NO TO HATTATSU
Online ISSN : 1884-7668
Print ISSN : 0029-0831
ISSN-L : 0029-0831
Volume 27, Issue 5
Displaying 1-13 of 13 articles from this issue
  • [in Japanese]
    1995 Volume 27 Issue 5 Pages 354
    Published: September 01, 1995
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
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  • Megumu Tojo
    1995 Volume 27 Issue 5 Pages 355-362
    Published: September 01, 1995
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    Recenetly the usage of diazepam as an anticonvulsant has been reduced. But, in this report, the effect of diazepam in the treatment of infantile spasms and intractable epilepsies were reported. Single high-dose oral administration of diazepam at bedtime was tried to the patients with intractable seizures. There were good responses to the therapy of partial seizures and infantile spasms basically escaping from hypsarhythmia. The therapeutic range of blood concentration was not decided, but probably the following values are necessary; over 200ng/ml for partial seizures and over 300ng/ml for infantile spasms 2 hours after the administration. Plasma level of diazepam during the daytime was very low, but the seizures were controlled sufficiently.
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  • Kazuko Iwayama, Mariko Eishima
    1995 Volume 27 Issue 5 Pages 363-369
    Published: September 01, 1995
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    The sucking behavior of infants was analyzed by taking pictures using a fiberscope. The pictures were taken from inside an artificial nipple when a baby was sucking. The recording was carried out on babies of between 38 and 40 weeks gestational age. The subjects were 20 normal full term infants and 20 low-risk preterm infants.
    Individual differences were found, but it was possible to abstract the common components of the sucking behavior. The main components studied were the degree of adhesiveness of the lips to the breast for forming an airtight closure, the degree to which the tongue wraps the nipple, the width of the peristaltic tongue movements, and 6 other components.
    Each component was measured on a 3 point scale, where 1 is poor, 2 is good and 3 is excellent. The total score for each subject was determined by adding the scores for all nine components. The overall score for each infant indicates a level of individual sucking behavior.
    After the scale was compiled, the level of the sucking behavior of normal full term infants and that of low-risk preterm infants were assessed. The result showed significant discrepancies between the two groups. Low-risk preterm infants had lower overall scores than normal full term infants, and this difference was seen in all nine components.
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  • Masaki Hasui, Kazuya Honke, Nobuhiko Takano, Seiichi Okumura, Katsumi ...
    1995 Volume 27 Issue 5 Pages 370-375
    Published: September 01, 1995
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    We examined peripheral γ/δT cells in patients with severe neurologic impairment. The γ/δT cells in these patients significantly increased as compared with those in healthy adults (P<0.0001). These cells expressed the Vγ9/Vγ2 phenotype which was reported to proliferate by infections. When patients with severe neurologic impairment and patients with Duchenne muscular dystrophy (DMD) were divided into frequent and non-frequent infectious groups, the γ/δT cells increased significantly in the frequent infectious group of DMD (P<0.005), but not significantly in the frequent infectious group of patients with severe neurologic impairment. These results indicated that the γ/δT cells of patients with severe neurologic impairment increased in frequent infections and other factor (s).
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  • A comparison with CT and MRI Findings
    Yukiko Namba, Yoshihiro Maegaki, Yukinori Maeoka, Masaki Yoshimura, Sa ...
    1995 Volume 27 Issue 5 Pages 376-381
    Published: September 01, 1995
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    Seven patients with Fukuyama type congenital muscular dystrophy were studied. Low density areas (LDs) in the cerebral white matter on cranial CT were present in all 4 patients younger than 13 years of age and in 1 of 3 adult patients. LDs corresponded to low signals on T1 weighted MRI image and high signals on T2 weighted MRI image. The follow-up MRI showed a decreased tendency of the abnormal signals in 2 patients. Short somatosensory evoked potentials (SSEPs) in two infants, aged 4 months and 8 months, showed absent or depressed N1 amplitudes and delayed interpeak latencies from P3 to N1. N1 amplitudes increased on follow-up studies. SSEPs of five patients, who were older than 2 years of age, showed normal N1-P3 latencies. Amplitude of N1 was low in 2 patients with LD. Since the absent or depressed amplitude and delayed latency of N1 improved with the decrease of abnormal signals on MRI, we considered that N1 abnormalities show delayed myelination.
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  • Yuichi Takusa, Masatoshi Ito, Ayame Kobayashi, Hitoshi Sejima, Kazuko ...
    1995 Volume 27 Issue 5 Pages 383-387
    Published: September 01, 1995
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    A male infant with early infantile epileptic encephalopathy (EIEE) was reported. Tonic spasms in series appeared since 1 month after birth and EEG showed a typical suppression-burst pattern. The patient was treated with a high-dose pyridoxal phosphate and thyrotropin-releasing hormone (TRH), but seizures were not controlled. ACTH was administered and the seizures disappeared transiently. The seizures reapeared during tapering ACTH and apparent cerebral shrinkage followed the ACTH therapy. Then, the patient who evolved into West syndrome was treated with ketogenic diet. The seizures disappeared immediately and EEG findings were improved. It is suggested that the ketogenic diet should be tried early for the treatment of EIEE.
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  • Takehiko Okuno, Tsuyoshi Imai, Junko Muroi, Tohru Yorifuji, Ken Shimiz ...
    1995 Volume 27 Issue 5 Pages 388-394
    Published: September 01, 1995
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    A case of absence of the left internal carotid artery with epilepsy was reported. Only a few cases of absence of the internal carotid artery with epilepsy in childhood have been reported in Japan. A flow void image of the cavernous sinus portion of the left internal carotid artery was not obtained on MRI. MR angiography and digital subtraction angiography also did not reveal the left internal carotid artery. On thin slice, axial CT scanning of the skull base, the right carotid canal was normally observed, but the left carotid canal was hypoplastic. It was suggested that the epileptic focus was in the right hemisphere, judging from the fast waves dominant over the right hemisphere on ictal EEG, and the hyperperfusion in the right parietal and occipital lobes seen on 99mTc-HMPAO SPECT one hour after the seizure.
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  • Cognitive-Psychological and Neuropsychological Analysis
    Akira Uno, Makiko Kaga, Masumi Inagaki
    1995 Volume 27 Issue 5 Pages 395-400
    Published: September 01, 1995
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    We reported a learning-disabled child who demonstrated a specific disorder of Kanji writing. A righthanded 13-year-old boy had showed no abnormality in general intelligence (VIQ114 and PIQ 100 in WISCR), but could write only 35% of Kanji, which he should have learned six years before. It was necessary to develop a new test battery to detect the symptom which had not been detected usingcurrent existing test batteries. In cognitive-psychology, this patient had a retrieval disorder of graphic forms of Kanji. In addition, he showed a disorder in reproduction of complex graphic forms which he was asked to remember. Therefore, it is likely that he had a disorder for both Kanji and complex graphic forms, which is similar to the syndrome of pure agraphia of Kanji in adults.
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    1995 Volume 27 Issue 5 Pages 401-403
    Published: September 01, 1995
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
  • [in Japanese], [in Japanese]
    1995 Volume 27 Issue 5 Pages 403-405
    Published: September 01, 1995
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    1995 Volume 27 Issue 5 Pages 405-407
    Published: September 01, 1995
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    1995 Volume 27 Issue 5 Pages 407-409
    Published: September 01, 1995
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
  • [in Japanese]
    1995 Volume 27 Issue 5 Pages 412
    Published: September 01, 1995
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    Download PDF (154K)
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