NO TO HATTATSU
Online ISSN : 1884-7668
Print ISSN : 0029-0831
ISSN-L : 0029-0831
Volume 30, Issue 1
Displaying 1-15 of 15 articles from this issue
  • [in Japanese]
    1998 Volume 30 Issue 1 Pages 2
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese], [in Japanese]
    1998 Volume 30 Issue 1 Pages 3-14
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
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  • A Questionnaire Survey of School Nursing Teachers
    Miki Nishikawa, Takashi Ichiyama, Takashi Hayashi, Susumu Furukawa
    1998 Volume 30 Issue 1 Pages 15-19
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    We obtained informations by means of questionnaires concerning swimming lessons for school children with epilepsy, which were sent to 391 school nursing teachers in Yamaguchi Prefecture. We obtained completed questionnaires from 278 of the 391 nursing teachers (71%).
    The percentage of 24.5% of the nursing teachers said that they made limitations to the attendance of swimming lessons. More than 20% answered that limitations were necessary for school children even if their attending physicians had permitted them to join the lessons. We suggest that the nursing teachers had more than a few misconceptions regarding epilepsy. For the comprehensive management of epilepsy, it is necessary for medical staffs to cooperate with nursing teachers.
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  • Keiko Koterazawa, Kayoko Shimogaki, Makoto Nabetani, Hiroyoshi Miyata, ...
    1998 Volume 30 Issue 1 Pages 20-23
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    Twin delivery is associated with an increased risk of cerebral palsy (CP). We studied the incidence of CP in twins compared with singletons born from 1989 to 1994 at the district of Himeji Central Public Health Center. The incidence of CP was 1.9% in twins 12.7 times as high as that in singletons (0.15%), and was paticularly high in monozygotic twins.
    Since circulatory changes specific for twin pregnancies may cause brain damage, careful obstetric management is recommended for monozygotic twins.
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  • Kayoko Shimogaki, Keiko Koterazawa, Makoto Nabetani, Hiroyoshi Miyata, ...
    1998 Volume 30 Issue 1 Pages 24-28
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    We have studied the clinical features and neurological sequelae in 39 cases of cerebral palsy resulting from 30 twin births. Twenty-four births (80%) occurred before 37 weeks of gestation. Among 30 twin pairs, co-twin with intrauterine death in 7 pairs, both patients showed neurological sequelae in 9 pairs and one of the twins developed cerebral palsy in 14 pairs.
    In 34 of the 39 cases, abnormal findings were revealed by MRI and/or CT. Periventricular leukomalacia was observed in 19 cases (55.9%), comprising 79.2% of the 24 preterm babies. The clinical features and MRI findings were variable among the term cases. These findings suggest that the pathogenesis of cerebral palsy is different between preterm and term cases.
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  • I. Topographic Analysis of Somatosensory Event-Related Potentials
    Kazuo Hatakeyama, Masao Aihara, Yuhko Kamiya, Chikako Shimoda, Hideaki ...
    1998 Volume 30 Issue 1 Pages 30-37
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    We studied the topography of somatosensory event-related potentials (SERP) in two different attentive conditions: passive and active. Seventeen healthy right- handed young men, aged 19 to 28 years old (average age; 22.9 years), were requested to perform the following four paradigms in turn. In the passive attentive paradigm, participants were given no specific task when 0.3 Hz electrical stimuli were at random delivered to the right median nerve. In the active attentive paradigm, subjects were required to direct their attention to the regular 0.3 Hz stimuli with all their might. In the control paradigm, 2.0 Hz stimuli were delivered as they listened to their favorite music. Finally, in the oddball paradigm, subjects were instructed to push a button whenever they detected rare stimuli. SERP was recorded at 13 electrodes. Grand average topographic amplitude maps from the individual data of the seventeen subjects were made at the latencies of N 60, P 90, N 130 and P 250 for each of the four paradigms.
    The topographic maps of P 250, the largest positive peak between 200 and 300msec after the stimuli, showed a significant difference in the distribution of amplitude in the passive and active attentive paradigms compared to the control paradigm. A statistically significant enhancement was noted at the central region in the passive attention, and at the central and frontal regions in the active attention.
    These results suggest that P 250 consists of two attentive components distinct from selective or discriminative attention. The enhanced positivity at the frontal region during active attention may be associated with expecting the next stimulus and maintaining awareness.
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  • II. Developmental Changes of Somatosensory Event-Related Potentials in Different Attentive Paradigms
    Kazuo Hatakeyama, Masao Aihara, Yuhko Kamiya, Chikako Shimoda, Hideaki ...
    1998 Volume 30 Issue 1 Pages 38-45
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    By somatosensory event-related potentials (SERP) we have previously demonstrated in adults that an enhanced positivity of P 250 is statistically significant at the frontal region during the active attentivestate. We have also evaluated developmental changes of P 250 during different attentive states: passive and active. In this study, 30 healthy children (5-16 years of age) and six healthy adults (23-41 years) were required to perform the following four paradigms: passive attentive, active attentive, control, and oddball. SERP were recorded at Fz, Cz and Pz.
    In the passive attentive paradigm, P250 amplitude at Fz, Cz and Pz remained constant irrespective of age. With regard to the topography of the amplitude, however, P 250 was distributed dominantly at Pz in Group 1 (5-6 years of age) and Group 2 (7-11 years), contrary to the dominance at Cz in both Group 3 (12-16 years) and adults. In the active attentive paradigm, on the other hand, the P 250 amplitude at Fz reached its minimum at about 10 years and then increased until the adulthood. With respect to the topography of the amplitude, P 250 was distributed dominantly at Pz in Groups 1 and 2, at Cz in Group 3, and at Fz and Cz in adults.
    These results suggest that the topographic changes in the active attentive paradigm are dependent upon the developing abilities to expect the next stimulus and to maintain awareness.
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  • Diseases in Sapporo City General Hospital from 1985 to 1996
    Akashi Ishikawa
    1998 Volume 30 Issue 1 Pages 47-50
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    The author reported 42 fatal pediatric cases with neurological diseases in Sapporo City General Hospital from 1985 to 1996. They comprised 58% of all fatal patients. The numbers of patients with chronic and acute diseases were 32 (76%) and 10 (24%) respectively. Twenty-three patients, 55% of the cases studied, had severe mental and motor retardation. Eleven patients died of respiratory failure. Unexpected sudden death occurred in five of them. The clinical importance of the deaths of patients with neurological diseases should be appreciated.
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  • Naoko Sugiyama, Hideo Sugie, Yoshio Igarashi, Masataka Ito, Tokiko Fuk ...
    1998 Volume 30 Issue 1 Pages 51-55
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    Based upon the hypothesis that brain monoamine metabolism is disorganized in some children with an autistic disorder, we tried low dose levodopa therapy (0.5 mg/ kg/ day) proposed by Segawa, et al. We treated 20 patients with an autistic disorder diagnosed according to DSM-IV, and evaluated the effectiveness. A double blind cross over method was applied in this study because of the small number of patients. Drug effects were observed carefully by the psychologists and pediatric neurologists using an evaluation sheet consisting of twenty items. No significant effectiveness was observed in this study, although four cases (20%) showed some improvement. In conclusion, administration of low dose levodopa to autistic children resulted in no clear clinical improvements of autistic symptoms.
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  • Yasuyuki Futagi, Yasuhiro Suzuki, Megumi Goto
    1998 Volume 30 Issue 1 Pages 56-60
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    We evaluated the neurologic outcomes of 107 infants with birth weights of less than 1, 000g who had been admitted to our hospital from October 1981 to March 1986. Their outcomes were confirmed during a follow-up period of 2.0-3.9 years (mean: 7.5 years). The diagnoses were normal in 71, cerebral palsy in 13, mental retardation in 11, borderline intelligence in 11, and spinal palsy due to birth injury in 1. Only 3 infants with cerebral palsy had developed epilepsy. Among the infants with birth weights of less than 1, 000g hospitalized in this tertiary care center, about one-third still had some major or minor neurologic abnormalities.
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  • Masaharu Hayashi, Kazuko Maruki, Kiyo Maruki
    1998 Volume 30 Issue 1 Pages 61-64
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    We report a 25-year-old male with multiple pterygium syndrome (Escobar) complicated with a horseshoe kidney. He had clinical characteristics of Escobar syndrome, including palpebral ptosis, auricular anomalies, pterygia with contracture of the elbow and knee joints, syndactyly and polydactyly of the feet, and growth failure. Renal scintigraphy and abdominal MRI and CT demonstrated a horseshoe kidney, which was thought to be an incidental association. He had no auditory brainstem response, but he could respond to sounds of low-frequency and the voices of familiar persons. Neither brain MRI and CT nor SPECT demonstrated any abnormalities. Further neurophysiological and neuroradiological studies are necessary to elucidate neurological deficits in this syndrome.
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  • Miyabi Tanaka, Seiji Kimura, Atsuo Nezu, Noriyuki Ohtsuki, Saoko Takes ...
    1998 Volume 30 Issue 1 Pages 65-68
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    We report two cases with exanthem subitum in which hemiparesis developed during the acute infectious phase. Magnetic resonance imaging (MRI) demonstrated a cerebral ischemic infarct in the territory of the right lenticulostriate artery in one patient. Along the right temporal and parieto-occipital cortex of the other patient, there were high-signal-intensity lesions on T2-weighted images, which showed marked enhancement by gadolinium on T1 weighted images. These findings suggested that the brain lesions were caused by vasculopathy that accompanied human herpes virus-6 infection.
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  • Ayami Ohtagaki, Yukinori Maeoka, Madoka Shiota, Tatsuya Koeda
    1998 Volume 30 Issue 1 Pages 69-74
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    We reported a learning-disabled boy, 7-year-old and right handedness, who was similar to developmental Gerstmann syndrome. Dyscalcuria, right-left disorientation, dysgraphia and finger agnosia were correlated with his sequential disorder which was clearly presented by Kaufman Assessment Battery for Children. In this case, a small infarcted lesion was found in the white matter near the left semioval center on MRI. Hypoperfusion of left parietal lobe was also detected by SPECT. The hemisphere dominant in language was assumed to be on the left side by dichotic listening test. We suggested that left parietal lesion was associated with his higher cortical dysfunction.
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  • Report of Two Cases
    Megumu Tojo
    1998 Volume 30 Issue 1 Pages 75-79
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    A new physical therapy, Ueda method (UM), were performed on two patients with severe motor and intellectual disabilities syndrome and spastic cerebral palsy (CP). The period of the UM therapy was 5 days in one case with spastic CP and 10 days in another case with rigo-spastic CP. They showed the remarkable reduction of abnormal muscle tone and interesting phenomena such as postural changes of extremities and changes of some primitive reflexes.
    First, peculiar postures of treated extremities appeared on the first day of the UM therapy, associated with the reducing muscle tone of extremities only in the treated side. One case showed immediate change of the posture of treated upper extremity from internal to external rotation of the shoulder joint. Another case disclosed immediate appearance of internal rotation of the hip joint of the treated lower extremity and scissoring posture of legs. These phenomena were transient and disappeared under the UM treatment.
    Secondly, interesting phenomena in some primitive reflexes were observed after the beginning of the UM therapy. Moro reflex was elicited only in the treated upper extremity, which could not be obtained by stimuli before the UM therapy. After the UM therapy on bilateral arms, Moro reflex appeared bilaterally in two cases. On the other hand, the degree of asymmetrical tonic neck reflex (ATNR) in one case with spastic CP reduced on 5th days under the UM therapy. In another case with rigo-spastic CP automatic walking disappeared on 3rd days after the UM therapy and ATNR appeared.
    The first phenomena could be due to imbalances of the reduced muscle tones by the UM therapy. Second phenomena could result from the interaction between the nervous systems of Moro reflex, ATNR and automatic walking and the nervous system owing to the abnormal muscle hypertone. Moro reflex might be supressed by abnormal muscle hypertone. The disappearance of some primitive reflexes might not depend on the maturation of the central snervous system.
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  • [in Japanese], [in Japanese]
    1998 Volume 30 Issue 1 Pages 80-82
    Published: January 01, 1998
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
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