RESUMO
OBJECTIVE: To make a description of the anatomy of fontanelles and to update what is currently known about their applications. METHOD: 7 cadaveric heads, 2 dry skulls and 2 frontal bones of foetus were used, and 48 anterior fontanelles from paediatric patients with or without associated pathology were examined. Surgical cases and neurosonography were also used. All the structures were measured and subsequently analysed. RESULTS: The size, structure and limits of the fontanelles were evidenced in the cadaveric head and skulls, as well as the evaluation of paediatric patients and the size of their fontanelles in different pathologies. CONCLUSION: Owing to their anatomical characteristics, fontanelles are a true window to the inside of the skull, which determines their multiple clinical and surgical applications.
Assuntos
Fontanelas Cranianas/anatomia & histologia , Cadáver , Criança , Feminino , Feto/anatomia & histologia , Osso Frontal/anatomia & histologia , Idade Gestacional , Humanos , GravidezRESUMO
In order to determine the occurrence of psychological disturbances the authors studied 47 women who fulfilled the American College of Rheumatology Criteria for the classification of fibromyalgia and 25 random selected control patients without chronic muscle pain, all of whom live in Sorocaba, SP, Brazil. Personality disturbances were observable in 63.8% of the patients and 8.0% of the control group (p < 0.05); depression in 80.0% of the fibromyalgia group and 12.0% of the controls (p < 0.05) and anxiety in 63.8% of the patients and 16.0% of the controls (p < 0.05). The Hamilton test mean scores showed higher values for depression and anxiety among the fibromyalgia patients when compared to the control group. A significant association between fibromyalgia and depression, anxiety and personality disturbances was studied and recorded.