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Journal of Pediatric Neurology and Neuroscience最新文献

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Wernicke Encephalopathy in a Non-Alcoholic Obese Adolescent: A Case Report 一名非酒精性肥胖青少年的韦尼克脑病:病例报告
Pub Date : 2023-12-31 DOI: 10.36959/595/446
Li Guyu, Amilhamja Anissa, Lao Shariadne, Huckabee Mary
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引用次数: 0
Unusual Diagnosis and Extended Management of Chronic Inflammatory Demyelinating Polyneuropathy in an Unimmunized Patient 非免疫患者慢性炎性脱髓鞘性多神经病变的异常诊断和扩展治疗
Pub Date : 2022-12-31 DOI: 10.36959/595/443
Danan Victoria, Fridman Sabina, L. Christine, Basit Areeba
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引用次数: 0
Treatment of Bi-Allelic PRRT-2 Mutation Associated Ataxia and Paroxysmal Dyskinesia 双等位基因PRRT-2突变相关共济失调和阵发性运动障碍的治疗
Pub Date : 2022-12-31 DOI: 10.36959/595/442
Shiswawala Naini, P. Sumit
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引用次数: 0
Reversible Cerebral Vasoconstriction Syndrome following Exchange Transfusion and Steroids in a Child with Sickle Cell Disease: A Case Report 儿童镰状细胞病调换输血和类固醇后的可逆性脑血管收缩综合征:一例报告
Pub Date : 2022-12-31 DOI: 10.36959/595/444
Tester Matthew A, Parfyonov Maksim, W. Paul, Datta Anita N
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引用次数: 0
Treatment of COVID Encephalitis in Pediatric Patient with IVIG 小儿IVIG患者COVID -脑炎的治疗
Pub Date : 2022-12-31 DOI: 10.36959/595/441
Collins Joseph, Jamalian Ali
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引用次数: 0
It's a Bit Crowded in Here: Examining Pressure Reactivity in Craniocerebral Disproportion 这里有点拥挤:检查颅脑比例失调的压力反应
Pub Date : 2022-06-30 DOI: 10.36959/595/440
Woodward Kristine Elizabeth, Esser Michael Joachim, Gallagher Clare Naomi
Introduction: Pressure reactivity index (PRx) is a measure used to gain insights into cerebrovascular reactivity. It is generally used in acute settings such as traumatic brain injury and subarachnoid hemorrhage, however there is limited data on its utility in cases of slow compensatory changes in intracranial pressure such as craniocerebral disproportion. Here we illustrate a case of how PRx can provide valuable information in such settings. Case presentation: PRx was measured in a 10-year-old boy who presented with multiple cranioneuropathies, found to have craniocerebral disproportion and secondary compression of posterior fossa structures. He was taken to surgery for decompressive craniotomy and cranial expansion procedure. He had an acute worsening in PRx, with a slow stabilization over the following days. Conclusion: This case highlights the importance of monitoring individualized PRx curves, and that autoregulatory curves are not constant between individuals or within same individuals over time. Acute iatrogenic interventions could lead to poor neurological consequences, due to interruption of a chronically compensated state.
压力反应性指数(PRx)是一种用于了解脑血管反应性的测量方法。它通常用于急性情况,如创伤性脑损伤和蛛网膜下腔出血,然而,在颅内压缓慢代偿变化的情况下,如颅脑比例失调,其应用数据有限。这里我们将举例说明PRx如何在这种情况下提供有价值的信息。病例介绍:PRx测量了一个10岁的男孩,他表现为多发性颅神经病变,发现颅脑比例失调和后颅窝结构的继发性压迫。他被送往外科进行减压开颅和颅骨扩张手术。他的PRx急性恶化,随后几天缓慢稳定。结论:该病例强调了监测个体化PRx曲线的重要性,并且个体之间或同一个体内的自调节曲线在同一时间内不是恒定的。由于慢性代偿状态的中断,急性医源性干预可能导致不良的神经系统后果。
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引用次数: 0
A Novel PPP2CA Gene Variant Presenting with Dystonia and Progressive Brain Atrophy 一种新的PPP2CA基因变异表现为肌张力障碍和进行性脑萎缩
Pub Date : 2022-01-31 DOI: 10.36959/595/439
E. Cheng, J. Cobben, N. Ismayilova
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引用次数: 0
Focal Electrographic Hints in Epileptic Spasms 癫痫性痉挛的局灶电图提示
Pub Date : 2022-01-21 DOI: 10.36959/595/438
M. Mahmoud, Badv Reza Shervin, Yarali Bahram, Kowkabi Safoura, Ashrafi Mahmoud Reza, Zamani Gholam Reza, Tavasoli Ali Reza, Javadzadeh Mohsen, Heidari Morteza, G. Mostafa, Rezaei Zahra
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引用次数: 1
Pediatric Spinal Cord Injury without Neuroimaging Abnormality (SCIWNA): A Clinico-Radiological Conundrum 无神经影像学异常的小儿脊髓损伤(SCIWNA):一个临床-放射学难题
Pub Date : 2021-12-31 DOI: 10.36959/595/432
Rana Kamer Singh, Goswami Jyotindra Narayan, Sareen Dinesh
‘Spinal Cord Injury Without Neuroimaging Abnormality’ (SCIWNA) is a clinico-radiological entity characterized by clinical markers of traumatic myelopathy without neuroimaging evidence of spinal instability or fracture, which is being increasingly recognized among children with the growing application of Magnetic Resonance Imaging (MRI). A child with SCIWNA is being reported to sensitize clinicians about this entity and to highlight the key aspects that aid in its early diagnosis and effective management. but did not have any urinary symptoms. There was no history suggestive of facial or upper limbs weakness, seizures, altered sensorium, vomiting, feeding or breathing difficulty. On examination, child was irritable but consolable and oriented to parents. His vital parameters were normal. Examination of nerves and upper was unremarkable. lower were maintained in an attitude of with absent spontaneous movements.
“无神经影像学异常的脊髓损伤”(SCIWNA)是一种临床放射学特征,其特征是创伤性脊髓病的临床标志,没有脊柱不稳定或骨折的神经影像学证据,随着磁共振成像(MRI)的越来越多的应用,这在儿童中得到越来越多的认识。据报道,一名患有SCIWNA的儿童使临床医生对这一实体更加敏感,并强调了有助于其早期诊断和有效管理的关键方面。但没有任何泌尿系统症状。患者无面部或上肢无力、癫痫、感觉改变、呕吐、进食或呼吸困难病史。在检查中,孩子易怒,但安慰和面向父母。他的生命参数正常。神经及上肢检查无明显异常。下肢保持无自发运动的姿态。
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引用次数: 0
Intracranial Calcifications and Ocular Abnormalities in a Child with Neurodevelopmental Delay 神经发育迟缓儿童的颅内钙化和眼部异常
Pub Date : 2021-12-31 DOI: 10.36959/595/431
Rajaprakash Meghna, Heymans Jessica, Sell Erick
Background: COL4A1 mutations can mimic TORCH infections and should be considered in the differential of congenital infections, especially when additional neuroanatomical abnormalities exist. Case presentation: A patient with neurodevelopmental delay and an unremarkable prenatal and birth history presented postnatally with congenital cataracts and neuroanatomical abnormalities including periventricular calcifications, porencephaly, and cerebellar hypoplasia. Although there was initial suspicion for a TORCH infection including cytomegalovirus, further genetic testing revealed a novel COL4A1 mutation, which involves type 4 collagen alpha 1 chain, an important component of vasculature. Conclusions: This case highlights the neuroanatomical and extra cranial features of COL4A1 mutation which helps differentiate the condition from other related diseases. This report suggests that COL4A1 should be considered in a child with intracranial and ocular abnormalities, particularly in the absence of a perinatal etiology.
背景:COL4A1突变可以模拟TORCH感染,应在先天性感染的鉴别中加以考虑,特别是当存在额外的神经解剖异常时。病例介绍:一名神经发育迟缓且无明显产前和分娩史的患者,产后表现为先天性白内障和神经解剖学异常,包括脑室周围钙化、脑孔畸形和小脑发育不全。虽然最初怀疑是包括巨细胞病毒在内的TORCH感染,但进一步的基因检测发现了一种新的COL4A1突变,该突变涉及4型胶原α 1链,这是脉管系统的重要组成部分。结论:本病例突出了COL4A1突变的神经解剖学和颅外特征,有助于将其与其他相关疾病区分开来。本报告建议,在颅内和眼部异常的儿童中,特别是在没有围产期病因的情况下,应考虑COL4A1。
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引用次数: 0
期刊
Journal of Pediatric Neurology and Neuroscience
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