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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.
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Niño , Femenino , Humanos , Masculino , Electroencefalografía , Epilepsia , Incidencia , Enfermedades del Sistema Nervioso , Pediatría , Convulsiones , Convulsiones FebrilesRESUMEN
The folling results were obtained through the clinical review and Virology Laboratory of 100 cases of meningitis seen at ward of the pediatric department of Has Sung Hospital during the period from May to June, 1993. 1) Early childhood period was the most frequent age group and male was predominant in aseptic meningitis. 2) The common chief complaints were fever, vomiting, headache in order. 3) On physical examination meningeal irritation signs were not prominent. 4) On admission, leukocytosis (WBC count>10.000/mm(3)) on peripheral blood was showed in 36%. 5) The findings of cerebrospinal fluid showed that cells (Mean WBC count 671.8/mm(3)) were increased in all cases, and protein and sugar were mostly within normal limit. 6) Echovirus 9 was thought to be main causative agent according to the cerebrospinal fluid culture and antibody test. 7) On follow up study 2 months after discharge, 14 cases showed minimal abnormalities of EEG but no abnormal finding in BERA.
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Humanos , Masculino , Líquido Cefalorraquídeo , Echovirus 9 , Electroencefalografía , Fiebre , Estudios de Seguimiento , Cefalea , Leucocitosis , Meningitis , Meningitis Aséptica , Examen Físico , Virología , VómitosRESUMEN
We experienced nutiple brain abscess in two neonates. Diagnosis was made CT scan, Which revealed multiple ring-like enhancing leason in both frontoparietal and left posterior parietal cerebral parenchyme. Therapy was consisted of systemic antibiotic treatment and CSF V-P shunt operation due to complicated hydrocephalus. One neonate was died and the other neonate has been followed up due to convulsion and neurological sequale.
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Humanos , Recién Nacido , Absceso Encefálico , Diagnóstico , Hidrocefalia , Rabeprazol , Convulsiones , Tomografía Computarizada por Rayos XRESUMEN
No abstract available.
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No abstract available.
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No abstract available.