Development of motor planning for dexterity tasks in trisomy 21.

We examined the macroscopic aspects of motor planning in two manual dexterity tasks, comparing children, adolescents, and young adults with trisomy 21 (T21) with typically developing controls from a developmental perspective. We analyzed the order in which objects were picked up from a table during two manual tasks of the Movement Assessment Battery for Children (M-ABC). Participants with T21 were always slower than controls.

Specific grasp characteristics of children with trisomy 21.

Children with trisomy 21 display atypical manual skills that change to some extent during development. We examined grasp characteristics and their development in 35 children with trisomy 21, aged 4-18 years, who performed simple manual tasks (two manual tasks of the Movement Assessment Battery for Children, and grasping of five wooden blocks whose size was determined by their hand size). The age-matched comparison group included 35 typically developing children.

Laterality in persons with intellectual disability II. Hand, foot, ear, and eye laterality in persons with Trisomy 21 and Williams-Beuren syndrome.

Laterality (hand, foot, ear, and eye) was assessed in participants with Trisomy 21 (62) and Williams-Beuren syndrome (WBS) (39). Handedness was also assessed in a card reaching task. The comparison group included 184 typically developing persons.

Early EUS of the bile duct before endoscopic sphincterotomy for acute biliary pancreatitis.

Background: Endoscopic sphincterotomy can benefit patients with suspected biliary pancreatitis, although there are procedure-related complications. EUS can be used to select patients for endoscopic sphincterotomy. The results of this strategy were assessed.

[Preoperative diagnosis of a subacute perforation of a duodenal diverticulum].

Duodenal diverticula are very rarely complicated by perforation (less than 100 cases published) and it is unusual to diagnose the lesion prior to operation. This was possible, however, in a 71 year old patient admitted with a picture of cholecystopancreatitis explored by CT scan imaging and barium meal examination. Study of relevant documented data showed that apart from the progressive character, characterized by duodenocolic fistula, the diagnosis can be made in acute or subacute manifestations: previous knowledge of a diverticulum, air bubbles in paraduodenal region on straight abdominal image and urgent examination of transit using water soluble contrast medium.