タイトル無し
スポンサーリンク
概要
- 論文の詳細を見る
Serial cranial computed tomography (CCT) was studied in 20 children with acute infantile hemiplegia. These children were devided into two groups: hemiplegia following fever, hemiconvulsion and unconsiousness (the convulsive group) and hemiplegia without convulsion (the non-convulsive group). There were 15 cases in the convulsive group and 5 cases in the non-convulsive group. Two cases in the convulsive group developed episodes during purulent meningitis. As underlying diseases, a case of tuberous sclerosis, a case of osteogenesis imperfecta and a case of febrile convulsion were found in the convulsive group, and a case of cyanotic heart disease in the non-convulsive group. The others were normal until the illness.<BR>Results<BR>1) Acute phase<BR>We could investigate the CCT immediately after the onset in 6 convulsive cases and 3 non-convulsive cases, but the immediate CCT revealed no abnormalities in both groups. Within several days after the onset the abnormally low density area appeared on the CCT in both groups. In three cases there were abnormally high density areas complicationg these abnormalities. We divided those low density and high density areas into five types I. hemispheric low density area type, II. lobar low density area type (dominantly in the temporal area), III. small or lacunar low density area type, N. hemorrhagic infarction type and V. normal.<BR>I. II. III. IV. V.<BR>Convulsive group 7 4 0 1 3<BR>Non-convulsive group 0 0 3 2 0<BR>2) Recovery phase<BR>Over more than a month, the hemispheric low density area changed into the hemispheric atrophy and the lobar low density area changed into the focal wedge-shaped atrophy or diminished. The small or lacunar low density area changed into the low density spot and the hemorrhagic infarction into the porencephaly.<BR>3) Angiographic abnormalities<BR>The occlusion of the internal carotid artery were found in two non-convulsive cases and the stenosis of the internal carotid artery in a convulsive case with purulent meningitis.
- 一般社団法人 日本小児神経学会の論文
一般社団法人 日本小児神経学会 | 論文
- Levetiracetamが著効したSTXBP1遺伝子変異による大田原症候群の1例
- Cyclophosphamideが著効した抗NMDA受容体抗体脳炎の8歳男児例
- 重症心身障害医療からみた小児脳死に関する私見
- 幼児期発症の難治な多発性硬化症に対しcyclophosphamideパルス療法が有効であった1例
- Duchenne型筋ジストロフィー児への病気の説明に関する調査