TAJ "boat mummy." VALURA "yes sweetie you went on a boat, was daddy there with you?" TAJ "no, but monkey on boat" VALURA "well then sweetie, Daddy WAS there with you"
Teach tolerance, not competition.
Send food, not bombs.
TAJ "boat mummy." VALURA "yes sweetie you went on a boat, was daddy there with you?" TAJ "no, but monkey on boat" VALURA "well then sweetie, Daddy WAS there with you"
Laugh Often, Smile Much, Post lolcats Always
TAJ "boat mummy." VALURA "yes sweetie you went on a boat, was daddy there with you?" TAJ "no, but monkey on boat" VALURA "well then sweetie, Daddy WAS there with you"
Laugh Often, Smile Much, Post lolcats Always
TAJ "boat mummy." VALURA "yes sweetie you went on a boat, was daddy there with you?" TAJ "no, but monkey on boat" VALURA "well then sweetie, Daddy WAS there with you"
Teach tolerance, not competition.
Send food, not bombs.
-Mike
Certified Mad Doctor and HoP High Priest of Nutella
A buckuht n a hooze! -Valura
TAJ "boat mummy." VALURA "yes sweetie you went on a boat, was daddy there with you?" TAJ "no, but monkey on boat" VALURA "well then sweetie, Daddy WAS there with you"
*:...one day all the fairy fridges will be aligned and my pixie world will be complete...:*
-Mike
Certified Mad Doctor and HoP High Priest of Nutella
A buckuht n a hooze! -Valura
TAJ "boat mummy." VALURA "yes sweetie you went on a boat, was daddy there with you?" TAJ "no, but monkey on boat" VALURA "well then sweetie, Daddy WAS there with you"
Laugh Often, Smile Much, Post lolcats Always
-Mike
Certified Mad Doctor and HoP High Priest of Nutella
A buckuht n a hooze! -Valura
TAJ "boat mummy." VALURA "yes sweetie you went on a boat, was daddy there with you?" TAJ "no, but monkey on boat" VALURA "well then sweetie, Daddy WAS there with you"
TAJ "boat mummy." VALURA "yes sweetie you went on a boat, was daddy there with you?" TAJ "no, but monkey on boat" VALURA "well then sweetie, Daddy WAS there with you"
quote:From Behrman: Nelson Textbook of Pediatrics, 16th ed
Chiari II malformations (sometimes called Arnold-Chiari malformations) are characterized by caudal elongation of the cerebellum and lower brain stem through the foramen magnum. Open spinal dysraphism (myelomeningocele) and hydrocephalus are almost always present. Brain stem dysfunction may develop secondary to intrinsic malformation or compression of neural structures at the C1 level. Other brain anomalies are common, in particular, anomalies of the corpus callosum and gray matter heterotopia. Treatment is surgical and aimed at repair of the myelomeningocele, relief of hydrocephalus, and occasionally, cervical bony decompression. The prognosis is dependent on the level (better for sacral, worse for thoracic) and extent of the myelomeningocele and on the severity of associated brain anomalies.
quote:Everybody get that?
Chiari malformation consists of two major subgroups, Type I typically produces symptoms during adolescence or adult life and is usually not associated with hydrocephalus. Patients complain of recurrent headache, neck pain, urinary frequency, and progressive lower extremity spasticity. The deformity consists of displacement of the cerebellar tonsils into the cervical canal. Although the pathogenesis is unknown, the prevailing theory suggests that obstruction of the caudal portion of the fourth ventricle during fetal development is responsible. The type II Chiari malformation is characterized by progressive hydrocephalus and a myelomeningocele. This lesion represents an anomaly of the hindbrain, probably due to a failure of pontine flexure during embryogenesis, and results in elongation of the fourth ventricle and kinking of the brain stem, with displacement of the inferior vermis, pons, and medulla into the cervical canal (Fig. 601-6) . Approximately 10% of type II malformations produce symptoms during infancy consisting of stridor, weak cry, and apnea, which may be relieved by shunting or by posterior fossa decompression. A more indolent form consists of abnormalities of gait, spasticity, and increasing incoordination during childhood. Plain skull radiographs show a small posterior fossa and a widened cervical canal. CT scanning with contrast and MRI display the cerebellar tonsils protruding downward into the cervical canal and the hindbrain abnormalities. The anomaly is treated by surgical decompression.
-Mike
Certified Mad Doctor and HoP High Priest of Nutella
A buckuht n a hooze! -Valura
TAJ "boat mummy." VALURA "yes sweetie you went on a boat, was daddy there with you?" TAJ "no, but monkey on boat" VALURA "well then sweetie, Daddy WAS there with you"
Laugh Often, Smile Much, Post lolcats Always
TAJ "boat mummy." VALURA "yes sweetie you went on a boat, was daddy there with you?" TAJ "no, but monkey on boat" VALURA "well then sweetie, Daddy WAS there with you"
-Mike
Certified Mad Doctor and HoP High Priest of Nutella
A buckuht n a hooze! -Valura
TAJ "boat mummy." VALURA "yes sweetie you went on a boat, was daddy there with you?" TAJ "no, but monkey on boat" VALURA "well then sweetie, Daddy WAS there with you"
quote:Because you got given what some might consider a horrible disease, a life-long handicap.
Originally posted by Valura:
Why for you wow at me MikeGee?
-Mike
Certified Mad Doctor and HoP High Priest of Nutella
A buckuht n a hooze! -Valura
TAJ "boat mummy." VALURA "yes sweetie you went on a boat, was daddy there with you?" TAJ "no, but monkey on boat" VALURA "well then sweetie, Daddy WAS there with you"
Laugh Often, Smile Much, Post lolcats Always
Teach tolerance, not competition.
Send food, not bombs.
TAJ "boat mummy." VALURA "yes sweetie you went on a boat, was daddy there with you?" TAJ "no, but monkey on boat" VALURA "well then sweetie, Daddy WAS there with you"
You. Its whats for dinner!
As time passes, you realise all the mistakes you amde and the ones you wish you never did make.
The wave crashing on the beach
-Mike
Certified Mad Doctor and HoP High Priest of Nutella
A buckuht n a hooze! -Valura