The evaluation and treatment of patients with seizures and multiple handicaps are challenging. An orderly approach to these patients, however, can be especially rewarding. As in other patient populations, evaluation rests on the clinical cornerstones of history, examination, imaging, and electroencephalography. Several disease entities are overrepresented in the multiply handicapped population....

We report the case of a severely mentally handicapped 30-year-old woman with Sturge-Weber syndrome who developed obstructive sleep apnea syndrome (OSA) following esophageal aspiration of two foreign bodies, which were discovered incidentally during a neck CT scan. Initial polysomnography findings revealed significant OSA with an apnea-hypopnea index (AHI) of 40.8 events per hour. Repeat polysom...

Infanticide and the Handicapped Newborn contributes yet more timber to the blazing debate over decision making in the neonatal intensive care unit. Controversy still rages over Baby Doe, a boy born in April 1982, with Down's syndrome and a tracheo-esophageal fistula. His parents refused to allow intravenous feeding and corrective surgery. The baby died at six days of age, survived by such troub...

Detailed criticism of a book on the design of buildings for handicapped children which, if it becomes a reference book, could perpetuate some unfortunate misconceptions.

463 the editors have assembled chapters which discuss the epidemiology and pathology of viral infection, immunization, viruses and cancer, new and emerging viral diseases, antiviral therapy, and diagnostic methods, in addition to a number of chapters which catalogue the many viral diseases. The book is too short to be an authoritative text on such a broad topic; therefore, it is impossible not ...

The playgroup movement started 10 years ago as a "do-ityourself" nursery school in London. It has now mushroomed into a national organization named the Preschool Playgroup Association (P.P.A.) with a membership of over 7,000 groups. Each branch area has an organizer whose expenses are paid by the local groups, and centrally there are two national advisers who are paid from a Government grant. T...