clinical research center of Dmitriy Rogachev children’s hematology, oncology and immunology center”

Of Ministry of Healthcare of Russia

 

Neurologist

 

Date and time: July 04, 2016



Consultation of medical specialist, candidate of medical sciences

 

Medical records card No.:41945

Patient’s full name: Filimonchik Viktoriia Alekseevna

Age: 21 months 1 week

Date of birth: September 26, 2014

Place of residence: Yaroslavl oblast, town of Yaroslavl, ulitsa Uglichskaia Str., house 21, Apt. 14

 

Complains: of disordered motor activity of right limbs, swallowing difficulty (installed tracheostomy, nasogastric feeding).

Medical case history: surgical treatment of atypical teratoid rhabdoid tumor, currently metastases in spinal cord are present.

After surgery child has been receiving Carbamazepinum 100 mcg per day, also she was receiving valproic acid.

Conscious condition: communicative, answer on demand.

Psychomotor development: stands holding the support, walks with assistance.

Cranial nerves: pupils: shape – normal, width – S=D, reactive to light, convergence is preserved, palpebral fissures D<S, eyeglobes mobility is not limited, no strabismus, no nystagmus. Trigeminal spots palpation is painless. There is a paresis of mimic muscles on the right, swallowing difficulties. Bulbar palsy is present. Tongue deviation to the right is observed.

Muscular strength: decreased in right limbs to 3,5-4 points.

Muscular tonus: hypotonia

Hyperkinesis: none

Coordination test performed: picks up toys confidently.

In Romberg's position: static ataxia

Walking: with support hemiparetic

Sleeping disturbances: sleep is troubled

Examination plan: oncologist consultation

EEG during wakefulness

Treatment plan:continue administration of Carbamazepinum (finlepsin) 100 mcg per day

Hydroxyzinum (atarax) 0,025 as ¼ of a pill before bed, 1/8 of a pill twice daily in the morning/at noon.

Date of examination: July 04, 2016

Diagnosis:C7.1 Malignant neoplasm of brain stem

Clinical description: Right-sided hemiparesis, bulbar palsy. Installed tracheostomy.

 









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