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Head ultrasound findings in healthy preterm infants: Their correlation with gestational age and mode of delivery
Abstracts / Journal of the Neurological Sciences 333 (2013) e579–e628
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Abstract - WCN 2013 No: 63 Topic: 36 - Other Topic Head ultrasound findings in healthy preterm infants: Their correlation with gestational age and mode of delivery
Conclusion: In ADHD with epilepsy, the combined type showed 76.4%. There is more learning disability in ADHD with epilepsy than in ADHD without epilepsy. This study showed the effect of epilepsy comorbidity in children with ADHD.
Y. Yueniwati, D.R. Erawati. Radiology, University of Brawijaya, Malang, Indonesia
doi:10.1016/j.jns.2013.07.2043
Background: Brain injury is a major complication of preterm birth. Some perinatal risk factors and demography could increase the morbidity rate in preterm infant. Head ultrasound becomes important diagnostic tool in neonates. Healthy preterm infants could have brain abnormality visualizing on ultrasound examination. Objective: To analyze the correlation between head ultrasound findings in healthy preterm infants with gestational age and mode of delivery. Patients and methods: Observasional-analytic study using cross sections took place in Saiful Anwar Hospital Malang — Indonesia between July and September 2012. Healthy preterm infants underwent head ultrasound examination within the first four days of life. Fischer Exact test was used to analyze the correlation between head ultrasound findings with gestational age and mode of delivery. Results: About 89.5% of 38 samples was ≥ 32 weeks gestational age; and 52.6% of samples had sectio caesaria as mode of delivery. There were three abnormal findings in head ultrasound: increasing periventricular echogenity (5.3%), increasing deep parenchym echogenity (5.3%) and obscuration of white-grey matter differentiation (5.3%). There is no significant correlation between ultrasound findings with gestational age and mode of delivery. Conclusion: There were abnormal head ultrasound findings in some healthy preterm infants although there is no significant correlation between ultrasound findings with gestational age and mode of delivery. Head ultrasound in preterm infant could become screening tool for early detection of brain injury.
Abstract - WCN 2013 No: 14 Topic: 36 - Other Topic Primary central nervous system lymphoma or vanishing tumor in a patient presenting a Parinaud's syndrome
doi:10.1016/j.jns.2013.07.2042
Abstract - WCN 2013 No: 69 Topic: 36 - Other Topic The effect of epilepsy comorbidity in children with attention deficit hyperactivity disorder G.-Y. Sima, W.S. Kimb. aPediatrics, St. Mary's Hospital, Chengju, Republic of Korea; bChungbuk National University, Cheongju, Republic of Korea Purpose: The rate of attention deficit hyperactivity disorder (ADHD) is higher in children with epilepsy than in the general population. The 31–40% of ADHD is accompanied with epilepsy. There are not many studies in ADHD with epilepsy. So we checked the effect of epilepsy comorbidity in children with ADHD. Methods: This study retrospectively examined the effect of epilepsy comorbidity in children with ADHD. We studied 34 ADHD children with epilepsy at Chungbuk National University Hospital and 38 ADHD children without epilepsy at Cheonju St. Mary's Hospital because of ADHD with epilepsy or ADHD from January 2005 to June 2010. Result: In ADHD with epilepsy, there were 12 cases (35.2%) of partial seizure, 11 cases (32.2%) of generalized seizure, 11 other cases (32.2%). Among the abnormal sites found in EEG there were 15 cases in the frontal lobe, 7 cases in the central lobe, 6 cases in the temporal lobe, and 3 cases in the occipital lobe. In ADHD with epilepsy, the combined type is 76.4% and in ADHD without epilepsy, the inattentive type is 50.5% (P = 0.004). There is more learning disability in ADHD with epilepsy than in ADHD without epilepsy (P = 0.01).
G. Piccirilloa, L. Lavorgnaa, A. Tessitorea, S. Bonavitaa, M. Cirillob, F. Tortorab, M.R. Monsurròa, G. Tedeschia. aDepartment of Neurological Sciences, II Division of Neurology, Second University of Naples, Naples, Italy; bDepartment of Neuroradiology, Second University of Naples, Naples, Italy A 24-year-old man presented a one month palsy in the upward gaze. MRI, immediately after the onset, showed a single lesion located in the posterior midbrain with a maximum diameter of 2 cm, and perilesional edema, involving the posterior commissure: hyperintense in T2, hypointense in T1 and homogeneously enhanced after gadolinium. Once admitted the patient showed signs of Parinaud's syndrome. CSF showed 1 lymphocyte/μL and was negative for infection and demyelinating disease. The patient underwent a pulse of methylprednisolone of 1 g/die for five days with no symptom remission. One month later MRI showed: decreased volume of the lesion with unchanged signal characteristics including homogeneous contrast enhancement. HIV serology, serological tests for autoimmune autoantibodies, PET and CT total resulted negative. A diagnosis of primary central nervous system lymphoma was considered and to attempt an histological diagnosis we halted the steroid treatment for two months. At this point, once again the MRI showed a lesion whose size and signal were comparable to the first MRI. Forty days later, as the patient was scheduled for a stereotactic biopsy, we performed another MRI and we found that the lesion had almost completely disappeared: biopsy was no longer feasible. As the lesion had almost regressed, and no other possible explanation could be envisioned by the clinical and instrumental characteristics, we suggested a diagnosis of vanishing tumor: a case in which there is a strong suspicion of brain tumor from the clinical history and in which a gadolinium enhancing lesion spontaneously disappear or decrease, within 3 months, to less than 70% of the initial volume. Most vanishing tumors in the central nervous system might eventually be diagnosed as PCNSL. doi:10.1016/j.jns.2013.07.2044
Abstract - WCN 2013 No: 10 Topic: 36 - Other Topic Air- and bone-conducted cervical and ocular vestibular-evoked myogenic potentials in patients with superior vestibular neuritis S.-Y. Oha, J.S. Kimb, B.-S. Shina, T.-H. Yanga, S.-K. Jeonga. aDepartment of Neurology, Chonbuk National University, Jeonju, Republic of Korea; b Neurology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea Objective: To determine the characteristic changes in cervical (cVEMP) and ocular (oVEMP) vestibular evoked myogenic potentials in superior vestibular neuritis (SVN), we recorded cVEMPs and oVEMPs in patients with SVN (n = 33) and normal controls (n = 45) to air-conducted sound (ACS) and bone-conducted vibration (BCV).
e585
Abstract - WCN 2013 No: 63 Topic: 36 - Other Topic Head ultrasound findings in healthy preterm infants: Their correlation with gestational age and mode of delivery
Conclusion: In ADHD with epilepsy, the combined type showed 76.4%. There is more learning disability in ADHD with epilepsy than in ADHD without epilepsy. This study showed the effect of epilepsy comorbidity in children with ADHD.
Y. Yueniwati, D.R. Erawati. Radiology, University of Brawijaya, Malang, Indonesia
doi:10.1016/j.jns.2013.07.2043
Background: Brain injury is a major complication of preterm birth. Some perinatal risk factors and demography could increase the morbidity rate in preterm infant. Head ultrasound becomes important diagnostic tool in neonates. Healthy preterm infants could have brain abnormality visualizing on ultrasound examination. Objective: To analyze the correlation between head ultrasound findings in healthy preterm infants with gestational age and mode of delivery. Patients and methods: Observasional-analytic study using cross sections took place in Saiful Anwar Hospital Malang — Indonesia between July and September 2012. Healthy preterm infants underwent head ultrasound examination within the first four days of life. Fischer Exact test was used to analyze the correlation between head ultrasound findings with gestational age and mode of delivery. Results: About 89.5% of 38 samples was ≥ 32 weeks gestational age; and 52.6% of samples had sectio caesaria as mode of delivery. There were three abnormal findings in head ultrasound: increasing periventricular echogenity (5.3%), increasing deep parenchym echogenity (5.3%) and obscuration of white-grey matter differentiation (5.3%). There is no significant correlation between ultrasound findings with gestational age and mode of delivery. Conclusion: There were abnormal head ultrasound findings in some healthy preterm infants although there is no significant correlation between ultrasound findings with gestational age and mode of delivery. Head ultrasound in preterm infant could become screening tool for early detection of brain injury.
Abstract - WCN 2013 No: 14 Topic: 36 - Other Topic Primary central nervous system lymphoma or vanishing tumor in a patient presenting a Parinaud's syndrome
doi:10.1016/j.jns.2013.07.2042
Abstract - WCN 2013 No: 69 Topic: 36 - Other Topic The effect of epilepsy comorbidity in children with attention deficit hyperactivity disorder G.-Y. Sima, W.S. Kimb. aPediatrics, St. Mary's Hospital, Chengju, Republic of Korea; bChungbuk National University, Cheongju, Republic of Korea Purpose: The rate of attention deficit hyperactivity disorder (ADHD) is higher in children with epilepsy than in the general population. The 31–40% of ADHD is accompanied with epilepsy. There are not many studies in ADHD with epilepsy. So we checked the effect of epilepsy comorbidity in children with ADHD. Methods: This study retrospectively examined the effect of epilepsy comorbidity in children with ADHD. We studied 34 ADHD children with epilepsy at Chungbuk National University Hospital and 38 ADHD children without epilepsy at Cheonju St. Mary's Hospital because of ADHD with epilepsy or ADHD from January 2005 to June 2010. Result: In ADHD with epilepsy, there were 12 cases (35.2%) of partial seizure, 11 cases (32.2%) of generalized seizure, 11 other cases (32.2%). Among the abnormal sites found in EEG there were 15 cases in the frontal lobe, 7 cases in the central lobe, 6 cases in the temporal lobe, and 3 cases in the occipital lobe. In ADHD with epilepsy, the combined type is 76.4% and in ADHD without epilepsy, the inattentive type is 50.5% (P = 0.004). There is more learning disability in ADHD with epilepsy than in ADHD without epilepsy (P = 0.01).
G. Piccirilloa, L. Lavorgnaa, A. Tessitorea, S. Bonavitaa, M. Cirillob, F. Tortorab, M.R. Monsurròa, G. Tedeschia. aDepartment of Neurological Sciences, II Division of Neurology, Second University of Naples, Naples, Italy; bDepartment of Neuroradiology, Second University of Naples, Naples, Italy A 24-year-old man presented a one month palsy in the upward gaze. MRI, immediately after the onset, showed a single lesion located in the posterior midbrain with a maximum diameter of 2 cm, and perilesional edema, involving the posterior commissure: hyperintense in T2, hypointense in T1 and homogeneously enhanced after gadolinium. Once admitted the patient showed signs of Parinaud's syndrome. CSF showed 1 lymphocyte/μL and was negative for infection and demyelinating disease. The patient underwent a pulse of methylprednisolone of 1 g/die for five days with no symptom remission. One month later MRI showed: decreased volume of the lesion with unchanged signal characteristics including homogeneous contrast enhancement. HIV serology, serological tests for autoimmune autoantibodies, PET and CT total resulted negative. A diagnosis of primary central nervous system lymphoma was considered and to attempt an histological diagnosis we halted the steroid treatment for two months. At this point, once again the MRI showed a lesion whose size and signal were comparable to the first MRI. Forty days later, as the patient was scheduled for a stereotactic biopsy, we performed another MRI and we found that the lesion had almost completely disappeared: biopsy was no longer feasible. As the lesion had almost regressed, and no other possible explanation could be envisioned by the clinical and instrumental characteristics, we suggested a diagnosis of vanishing tumor: a case in which there is a strong suspicion of brain tumor from the clinical history and in which a gadolinium enhancing lesion spontaneously disappear or decrease, within 3 months, to less than 70% of the initial volume. Most vanishing tumors in the central nervous system might eventually be diagnosed as PCNSL. doi:10.1016/j.jns.2013.07.2044
Abstract - WCN 2013 No: 10 Topic: 36 - Other Topic Air- and bone-conducted cervical and ocular vestibular-evoked myogenic potentials in patients with superior vestibular neuritis S.-Y. Oha, J.S. Kimb, B.-S. Shina, T.-H. Yanga, S.-K. Jeonga. aDepartment of Neurology, Chonbuk National University, Jeonju, Republic of Korea; b Neurology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea Objective: To determine the characteristic changes in cervical (cVEMP) and ocular (oVEMP) vestibular evoked myogenic potentials in superior vestibular neuritis (SVN), we recorded cVEMPs and oVEMPs in patients with SVN (n = 33) and normal controls (n = 45) to air-conducted sound (ACS) and bone-conducted vibration (BCV).