ABSTRACT
PURPOSE: Febrile convulsion is most common neurologic disorder in childhood, which benign course but transition to epilepsy is not certain. This study was carried out to reveal the usefulness of electroencephalography of febrile convulsion in childhood. METHODS: Electroencephalography (EEG) was performed on 116 children who visited the department of Pediatrics, Haesung hospital from November 1992 to December 1994 due to febrile convulsion. They were classified into 2 categories; simple febrile convulsion (SFC) and complex febrile convulsion (CFC) on the basis of clinical findings. RESULTS: 1) Male to female ratio was 1.4:1 and most frequent group was 6 month to 3 years of age, which occupied 82.8%. 2) The incidence of normal EEG were 76.7% and in SFC and CFC were 84.2% and 62.5% respectively. 3) The mild abnormality was most dominant among groups of EEG abnormality. 4) The most common abnormal EEG finding in febrile convulsion was slow wave and the least was multiple spike. 5) The most common age group of abnormal EEG was over 5 years of age (66.7%). 6) In relationship between EEG findings and frequency of febrile convulsion, abnormality was higher in more than 5 times attack group. But statistical significance was not present. 7) The frequency of afebrile seizure after febrile convulsion was 2.2% in normal EEG group and 29.6% in abnormal group and most common abnormal EEG finding was paroxysmal rhythmic wave. CONCLUSIONS: An EEG after febrile convulsion should be selectively performed in group of CFC, under the 6 months or over the 3 years of age group. Further study will be needed to know the usefulness of EEG after febrile convulsion.
Subject(s)
Child , Female , Humans , Male , Electroencephalography , Epilepsy , Incidence , Nervous System Diseases , Pediatrics , Seizures , Seizures, FebrileABSTRACT
No abstract available.
ABSTRACT
The association of varicose vein, soft tissue and bony hypertrophy and cutaneous hemangi-oma of the port-wine variety confined to one extremity was first reported in 1900 by Klippel and Trenaunay, and then Weber. A case of Klippel-Trenaunay-Weber Syndrome with macrodactylia in a 2 months old male infant(dizygotic) is presented who was asmitted to B.N.U.H. with chief complaints of nevus fla-mmeus, swelling of the left lower extremity.
Subject(s)
Humans , Infant , Male , Extremities , Hypertrophy , Klippel-Trenaunay-Weber Syndrome , Lower Extremity , Nevus , Port-Wine Stain , Varicose VeinsABSTRACT
The variations of total cholesterol level of the cerebrospinal fluids were investigated in 28 cases of meningeal diseases in children(15cases of tuberculous meningitis and 13cases of purulent meningitis) and 10 cases of healthy children as control. 1. The cholesterol was not detectable in the cerebrospinal fluids of the healthy children. 2. On admission, the stage II of tuberculous meningitis showed slightly increased level of total cholesterol in cerebrospinal fluids(12.37.5mg%), whereas, Stage III of tuberculous meningitis showed markedly Increased level of total cholesterol in cerebrospinal fluids. (33.910.2mg%). 3. The purulent meningitis showed slightly increased Ievel of total cholesterol in cerebrospinal fluids(11.57.1mg%) on admission. 4. In 8 fatal cases of patients due to meningitis(5 cases of tuberculous meningitis and 3 cases of purulent meningitis), the reexamined total cholesterol level in cerebrospinal fluids have more increased than that admission. 5. On admission, the total cholesterol level of meningitis in cerebrospinal fluid was not correlation to other laboratory datas(total cholesterol level, cell count, sugar and protein levels in cerebrospinal fluid).
Subject(s)
Child , Humans , Cell Count , Cerebrospinal Fluid , Cholesterol , Meningitis , Tuberculosis, MeningealABSTRACT
We have reviewed 9009 pediatric age group patiests visiting the emergency room in Busan National University Hospital during the last 8 years and 8 months period from Jan. 1st., 1970 to Aug. 31st.,1978. The clincal and statistical results were obtained in this stydy as following: 1. Of the total 40406 patients visiting the emergency room, the patients under 15years of age occupied 22.3%, with the sex ratio male to female,3:2. 2. The yearly distribution of patients showed little significant change until 1975 because of dconomic stagnation. There after the incidence began to increase and a mareakly sudden increase from 1977 due to medical insurance and medical protection. The monthly distribution revealed a sightly higher incidence in Summer seasin(June. July and August). 3. Preschool childres between one year anad six years of age occupied 42% of all pediatric patients. The most popular rime 27.0% of all pediatric patients were seen. 4. The most common disease was accident (24.2%), the second common was respiratory disease (16.3%), which was followde by vernous disease (13.4%), gastroinestinal disease (8.8%), infectious disease (6.3%), poisonings (5.4%), neonatal disease(4.4%), and surgical disease (4.3%) and the like in order of frequency. 5. The admission rate through the emrgency room was 43.2% of total pediatric emergency patieats.
Subject(s)
Humans , Male , Communicable Diseases , Emergencies , Emergency Service, Hospital , Incidence , Insurance , Poisoning , Sex Ratio , Statistics as TopicABSTRACT
We have observed clinically 57 cases of diphtheria, admitted to Dept. of Pediatrics and E. N. T. of College of Medicine, Busan National University during a period of past 4 years from Jan. 1973 to Dec. 1976. The following results were obtained from this observation: 1. The yearly prevalence rate seemed not to be reduced throughout 4 years. 2. The seasonal incidence was highest from Oct. to next Feb when 77.5% of cases was de-veloped. Most of cases (82.5%) was below the age 8 years with the sex ratio of male to female, 1.5:1. 3. About one half of cases gad been resided in the rural area. 4. Concerning the degree of the immunization status of diphtheria, 48.3% of cases was never taken, 17.5% unknown, 33.4% inadequate, and 5.3% was adequate. 5. The sites of occurence of dephtheria were pharynx (33.3%) larynx (47.4%) and both (19.3%) 6. 77.2% of cases was found diphtheria organism, which was detected on smear (63.2%) and culture (52.6%) individually. 7. The chief clinical symptoms and signs on admission were dyspnea (77.2%) pseudomemb-rane (77.2%) prostration (75.4%) fever (72.0%) hoarseness (54.4%) cough (50.9%) and the like in order of frequency. 8. Anemia was found in 77.2% leukocytosis in 84.2% of cases. 9. 54.5% of cases had complications, of which myocarditis (22.4%) pneumonia (21.0%)bull neck (14.0%) nephritis (12.2%) and nerve palsy (10.5%) were developed. 10. The onest of myocarditis was the 3th-8th day of depheheria and the most common abnormal ECG finding was the changes of S-T segment and T wave. 11. The morality rate was 12.3% of the total cases (45.5% of mixed type the and 7.4% of laryngeal type were expired). The causes of death were myocarditis (its mortality rate, 46. 1%) and paralysis of diapgragm.