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Showing papers in "Pediatric Neurology in 1998"


Journal ArticleDOI
TL;DR: Although a child's approximate survival chances can be assessed from such functional classifications, the manner in which additional information on the child's condition can be used to obtain more accurate survival data is indicated.

203 citations


Journal ArticleDOI
TL;DR: Since the long-term outcomes of patients with childhood moyamoya disease are generally poor, surgical treatment is believed to be an effective procedure for preventing the progression of clinical symptoms.

167 citations


Journal ArticleDOI
TL;DR: It is confirmed that there are more pediatric patients with partial seizures than primary generalized seizures and that partial seizures secondarily generalized is the most frequent seizure type in this age group.

128 citations


Journal ArticleDOI
TL;DR: In this article, the authors found a consistent pattern of injury in subcortical brain nuclei, including thalamus, basal ganglia, and brainstem, while cerebral cortex and white matter were completely or relatively spared.

125 citations


Journal ArticleDOI
TL;DR: The effects of the valproic acid and carbamazepine monotherapies on bone mineral density were evaluated and values were not statistically different from that of the control group (P > 0.05).

106 citations


Journal ArticleDOI
TL;DR: The available data suggest that children should be considered for surgical evaluation at whatever age they present with severe intractable localization-related epilepsy, and that delaying surgery for childhood-onset epilepsy into adulthood was associated with greater permanent psychosocial, behavioral, and educational problems.

101 citations


Journal ArticleDOI
TL;DR: It was found that the initial symptoms were often nonspecific, leading to a delay in diagnosis, especially in younger children, and the need for urgent magnetic resonance imaging of the spine for early diagnosis and treatment to minimize morbidity.

101 citations


Journal ArticleDOI
TL;DR: This is the first study using strict inclusion criteria that documents the range of infarction patterns and potential age-dependent differences in postinjury response cascades after nonaccidental head injury.

93 citations


Journal ArticleDOI
TL;DR: Factors associated with a seizure-free period of 1 year or more in epileptic children with cerebral palsy were normal intelligence, single seizure type, monotherapy, and spastic diplegia.

85 citations


Journal ArticleDOI
TL;DR: The results of treating four patients with infantile SMA with noninvasive positive pressure ventilation and gastrostomy feeding with a treatment strategy designed to optimize quality of life for infants with this fatal disease are reported.

84 citations


Journal ArticleDOI
TL;DR: This study demonstrates the transfer of both motor and sensory functions from one hemisphere to the other in children who had an entire cortical hemisphere surgically removed, suggesting the regionalization of brain plasticity.

Journal ArticleDOI
TL;DR: Positive effects on quality of life during the first year after surgical intervention were suggested by reduced internalizing symptoms and increased social interaction, and decreases in delayed verbal memory were evident.

Journal ArticleDOI
TL;DR: On the basis of this pilot study, relaxation therapy appears to have a limited role in the treatment of tics in Tourette syndrome.

Journal ArticleDOI
TL;DR: It is concluded that acute neuroborreliosis can present with pseudotumor cerebri as an initial manifestation and it is important to include Lyme disease in the differential diagnosis of pseudOTumor Cerebri in an area endemic for Lyme disease.

Journal ArticleDOI
TL;DR: It is concluded that Canavan disease is prenatal in onset with variability in progression and the variable clinical course cannot be explained by genetic heterogeneity but probably depends on environmental factors and/or modifying genes.

Journal ArticleDOI
TL;DR: A detailed history of a boy with Landau-Kleffner syndrome is presented, demonstrating a close relationship between language functioning and paroxysmal electroencephalogram activity.

Journal ArticleDOI
TL;DR: It is demonstrated botulinum toxin is useful as an adjunctive therapy in ameliorating spasticity in children with cerebral palsy, especially in the younger ones.

Journal ArticleDOI
TL;DR: A 2-year-old-boy had rotavirus gastroenteritis and demonstrated afebrile partial seizures with secondary generalization, which appeared to mimic benign infantile partial epilepsy.

Journal ArticleDOI
TL;DR: A new classification according to whether the anomaly appears in combination with spinal dysraphism is proposed for clinical usage and preoperative detailed image studies are needed to clarify the possibility of tethered spinal cord syndrome developing in the future and thus prevent it.

Journal ArticleDOI
TL;DR: The hypothesis that vasculopathy and demyelination caused by an immunologic mechanism play an important role in the pathogeneses of neurologic disorders associated with M. pneumoniae infection is supported.

Journal ArticleDOI
TL;DR: Although methylphenidate induced regional changes in the EEG under certain task-specific conditions, it had no global effects and behavioral and performance measures improved with methylphenidates.

Journal ArticleDOI
TL;DR: Data demonstrate that the changes induced by antiepileptic drugs are transient and reversible and return to normal of all parameters was observed.

Journal ArticleDOI
TL;DR: Technetium-99m hexamethylpropyleneamine tomography brain scans were performed in four patients during the acute stage of AIWS and decreased cerebral perfusion areas in all patients were near the visual tract and visual cortex.

Journal ArticleDOI
TL;DR: The purpose of this study was to determine the frequency of unexpected events during intermittent vagal nerve stimulation in 24 patients stimulated for a total of 61 patient years and found fifteen adverse events were discovered.

Journal ArticleDOI
TL;DR: The authors' data do not suggest an ontogeny of epilepsy in neurofibromatosis 1 that is different from the general epileptic population, and there were no significant cortical dysplasias identified radiographically nor was there a relationship among the presence of subcortical focal brain lesions and seizure type, response to treatment, or evolution of epilepsy.

Journal ArticleDOI
TL;DR: It is concluded that, with the appropriate unit setup and well-trained staff, peri-ictal SPECT scans can be obtained in most pediatric partial epilepsy patients, and the procedure provides specific localizing information in a high proportion of these patients.

Journal ArticleDOI
TL;DR: Six patients with classic benign epilepsy of childhood with centrotemporal spikes, treated with carbamazepine or sodium valproate, evolved atypically because the epileptic disorder, diffusion of the electroencephalographic discharges during wakefulness, and continuous spike-and-wave during slow sleep associated with severe neuropsychologic abnormalities worsened.

Journal ArticleDOI
TL;DR: The parents' poor knowledge, negative attitudes, anxiety, and inadequate first-aid measures toward febrile convulsion can be effectively improved by an educational intervention program.

Journal ArticleDOI
TL;DR: Support is provided that this treatment modality is safe and efficient and should be suggested for all children with acute transverse myelopathy after establishing the diagnosis and no significant side effects were observed after treatment.

Journal ArticleDOI
TL;DR: The white matter on the last MRI was unchanged in volume and the distribution of high-intense areas and proton magnetic resonance spectroscopy revealed no abnormal peaks, consistent with the lack of definite neurologic regression in the last 5 years and with the pathologic characteristics of well-preserved axons and the absence of sclerosis.