Iranian Journal of Child Neurology最新文献

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A Comparative Study of EEG and aEEG in Seizure Diagnosis in Infants Admitted to the NICU. 新生儿重症监护室婴儿癫痫发作诊断中脑电图和 aEEG 的比较研究。
IF 0.8
Iranian Journal of Child Neurology Pub Date : 2023-01-01 Epub Date: 2023-10-26 DOI: 10.22037/ijcn.v17i4.37554
Elahe Movahedi Moghadam, Yalda Taghipour, Reza Shervin Badv, Maliheh Kadivar, Raziyeh Sangsari, Maryam Saeedi, Mahmoud Reza Ashrafi
{"title":"A Comparative Study of EEG and aEEG in Seizure Diagnosis in Infants Admitted to the NICU.","authors":"Elahe Movahedi Moghadam, Yalda Taghipour, Reza Shervin Badv, Maliheh Kadivar, Raziyeh Sangsari, Maryam Saeedi, Mahmoud Reza Ashrafi","doi":"10.22037/ijcn.v17i4.37554","DOIUrl":"10.22037/ijcn.v17i4.37554","url":null,"abstract":"<p><strong>Objectives: </strong>Seizure is a common sign in neonates hospitalized in the neonatal intensive care units (NICU) that may lead to morbidity and mortality. Most neonatal seizures are subclinical. Conventional EEG (cEEG) is the gold standard for detecting and monitoring seizures but is not widely available. Amplitude-integrated electroencephalography (aEEG) has been used for over a decade to evaluate infants with seizures. In this study, we tried to determine the efficacy of aEEG as a widely available diagnostic tool in diagnosing seizures.</p><p><strong>Materials & methods: </strong>All cases with seizures or suspicious seizures were admitted to the NICU of the Children's Medical Center for one year. cEEG and aEEG were performed for these infants. aEEG was recorded for at least six hours with a description of the tracing. Clinical information, outcomes, and questionnaires (patient information) were recorded in detail. The obtained data were analyzed with the SPSS version 24 software.</p><p><strong>Results: </strong>Eleven out of twenty-five aEEG recordings were abnormal; other patients showed normal aEEGs. The most common clinical and neurological manifestations were seizure (68%) and hypotonia (28%); the mortality rate was 12%. No significant correlation was observed between aEEG findings and gender, age, familial relation, outcome, ultrasound result, type of seizure, and underlying disease.</p><p><strong>Conclusion: </strong>Studies showed variable sensitivity and specificity values for aEEG. aEEG cannot be recommended as the only way to diagnose and manage seizures in neonates. However, Good accessibility and ease of working with aEEG promote a tendency to use this procedure as a screening tool.</p>","PeriodicalId":14537,"journal":{"name":"Iranian Journal of Child Neurology","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10704297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138796130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Efficacy of "Care for Child Development" Intervention on the Improvement of the Development Skills of Orphanage Children. 关爱儿童发展 "干预措施对提高孤儿院儿童发展能力的效果。
IF 0.8
Iranian Journal of Child Neurology Pub Date : 2023-01-01 Epub Date: 2023-10-26 DOI: 10.22037/ijcn.v17i2.38644
Nasrin Baraheni, Seifollah Heidarabadi, Zahra Maleki, Fatemeh Azhdarzadeh, Ali Bahari Gharehgoz, Zahra Bagheri
{"title":"The Efficacy of \"Care for Child Development\" Intervention on the Improvement of the Development Skills of Orphanage Children.","authors":"Nasrin Baraheni, Seifollah Heidarabadi, Zahra Maleki, Fatemeh Azhdarzadeh, Ali Bahari Gharehgoz, Zahra Bagheri","doi":"10.22037/ijcn.v17i2.38644","DOIUrl":"10.22037/ijcn.v17i2.38644","url":null,"abstract":"<p><strong>Objectives: </strong>Development refers to the progressive enhancement of skills and functional capacity, i.e., qualitative changes in the child's functions. The process of development begins before birth and continues throughout life. The present study aims to evaluate the effectiveness of the \"Care for Child Development (CCD)\" program on 4-42 months children's developmental skills in orphanages.</p><p><strong>Materials and methods: </strong>In this study, two orphanages in the capitals of East and West Azerbaijan provinces were selected using the convenience sampling technique, and thirty children were included. Then, they were randomly divided into two intervention and control groups (each group, N=15). Next, after obtaining consent from the head of the orphanages, a group of volunteers from the healthcare center performed the CCD program, considering children's chronological ages (4 to 42 months), for three sessions a week, with each session lasting two hours and it lasted for three months. At the end of the intervention process, the Bayley Scale of Infant and Toddler Development 3<sup>rd</sup> version (BSID-III) and the Ages and Stages Questionnaire-II (ASQ) were completed for the two intervention and control groups to compare them in the cognitive, motor, communication, and personal-social domains.</p><p><strong>Results: </strong>Comparing the two control and intervention groups using the T-test (difference in mean) indicates that except for the domain of cognitive skills (Bayley: P-value = 0.176), there was statistically a significant difference between the two groups in communication (ASQ: P-value = 0.001; Bayley: P-value = 0.003), motor (ASQ: P-value = 0.000; Bayley: P-value = 0.009), and personal-social (ASQ: P-value <0.000) skills.</p><p><strong>Conclusion: </strong>In the present study, it was concluded that it is required to apply interventions, including standard ones such as the CCD program in environments like orphanages, to enhance the developmental skills of those children living in them.</p>","PeriodicalId":14537,"journal":{"name":"Iranian Journal of Child Neurology","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10704292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138796442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of Attention-deficit/Hyperactivity Disorder in Referred Patients to the PKU Clinic in Yazd, Iran. 伊朗亚兹德PKU诊所转诊患者的注意力缺陷/多动障碍评估
IF 0.8
Iranian Journal of Child Neurology Pub Date : 2023-01-01 DOI: 10.22037/ijcn.v17i1.35870
Mahtab Ordoei, Razieh Fallah, Abolfazl Shafii Ronizi
{"title":"Evaluation of Attention-deficit/Hyperactivity Disorder in Referred Patients to the PKU Clinic in Yazd, Iran.","authors":"Mahtab Ordoei,&nbsp;Razieh Fallah,&nbsp;Abolfazl Shafii Ronizi","doi":"10.22037/ijcn.v17i1.35870","DOIUrl":"https://doi.org/10.22037/ijcn.v17i1.35870","url":null,"abstract":"<p><strong>Objective: </strong>The imbalance of phenylalanine (PA) to tyrosine level and decreased dopamine brain level in patients with phenylketonuria (PKU) may have a role in their susceptibility of them to attention-deficit/hyperactivity disorder (ADHD). This study aimed to evaluate the frequency of ADHD in referred patients to PKU Clinic in Yazd, Iran.</p><p><strong>Materials & methods: </strong>In this cross-sectional analytical study, all patients older than three years with PKU who were referred to the PKU Clinic of Shahid Sadoughi Hospital, Yazd, Iran, in 2018 were evaluated, and ADHD symptoms in them were assessed via parent face-to-face interview. The patients were diagnosed with ADHD if they scored at least of 20 on ADHD diagnostic rating scale via parent interview based on DSM-VI criteria.</p><p><strong>Results: </strong>Fourteen boys and 21girls with a mean age of 9.55±1.8 years were evaluated. 51.5% of those diagnosed with PKU had ADHD. Accordingly, ADHD was more frequent in girls (77.8% vs. 41% in boys, P=0.03). The mean age of diagnosis of PKU was significantly higher in patients with ADHD (52.54±15.65 months vs. 29.75±9.65 months, P = 0.03). The mean of PA level in the last six months (15.59±5.95 vs. 8.72+5.18, P= 0.005) and mean of the last six PA levels (14.76±4.71 vs. 8.96±3.86, P= 0.03) were significantly higher in ADHD group.</p><p><strong>Conclusion: </strong>The prevalence of ADHD in phenylketonuria patients in the present study was much more than in other studies. Late diagnosis of PKU and long-term high PA blood and brain level might be associated with increased neonatal screening. Hence, regular follow-up and continuous evaluation of patients with PKU for ADHD symptoms should be performed.</p>","PeriodicalId":14537,"journal":{"name":"Iranian Journal of Child Neurology","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/47/c8/ijcn-17-111.PMC9881828.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9229543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical and Epidemiological Findings of Pediatric Onset Multiple Sclerosis in East-Azerbaijan, Iran; A Population-based Study. 伊朗东阿塞拜疆儿童多发性硬化症的临床和流行病学研究;一项基于人口的研究。
IF 0.8
Iranian Journal of Child Neurology Pub Date : 2023-01-01 Epub Date: 2023-07-01 DOI: 10.22037/ijcn.v17i2.34417
Ehsan Nasiri, Amirreza Naseri, Mahnaz Talebi
{"title":"Clinical and Epidemiological Findings of Pediatric Onset Multiple Sclerosis in East-Azerbaijan, Iran; A Population-based Study.","authors":"Ehsan Nasiri,&nbsp;Amirreza Naseri,&nbsp;Mahnaz Talebi","doi":"10.22037/ijcn.v17i2.34417","DOIUrl":"10.22037/ijcn.v17i2.34417","url":null,"abstract":"<p><strong>Objectives: </strong>Multiple sclerosis (MS) is among the most prevalent chronic immune-mediated inflammatory diseases. If MS onset is under 18, it is defined as pediatric-onset MS (POMS). This study aimed to determine the clinical and epidemiological aspects of POMS.</p><p><strong>Materials & methods: </strong>This population-based study was conducted in East-Azerbaijan (EA) province and concerned POMS patients. The data concerning almost all of the POMS patients of the province was gathered from the only MS registry center in the university hospital of the Tabriz University of Medical Sciences by the end of 2017. The diagnosis of patients was based on McDonald's criteria.</p><p><strong>Results: </strong>Out of 2976 total cases of MS, eighty-five (2.85%) were POMS. The overall regional prevalence of POMS was 11.67 per 100,000 (95% CI:9.43-11.43). Sixty-seven cases were female (prevalence: 18.94 per 100,000 [95% CI:14.91-24.07], and eighteen were male (prevalence: 4.80 per 100,000 [95% CI:3.03-7.62]. The crude regional incidence in 2017 was 1.37/100,000 (95% CI:0.74-2.55). The mean age of onset was 15.81±1.33 years, with a minimum age of 12. 71.76% of the patients were diagnosed in the 16- or 17-years old age group. 7.05% had a positive family history, and 87.5% of the patients diagnosed the disease promptly. The most common first clinical presentations were blurred vision (43.75%), sensory (28.12%), cerebellar (15.62%), and brainstem (9.37%) symptoms.</p><p><strong>Conclusion: </strong>POMS is not a rare condition, and it mainly affects females. POMS prevalence increases significantly after age 15 years old, and the first manifestation of the disease is usually blurred vision.</p>","PeriodicalId":14537,"journal":{"name":"Iranian Journal of Child Neurology","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c9/25/ijcn-17-109.PMC10448846.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10101290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing Auditory Brain Stem Responses and Transient Otoacoustic Emissions in Premature Infants with Auditory Developmental Delay: Evidence of Temporary Auditory Neuropathy. 比较听觉发育迟缓早产儿的听觉脑干反应和瞬态耳声发射:暂时性听觉神经病变的证据
IF 0.8
Iranian Journal of Child Neurology Pub Date : 2023-01-01 Epub Date: 2023-10-26 DOI: 10.22037/ijcn.v17i4.42882
Malihah Mazaheryazdi, Mohammad Amin Sharafi, Mehdi Akbari, Farhad Abolhasan Choobdar
{"title":"Comparing Auditory Brain Stem Responses and Transient Otoacoustic Emissions in Premature Infants with Auditory Developmental Delay: Evidence of Temporary Auditory Neuropathy.","authors":"Malihah Mazaheryazdi, Mohammad Amin Sharafi, Mehdi Akbari, Farhad Abolhasan Choobdar","doi":"10.22037/ijcn.v17i4.42882","DOIUrl":"10.22037/ijcn.v17i4.42882","url":null,"abstract":"<p><strong>Objectives: </strong>Premature birth causes some permanent or temporary abnormalities in the hearing system of the newborn. Inadequate development of the central auditory nervous system and balance, as well as the delay in the formation of the nerve myelin, can be the cause of many hearing disorders, including permanent or temporary auditory neuropathy spectrum disorder (ANSD). The present study aims to identify and understand developmental delay disorder in the hearing system of infants and investigate the possibility of temporary auditory neuropathy in infants.</p><p><strong>Materials & methods: </strong>In this comparative analytical study, twenty premature infants were randomly selected for hearing tests using auditory brainstem response and transient otoacoustic emissions at the time of discharge and three months after the first evaluation. The different components of these tests were analyzed and compared before and after developing the auditory system.</p><p><strong>Results: </strong>The OAEs test showed a signal-to-noise ratio above six dB with appropriate amplitudes in all infants. The grand average waveform of the ABR showed a significant difference between the amplitudes of waves III and V before and after maturation in both ears (p<0.05). In addition, the absolute latency of waves, specifically III and V, showed a significant difference between the two assessment times (0.05).</p><p><strong>Conclusions: </strong>The present study confirmed the occurrence of temporary ANSD or delayed maturation in premature infants following the lack of complete growth and myelination of auditory nerve fibers. There is a need to determine the hearing status of premature infants by frequent examinations and prevent any unnecessary prescription of amplifications.</p>","PeriodicalId":14537,"journal":{"name":"Iranian Journal of Child Neurology","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10704287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138796323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role Of Fine Motor Abilities In Reading Components: A Cross-Sectional Study In Children With And Without Dyslexia. 精细动作能力在阅读成分中的作用:阅读障碍儿童与非阅读障碍儿童的横断面研究。
IF 0.8
Iranian Journal of Child Neurology Pub Date : 2023-01-01 Epub Date: 2023-10-26 DOI: 10.22037/IJCN.v17i4.38710
Reza Barghandan, Hooshang Dadgar, Parvin Raji, Saman Maroufizadeh
{"title":"The Role Of Fine Motor Abilities In Reading Components: A Cross-Sectional Study In Children With And Without Dyslexia.","authors":"Reza Barghandan, Hooshang Dadgar, Parvin Raji, Saman Maroufizadeh","doi":"10.22037/IJCN.v17i4.38710","DOIUrl":"10.22037/IJCN.v17i4.38710","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the relationship between fine motor skills and reading components and compare the fine motor skills of normal children and children with dyslexia.</p><p><strong>Materials & methods: </strong>In this study, 47 children with dyslexia children and 47 normal children in the first to the third grade of elementary school in the age range of seven to nine years were examined with the Bruininks-Oseretsky Test of Motor Proficiency and NEMA reading test. Data were analyzed using Kolmogorov-Smirnov, Shapiro-Wilk, U Mann-Whitney methods, multiple linear regression, and Spearman correlation coefficient.</p><p><strong>Results: </strong>The results showed children with dyslexia were significantly weaker in fine motor skills than normal children (p <0.001). In addition, a relationship existed between the subtest of response speed and reading accuracy in normal children, but it was in normal children. A significant relationship was found between visual-motor control subtests and Upper-limb speed and dexterity with reading accuracy and speed. None of the motor subtests were related to reading comprehension. In children with dyslexia, no association was found between motor subtests and reading components.</p><p><strong>Conclusion: </strong>Seemingly, fine motor skills can be used as an essential factor along with other effective factors in improving the reading skills of children with reading disabilities.</p>","PeriodicalId":14537,"journal":{"name":"Iranian Journal of Child Neurology","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10704294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138796599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Post Herpetic Anti-NMDA- Receptor Encephalitis in an 18-month-old Infant. 18月龄婴儿疱疹后抗nmda受体脑炎1例。
IF 0.8
Iranian Journal of Child Neurology Pub Date : 2023-01-01 DOI: 10.22037/ijcn.v17i2.35356
Hossein Eslamiyeh, Reihane Ranjbar Jamalabadi, Mohsen Askarbioki
{"title":"Post Herpetic Anti-NMDA- Receptor Encephalitis in an 18-month-old Infant.","authors":"Hossein Eslamiyeh,&nbsp;Reihane Ranjbar Jamalabadi,&nbsp;Mohsen Askarbioki","doi":"10.22037/ijcn.v17i2.35356","DOIUrl":"https://doi.org/10.22037/ijcn.v17i2.35356","url":null,"abstract":"<p><p>Herpes simplex encephalitis (HSE), caused by herpes simplex virus type 1 (HSV-1), is the most common cause of severe sporadic encephalitis worldwide. HSE is occasionally accompanied by the recurrence of clinical symptoms that usually occur a few weeks following the initial infection. According to recent studies, the recurrence can be due to a secondary autoimmune mechanism rather than the virus invasion. One of the most common etiologies for autoimmunity is Anti-N-Methyl-D-Aspartate receptor encephalitis. This disorder is a treatable autoimmune encephalitis manifesting as movement disorder or neuropsychological involvement.</p><p><strong>Case presentation: </strong>The article pertains to the presentation of an 18-month-old infant with a primary diagnosis of herpetic encephalitis who was re-admitted to the hospital shortly after discharge with restlessness, speech disorder, and abnormal movements. The movements were predominantly choreiform and disappeared during sleep. Brain MRI revealed abnormal predominance in the left temporoparietal regions with encephalomalacic changes in some areas in favor of sequella of previous encephalitis in addition to recent right temporal involvement of sequella of previous encephalitis. The polymerase chain reaction test of cerebrospinal fluid for herpes simplex infection was negative. Therefore, the possibility of autoimmune encephalitis was raised. More laboratory examinations revealed that the Anti-N-Methyl-D-Aspartate receptor antibody level was significantly elevated in cerebrospinal fluid. Thus, the diagnosis of Anti-N-Methyl-D-Aspartate receptor encephalitis was established.</p><p><strong>Conclusion: </strong>Relapsing symptoms after herpes simplex virus encephalitis, especially with movement disorders, should raise a high clinical suspicion of Anti-N-Methyl-D-Aspartate receptor encephalitis in children. Therefore, clinicians should be cautious of its occurrence in infants; despite its rarity in that age group.</p>","PeriodicalId":14537,"journal":{"name":"Iranian Journal of Child Neurology","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/63/ijcn-17-167.PMC10114269.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9551349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Association of Acute Motor Axonal Neuropathy (Guillain-Barre' Syndrome Variant) with Coronavirus (SARS-Cov-2) in a Child: A Case Report. 儿童急性运动轴索神经病(格林-巴利综合征变体)与冠状病毒(SARS-Cov-2)的关联:1例报告
IF 0.8
Iranian Journal of Child Neurology Pub Date : 2023-01-01 DOI: 10.22037/ijcn.v17i2.35849
Alireza Nateghian, Mozhde Mohammadpour, Naseh Yousefi, Mohammad Sadegh Khabbaz, Katayoun Moradi
{"title":"The Association of Acute Motor Axonal Neuropathy (Guillain-Barre' Syndrome Variant) with Coronavirus (SARS-Cov-2) in a Child: A Case Report.","authors":"Alireza Nateghian,&nbsp;Mozhde Mohammadpour,&nbsp;Naseh Yousefi,&nbsp;Mohammad Sadegh Khabbaz,&nbsp;Katayoun Moradi","doi":"10.22037/ijcn.v17i2.35849","DOIUrl":"https://doi.org/10.22037/ijcn.v17i2.35849","url":null,"abstract":"<p><p>Various reports of neurological manifestations of SARS-COV-2 infection after the virus outbreak are available, including anosmia, seizures, acute flaccid myelitis, Guillain-Barré syndrome (GBS), and encephalitis. Most of the literature has focused on the respiratory manifestation of SARS-CoV-2 infection in adults, but recent evidence showed that it is not confined to the respiratory tract. This report is about a rare variant of GBS acute motor axonal neuropathy (AMAN) in a child due to COVID-19 infection An 11 years old boy was referred to the hospital with a history of three-day lasting mild fever, and gastroenteritis, two weeks before starting symptoms. He was presented with progressive ascending weakness, paresthesia, and areflexia in four limbs four days ago. Nasopharyngeal swab polymerase chain reaction (PCR) was positive for SARS-CoV-2. The electrodiagnostic finding was compatible with acute generalized axonal motor neuropathy, and imaging revealed thoracolumbar syrinx and nerve root enhancement in lumbosacral MRI. Other lab tests were normal. GBS and its variant are one of the manifestations of SARS-CoV-2 in children. Children with an unexplained neurological process should be tested for SARS-CoV-2.</p>","PeriodicalId":14537,"journal":{"name":"Iranian Journal of Child Neurology","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6c/a1/ijcn-17-163.PMC10114280.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9559004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Autoimmune Encephalitis Due to COVID-19 in a Young Patient. 1例年轻患者COVID-19所致自身免疫性脑炎
IF 0.8
Iranian Journal of Child Neurology Pub Date : 2023-01-01 DOI: 10.22037/ijcn.v17i2.38280
Forough Derakhshani, Mohammadreza Ghazavi, Neda Hosseini
{"title":"Autoimmune Encephalitis Due to COVID-19 in a Young Patient.","authors":"Forough Derakhshani,&nbsp;Mohammadreza Ghazavi,&nbsp;Neda Hosseini","doi":"10.22037/ijcn.v17i2.38280","DOIUrl":"https://doi.org/10.22037/ijcn.v17i2.38280","url":null,"abstract":"<p><p>Autoimmune encephalitis is an inflammatory condition caused by different factors, including viral infections, diagnosed after ruling out other causes of encephalitis. The current study reported novel autoimmune encephalitis in an 11-year-old girl who presented with seizures, cognitive dysfunction, and neurological impairments. During the admission, the researchers observed high levels of anti-N-methyl-D-aspartate receptor (NMDAR) antibodies in the cerebrospinal fluid (CSF). Besides, she had positive anti-COVID-19IgG. Therefore, the diagnosis of COVID-19-induced autoimmune encephalitis was specific. The patient received anti-epileptic, anti-viral drugs, IVIG, and rituximab and was discharged with remission. The case diagnosis was made by anti-NMDAR antibodies, which highlights the importance of this diagnostic tool. Similar cases have been reported earlier, but the point of this case was her younger age compared to the previous cases and her developing neurological deficit before COVID-19 presentations.</p>","PeriodicalId":14537,"journal":{"name":"Iranian Journal of Child Neurology","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/bf/ijcn-17-135.PMC10114274.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9563383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating Serum Proteome in Women with Obsessive-Compulsive Disorder/Bipolar Disorder Compared to Pure Obsessive- Compulsive Disorder Subjects and Healthy Controls. 与单纯强迫症受试者和健康对照组相比,评估强迫症/双相情感障碍女性的血清蛋白质组。
IF 0.8
Iranian Journal of Child Neurology Pub Date : 2023-01-01 Epub Date: 2023-07-01 DOI: 10.22037/ijcn.v17i1.34795
Noorollah Tahery, Mostafa Rezaei Tavirani, Mona Zamanian Azodi, Mostafa Hamdieh, Mohammad Rostami Nejad, Nahid Mahmoodi
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