All issues
Volume 7, Issue 4
Displaying 1-12 of 12 articles from this issue
- |<
- <
- 1
- >
- >|
-
Hirotaka KADOWAKI, Hirohisa IMANAGA, Koichi KITAMURA1975 Volume 7 Issue 4 Pages 256-262
Published: July 01, 1975
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESSBrain scintigraphy is a simple, innocuous and valuable diagnostic method. Particularly in child-ren, in order to minimize the damage by examina tion, brain scintigraphy shoud be the first exa-mination for the patients prior to other diagno-stic methods such as cerebral angiography and pneumoencephalograhy.
For the past 3 years, between Jan. 1970 and Dec. 1972, 235 children under the age of 15 years had brain scintigraphy with Tc-99 m pertechne-tate at the Tokyo Women's Medical College Hospital.
We especially attended to the findings of scinti-grams in children with hydrocephalus.
Children with non-neoplastic hydrocepalus scanned with Tc-99 m pertechnetate were 29 cases.
noncmmunicatinghydrocephalus; 9, hydroence-phalodysplasia ; 4, Chiari Arnoldmalformation; 1. craniumbifiqum; 2, communicatinghydroce-phalus ; 13
In noncommunicating hydrocephalus, the mid-line structure on the scintigram appeared thicker than the normal, because activity in the superior sagittal sinus was relatively high comparing to reduction of activity in the enlarged ventricles.
In cases of very severe hydrocephalus, the basal ganglia was shown as clear hot spot on the scintigram, becauseR.I. activity in the basal ganglia was relatively high comparing to reduc-tion of R. I. activity in the enlarged ventricles.
In cases of hydroencephalodysplasia, the mid-line structure on the scintigram shifted to the side opposite to the dysplasia, resulting from pressure with a large CSF collection.
In cases of cranium bifidum, the scintigram showed an elevation of the transverse sinus and confluent sinus.View full abstractDownload PDF (2278K) -
Tooru SEKI, Makoto HIROSE, Masanori KOJIMA, Mitsutoshi TSUCHIHASI1975 Volume 7 Issue 4 Pages 263-270
Published: July 01, 1975
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESSThis report was based on 45 cases of neurolo-gical complications associated with mumps infec-tion, which were observed at the Departments of Pediatrics of Keio University, Yokosuka Kyosai Hospital and Yokohama Municipal Hospital from January 1960 to December 1973.
These results were as follows.
1) The seasonal incidence was more frequent in the spring and summer.
2) The illness occurred most commonly be-tween the third and eighth years of ilfe.
3) The onset of neurological complications was most common between two days before and se-ven days after the appearance of salivary glan-dular enlargement.
4) Based on the clinical and laboratory findings, the complications were further diagnosed as asep-tic meningitis (33 cases, 73.3%), deafness (bilate-ral 2 cases, unilateral 1 case, 6.7%), encephalitis or encephalopathy (3 cases, 6.7%), febrile convul-sion (3 cases, 6.7%), meningsm (2 cases, 4.4%), and unilateral seizure (1 case, 2.2%).
5) All of the 33 cases with aseptic meningitis showed a good recovery, whereas the cases with deafness and those with encephalitis or encepha-lopathy had poor prognosis, the loss of hearing was always persistent in the 3 cases of deafness, although 2 cases had only a short follow-up ob-servation (3 weeks, 4 months). Two of the 3 cases with encephalitis or encephalopathy were fatal.
Deafness and encephlitis or encephalopathy associated with mumps were reviewed in the literature and the need for administration of live attenuated mumps vaccine to children was dis-cussed.View full abstractDownload PDF (1463K) -
Katsuhiko IWASE1975 Volume 7 Issue 4 Pages 271-278
Published: July 01, 1975
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESSBy means of chronological data storage and reverse computation of the human EEG a slow surface negative change (readiness potential: R. P.) preceding voluntary movements has been described.
Ten children with epilepsy, a mentally retarded child and a child with moyamoya disease were studied on voluntary finger movements. R. P. was found in 7 of 10 epileptic children and in the mentally retarded. The R. P. started about 730 ms-4600 ms prior to the onset of voluntary finger movements. It started relatively earlier in the patinets above-mentioned than in normal adults.
The distribution of R. P. was also different from that in normal adults. The maximum ampqitude was observed on the precentral region contralateral to the moving finger, not on the vertex. The earlier onset of R. P. and the low amplitude of R. P. on the vertex may be characteristic of the children with convulsive disorders. R. P. was not demonstrated in 2 children with astatic-myo-clonic epilepsy whose seizures were not controlled.View full abstractDownload PDF (851K) -
Yoshihiko MIZUNO, Masaya SEGAWA1975 Volume 7 Issue 4 Pages 279-284
Published: July 01, 1975
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESSHigh single-dose alternate-day prednisolone therapy was tried on 16 myasthenic children resistant to anticholinergic drugs. The effect was remarkable in five cases, good in three, slight in two, and none in six. No serious side effects were seen. The result was more pronounced as the prednisolone therapy was started earlier from the onset of the disease. The initial worsening was suggested to be associated with hypopotassemiadue to the steroid administration. The predni-solone therapy is indicated for 1) the generalized type patients resistant to anticholinergic drugs, and 2) the ocular type patients within three years from the onset of the disease and resistant to anticholinergic drugs. However, it may be tried for at least one month on other myasthenic patients.View full abstractDownload PDF (1080K) -
Toshiaki HASHIMOTO, Noboru KAWANO, Masuhide MIYAO1975 Volume 7 Issue 4 Pages 285-292
Published: July 01, 1975
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESSA 9-years-old female was in good health until age of 7 when she developed motor disturbance in the right lower extremity. She has had recurrent remissions and relapses of symptoms for 2 years and 7 months, and her clinical pictures were sug-gestive of MS or ARDEM. The patient was given prednisolone with a clinical improvement. There were few clinical symptoms of the SLE.
Laboratory findings were as follows: Modera-tely raised ESR, positive ANA, positive LE cell and LE test, slightly increased cell counts of CSF, raised serum cholesterol and raised serum IgM.
In this case, these symptoms, signs and labora-tory f indings agree with the lupoid sclerosis as adistinct variant or subgroup of SLE proposed byFulford et al.
It is possible that our case might present anintermediate position between SLE and MS andthat there might be certain immunological rela-tionship between lupoid sclerosis and SLE, MS, ARDEM and ADEM in regard to their etiology.
Similar cases were reviewed in the literaturesand such a relationship was discussed.View full abstractDownload PDF (1122K) -
Norio AOYAGI, Tomiho TSUCHIDA, Isao HAYAKAWA1975 Volume 7 Issue 4 Pages 293-299
Published: July 01, 1975
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESSA case of spinal neuroblatoma initiated from symptoma of a cord tumor in the age of one year eight months was reported. The patient was treated with a combination of intravenous Cyclophosphamid and Vincristine and 60Co-irradiation, following partial removal of the tumor. Thepostoperative course is uneventful for the period of two and half years and any evidence of the tumor recurrence is not detected.
The spinal neuroblastoma was reviewed and some discussed in the literatures.View full abstractDownload PDF (2037K) -
Kimiko TAMAGAWA, Hiromichi HASEGAWA, Naoyuki HAYASHI, Ko ISHI-HARA1975 Volume 7 Issue 4 Pages 300-307
Published: July 01, 1975
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESSSeverely handicapped, both mentally and phy-sically, children have high incidence of infections (esp. in respiratory tract). Direct cause of the death in these children are often due to these infections. To make clear the mechanism of this incidence, several immunological examinations were performed in 20 cases. The incidence of infections before and after the tube-feeding was also studied.
The results are summerised as follows:
1) Increased IgG- and IgM- levels in sera were observed in most of the cases.
2) Cutaneous delayed hypersensivity showed the same reaction as that of controls.
3) In vitro lymphocytes responses to PHA were almost normal except in 4 slightly diminished cases.
From these facts, it is assumed that immunolo-gical activities in the examined cases are not highly diminished.
4) Aspiration of food was commonly observed in 15 cases. After applying tube-feeding to these cases, incidence of infections was remarkably decreased
After considering these points, repetitive infec-tions of the respiratory tract seemed to be at-tributed to aspiration.View full abstractDownload PDF (1095K) -
Seiji KIMURA, Atsuko MIMURO, Naoko MIYAUCHI, Yukio FUKUYAMA1975 Volume 7 Issue 4 Pages 308-315
Published: July 01, 1975
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESSA boy of dermatomyositis with the onset at 1 year and 5 months of age showing prominent migratory subcutaneous nodules was studied from histological and electron microscopic points.
1) By histological examinatiori, migratory subcutaneous nodules were revealed as nonsupprative panniculitis and ischemic adiponecrosis in sequel to vascular lesion. The systemic angiopathy has been described as one of the most chara-cteristic findings of childhood dermatomyositis.
2) By electron microscopic examination of ves-sels of the muscle and the subcutaneous tissue, tubular cytoplasmic inclusions having a cross sectional diameter of approximately 250 Å were found in the vascular endothelial endoplasmic reticulum. True nature of this virus-like tubularView full abstractDownload PDF (3355K) -
Keiiirou YABUTA1975 Volume 7 Issue 4 Pages 316
Published: July 01, 1975
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESSDownload PDF (144K) -
Hiroyuki KAMIIDE1975 Volume 7 Issue 4 Pages 317-319
Published: July 01, 1975
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESSDownload PDF (428K) -
Yukio FUKUYAMA1975 Volume 7 Issue 4 Pages 320-324
Published: July 01, 1975
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESSDownload PDF (692K) -
[in Japanese]1975 Volume 7 Issue 4 Pages 324-325
Published: July 01, 1975
Released on J-STAGE: May 24, 2011
JOURNAL FREE ACCESSDownload PDF (222K)
- |<
- <
- 1
- >
- >|