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[Guest guest]

Hey Deshea

I think its definatly something you should be aware of. When Dylan

was casted the second time a year ago he vomiting problems. He had a

IV for 22 hours and I had to cut the cast off. This cast had no

cutouts basically a tube top from his hips to underarms.

Dylans 1st cast in SLC we had the the same problem. Dylan was casted

on tuesday and he was sick until thursday and still on IV. Dr.

D'Astous told me thursday morning that by lunch if Dylan dose'nt

tolerate the cast he would remove it.

On thursday Dylan had bowel movements like three in a row and then

he was fine. So I think the two are related maybe the pressure from

the cast on the intestine and bladderand just blocking everything up

causeing constipation. I think that was our problem in SLC because we

had the necessary cutouts. Dylan did great in that cast for 10 weeks.

The cast here was just on way to tight and was NOT a GOOD thing to

have happen. That was Dylans second cast and the last time we had a

cast with no cutouts.

This cast he has now we have had no problems but its only been a week.

Darrell

Dylans

>

> sandi,

>

> i have never heard on the cast group of any other children

developing cast syndrome, and monique herself said she is not

entirely sure that nathan had it. with the proper cutouts, it seems

as if his symptoms went away. does nathan also have a heart

condition -- i could be confusing him with someone else.

>

> quick google:

>

> Cast Syndrome

>

> - Discussion:

> - cast syndrome results from obstruction of third portion of

the duodenum by

> superior mesenteric artery leading to high intestinal

obstruction;

> - in the past, it occurred most often following Harrington rod

instrumentation for scoliosis

> which was followed by application of a body cast;

>

> - Clinical Findings:

> - typical presentation: is abdominal pain, distension and

vomiting following application of a spica cast;

>

> - Treatment:

> - treatment consists of NG tube suction and IV fluid for 3 to 4

days;

> - occassionally these symptoms are intractable and require

surgery consisting of a side to

> side duodenojejunostomy;

>

> more interesting discussion:

> http://www.hawaii.edu/medicine/pediatrics/pemxray/v5c16.html

>

> more technical:

> http://www.emedicine.com/ped/topic2175.htm

>

> i do not believe we were ever told of the risk of cast syndrome

since this is supposed to be a gentle correction of the curve. the

risk that always was put forth was that of anaesthesia. very, very

minor.

>

> hope that helps,

> deshea

>

>

______________________________________________________________________

_________

> mom to lucas (6 yrs old) and ruby (3 yrs old and a handful!)

> north of boston, ma

>

> lucas was diagnosed with infantile scoliosis at 18 mos 68o/45o

> spinal detethering due to a tight/fatty filum at 22 mos

> tlso and charleston brace from 18 mos to 2 1/2 yrs old at

children's boston, ma

> serial plaster casting from 2 1/2 until 4 1/2 yrs old at shriners

in erie, pa

> now in a spinecor brace at 24o/18o from montreal.

>