Neuropadiatrie最新文献

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An unusual case of phenytoin intoxication. 一例不寻常的苯妥英中毒病例。
Neuropadiatrie Pub Date : 1978-05-01 DOI: 10.1055/s-0028-1091478
M Albani
{"title":"An unusual case of phenytoin intoxication.","authors":"M Albani","doi":"10.1055/s-0028-1091478","DOIUrl":"https://doi.org/10.1055/s-0028-1091478","url":null,"abstract":": A case of a ten years old boy is reported who developed a severe intoxication after changing the phenytoin treatment from the calcium salt to the free acid. The difference in bioavailability reduced the drug requirement to 55% of the previous dose. The child was receiving also sodium valproate and clonazepam. Serial measurements revealed a significant inverse correlation between the toxic phenytoin serum concentration and the serum level of valproic acid. The measurements of phenytoin as well as of valproic acid in this case have shown again the value of routine monitoring of anticonvulsant therapy.","PeriodicalId":76211,"journal":{"name":"Neuropadiatrie","volume":"9 2","pages":"185-8"},"PeriodicalIF":0.0,"publicationDate":"1978-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1091478","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11784577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
[Dichotic listening performance in children--development of a reliable test (author's transl)]. [儿童的二分性听力表现——开发一种可靠的测试[作者译]]。
Neuropadiatrie Pub Date : 1978-05-01 DOI: 10.1055/s-0028-1085415
I Roob, W Rost, A Rothenberger
{"title":"[Dichotic listening performance in children--development of a reliable test (author's transl)].","authors":"I Roob, W Rost, A Rothenberger","doi":"10.1055/s-0028-1085415","DOIUrl":"10.1055/s-0028-1085415","url":null,"abstract":"<p><p>With a new developed and reliable dichotic test (one part monosyllable words, other part monosyllable digits) we could show a significant Right-Ear-Advantage (REA) in children from age six to eight. The determination of an auditory-dominance-index (DI)--in analogy to the DI of handedness by Schilling (1977)--made it possible to determine the different degrees of REA/LEA in individuals or groups. Within the near future the auditory-dominance-index could be an important measure in diagnosis and therapy of child development (i.e. discrimination of language features like phonematics, syntax, semantic, and their lateralisation within ages) as far as standard-scales for all-over-accuity and lateralisation will exist. Our test is the first step to do this.</p>","PeriodicalId":76211,"journal":{"name":"Neuropadiatrie","volume":"9 2","pages":"109-19"},"PeriodicalIF":0.0,"publicationDate":"1978-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11783732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influences on the absorption of diphenylhydantoin preparations. 对二苯基苯妥英制剂吸收的影响。
Neuropadiatrie Pub Date : 1978-05-01 DOI: 10.1055/s-0028-1085416
A Windorfer, S Stünkel, H M Weimann
{"title":"Influences on the absorption of diphenylhydantoin preparations.","authors":"A Windorfer,&nbsp;S Stünkel,&nbsp;H M Weimann","doi":"10.1055/s-0028-1085416","DOIUrl":"https://doi.org/10.1055/s-0028-1085416","url":null,"abstract":"<p><p>The absorption of different preparations of diphenylhydantoin was studied in 9 healthy persons under different conditions. With both galenic preparations of two different factories (diphenylhydantoin-acid) the absorption was significant by less in the fasting state than after breakfast. Whereas the absorption was almost identical for both preparations in the fasting state, it differed significantly after ingestion of a breakfast: the one preparation, DPH-A, was less well absorbed than the other, DPH-B (7,9 mcg/ml serumconcentration 5 hours after oral administration of 5 mg/kg DPH-B versus 5,7 mcg/ml serumconcentration 5 hours after administration of 5 mg/kg DPH-A).</p>","PeriodicalId":76211,"journal":{"name":"Neuropadiatrie","volume":"9 2","pages":"120-6"},"PeriodicalIF":0.0,"publicationDate":"1978-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1085416","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11783733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Leukocyte docosahexaenoic acid in juvenile form of ceroid-lipofuscinosis. 幼年型蜡样脂褐病中的白细胞二十二碳六烯酸。
Neuropadiatrie Pub Date : 1978-05-01 DOI: 10.1055/s-0028-1085417
R K Pullarkat, V K Patel, H Brockerhoff
{"title":"Leukocyte docosahexaenoic acid in juvenile form of ceroid-lipofuscinosis.","authors":"R K Pullarkat,&nbsp;V K Patel,&nbsp;H Brockerhoff","doi":"10.1055/s-0028-1085417","DOIUrl":"https://doi.org/10.1055/s-0028-1085417","url":null,"abstract":"<p><p>Leukocyte glycerolipid fatty acid compositions were determined in four patients of juvenile form of neuronal ceroid-lipofuscinosis (Battens disease), their parents and age-matched controls. A 54 to 93% reduction in docosahexaenoic acid (22:6, n-3) was noted in patient leukocytes. The parents also showed reduction in docosahexaenoic acid content, but to a lesser degree. The levels of linolenic family (n-6) polyunsaturated fatty acids were unchanged suggesting that the metabolic defect in this disease is specific to the linolenic family (n-3) of fatty acids.</p>","PeriodicalId":76211,"journal":{"name":"Neuropadiatrie","volume":"9 2","pages":"127-30"},"PeriodicalIF":0.0,"publicationDate":"1978-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1085417","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11783735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 19
Occipital 3-4/s-rhythms in childhood EEG. 儿童脑电图枕部3-4/s节律。
Neuropadiatrie Pub Date : 1978-05-01 DOI: 10.1055/s-0028-1085419
H Doose, H Gerken, G Koenig, E Völzke
{"title":"Occipital 3-4/s-rhythms in childhood EEG.","authors":"H Doose,&nbsp;H Gerken,&nbsp;G Koenig,&nbsp;E Völzke","doi":"10.1055/s-0028-1085419","DOIUrl":"https://doi.org/10.1055/s-0028-1085419","url":null,"abstract":"<p><p>Report of follow-up studies in 65 children with occipital slow rhythms in the EEG (287 records). Two types of occipital rhythms can be differentiated: Paroxysmal bursts of 3--4/s-rhythms with high amplitude (I) accentuated by closing eyes and continuous usually regular occipital 3--4/s-rhythms (II). Type I is identical with the sinusoidal occipital 3/s-rhythms, which are observed especially frequently in childhood epilepsies. It could be demonstrated by follow-up studies, that the phenomenon usually disappears at latest during puberty. --The second type may also disappear during puberty or may even persist until the adult age. This persisting type is identical with what is quoted as \"Grundrhythmusvariante\" in the German literature. The continuous occipital rhythms could be demonstrated at earliest at age 3. The rhythms change their shape, amplitude, frequency and localisation during growth: In children prior to age 10 the rhythms show more often occipital accentuation in monopolar leads (against ear as reference); the amplitudes are higher on average; the frequency is often less than 4/s, and alpha groups preceding the rhythms after closing the eyes are less pronounced than in older children. Subharmonic waves are frequent. In the same manner as in adults a mostly right sided lateralisation can be seen. Genetic factors may be involved in the development of the occipital rhythms, although a simple mendelian transmission could not be confirmed. The EEG phenomenon is correlated with symptoms of psychic and vegetative lability. There is no correlation to epilepsy. The high incidence of anamnestic risk factors suggests that exogenous factors are at least contributing to the development of the rhythms. The continuous occipital 3--4/s-rhythms must be understood as the symptom of a disturbed development of central pacemaker systems. It can lead to persisting abnormalities or only occur transitorily in certain stages of the brain maturation.</p>","PeriodicalId":76211,"journal":{"name":"Neuropadiatrie","volume":"9 2","pages":"140-56"},"PeriodicalIF":0.0,"publicationDate":"1978-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1085419","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11783737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Positive ventriculography using water-soluble contrast media in infants with myelomeningocele and hydrocephalus. 小儿脊膜膨出和脑积水的水溶性造影剂脑室造影阳性。
Neuropadiatrie Pub Date : 1978-02-01 DOI: 10.1055/s-0028-1085409
K Kellermann, J A Bliesener, J M Kyambi
{"title":"Positive ventriculography using water-soluble contrast media in infants with myelomeningocele and hydrocephalus.","authors":"K Kellermann,&nbsp;J A Bliesener,&nbsp;J M Kyambi","doi":"10.1055/s-0028-1085409","DOIUrl":"https://doi.org/10.1055/s-0028-1085409","url":null,"abstract":"<p><p>Ventriculography with meglumine iocarmate (Dimer X) or Metrizamide (Amipaque was carried out in 15 infants with myelomeningocele and progressive hydrocephalus. In all cases, an Anold-Chiari-Malformation type II was diagnosed with compression of the structures of the posterior cranial cavity and their displacement within or below the level of the foramen magnum. The aqueduct was always patent but laterally compressed. In the region of the third ventricle there was often encountered an enlargement of the massa intermedia with indentation of the lamina terminalis and enlargement of the recessus suprapinealis. Aspects of pathogenesis of the malformation and possible causes of hydrocephalus originating from these findings are discussed. Methods and advantages of positive ventriculography using water-soluble media are presented.</p>","PeriodicalId":76211,"journal":{"name":"Neuropadiatrie","volume":"9 1","pages":"49-58"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1085409","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11518976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Juvenile type of generalized ceroid-lipofuscinosis (Spielmeyer-Sjögren syndrome) I. Clinical findings. 青少年型广泛性脂褐质病(Spielmeyer-Sjögren综合征)1 .临床表现。
Neuropadiatrie Pub Date : 1978-02-01 DOI: 10.1055/s-0028-1085407
G Schwendemann, K L Elze, P Koepp, I Lagenstein, H C Steinhausen, H J Colmant
{"title":"Juvenile type of generalized ceroid-lipofuscinosis (Spielmeyer-Sjögren syndrome) I. Clinical findings.","authors":"G Schwendemann,&nbsp;K L Elze,&nbsp;P Koepp,&nbsp;I Lagenstein,&nbsp;H C Steinhausen,&nbsp;H J Colmant","doi":"10.1055/s-0028-1085407","DOIUrl":"https://doi.org/10.1055/s-0028-1085407","url":null,"abstract":"<p><p>Thirteen patients with the clinical course of the juvenile type of generalized ceroid-lipofuscinosis were examined clinically, ophthalmologically, neurologically and psychiatrically. This included registration of EEG, x-ray, brain scintigraphy, motor nerve conduction velocity, ERG, fundus photography and bioptical investigations including electron microscopy. The children suffered from progressing decrease of visual acuity, decline of mental capacities, and later on speech and gait disturbances. The most characteristic findings are presented in case reports, two tables and fourteen pictures.</p>","PeriodicalId":76211,"journal":{"name":"Neuropadiatrie","volume":"9 1","pages":"3-27"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1085407","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11623108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Juvenile type of generalized ceroid-lipofuscinosis (Spielmeyer-Sjögren syndrome1 II. Biopsy findings. 少年型广泛性脂褐质病(Spielmeyer-Sjögren综合征)1。活组织检查结果。
Neuropadiatrie Pub Date : 1978-02-01 DOI: 10.1055/s-0028-1085408
G Schwendemann, H J Colmant, K L Elze, P Koepp, I Lagenstein, H C Steinhausen
{"title":"Juvenile type of generalized ceroid-lipofuscinosis (Spielmeyer-Sjögren syndrome1 II. Biopsy findings.","authors":"G Schwendemann,&nbsp;H J Colmant,&nbsp;K L Elze,&nbsp;P Koepp,&nbsp;I Lagenstein,&nbsp;H C Steinhausen","doi":"10.1055/s-0028-1085408","DOIUrl":"https://doi.org/10.1055/s-0028-1085408","url":null,"abstract":"<p><p>Rectal biopsies were obtained from 11 children, clinically presumed to suffer from the juvenile type of generalized ceroid-lipofuscinosis. In addition, sural nerve biopsies were performed in 4 cases. Of the various staining procedures applied for light microscopy, Sundan Black B was found to be the most useful, revealing in each of the rectal biopsies at least some nerve cells with coarse black droplets as well as numerous mucosal macrophages with a more greyish, dustlike material. In sural nerve biopsies a slight reduction of the thick myelinated nerve fibers was seen in two cases, accompanied by regeneration phenomena. The latter were also detectable in one other case, the remaining sural nerve biopsy being histologically unremarkable. By electron microscopy neuronal perikarya revealed lipopigment bodies with a fingerprint-like pattern in each of the rectal biopsies. In one case only was this pattern combined with distinct curvilinear profiles. In 4 cases, however, the fingerprint-like deposits were intermingled with different lamellated bodies, some of them reminiscent of MCB's or zebra bodies. In two of the 4 cases, these were even seen exclusively in some neurons. In each of the rectal as well as the sural nerve biopsies, most of the non-neuronal cell types presented lipopigment bodies, likewise, displaying both curvilinear and fingerpring-like profiles, with some characteristics related to the various cell types. With regard to generalized ceroid-lipofuscinosis the diagnostic value of rectal biopsies, though being disputed in the literature, appears reestablished by the findings presented.</p>","PeriodicalId":76211,"journal":{"name":"Neuropadiatrie","volume":"9 1","pages":"28-48"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1085408","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11622248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Neurovisceral storage disorder simulating Niemann-Pick disease. A new form of oligosaccharidosis? 模拟尼曼-匹克病的神经内脏储存障碍。低聚糖病的新形式?
Neuropadiatrie Pub Date : 1978-02-01 DOI: 10.1055/s-0028-1085410
B Hagberg, M Haltia, P Sourander, L Svennerholm, M T Vanier, C G Ljunggren
{"title":"Neurovisceral storage disorder simulating Niemann-Pick disease. A new form of oligosaccharidosis?","authors":"B Hagberg,&nbsp;M Haltia,&nbsp;P Sourander,&nbsp;L Svennerholm,&nbsp;M T Vanier,&nbsp;C G Ljunggren","doi":"10.1055/s-0028-1085410","DOIUrl":"https://doi.org/10.1055/s-0028-1085410","url":null,"abstract":"<p><p>Two sisters are described with demonstrable splenomegaly already from infancy and, after the age of 2--4 years, signs of slowly progressive encephalophy, vacuolated lymphocytes in the peripheral blood, and peculiar foam cells in the bone marrow aspirates. The died at 7 3/4 and 6 1/2 years. Widely spread in the brain, the nerve cell bodies were found to show extensive ballooning. It was most striking in the brain stem and spinal cord, while cerebellar structures were remarkably well preserved. The cytoplasm of the ballooned nerve cells was filled with finely granular storage material stainable as a readily soluble glycolipid. The spleen, liver and intestinal wall contained numerous foamy PAS-positive macrophages. Chemical assays showed a ten-fold increase of lactosylceramide and a modest one of minor gangliosides brain cortex. No accumulation sphingomyelin could be revealed, and the sphingomyelinase activity was found to be normal. The ganglioside GM1 beta-galactosidase activity of leucocytes was reduced to 20--25% of normal, which indicated a disturbance of the glycosaminoglycan metabolism. The tissue content of glycosaminoglycans was, however, normal, but an accumulation of lactose was demonstrated in the spleen. It is postulated that the primary enzymic defect is a disturbance of a lysosomal beta-galactosidase with a substrate specificity for lactose and other oligosaccharides with a terminal beta-galactosidic linkage.</p>","PeriodicalId":76211,"journal":{"name":"Neuropadiatrie","volume":"9 1","pages":"59-73"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1085410","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11783588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 20
[Acquired aphasia with electroencephalographic manifestation in children (author's transl)]. [儿童后天性失语伴脑电图表现(作者译)]。
Neuropadiatrie Pub Date : 1978-02-01 DOI: 10.1055/s-0028-1085412
U Petersen, P Koepp, M Solmsen, T Villiez
{"title":"[Acquired aphasia with electroencephalographic manifestation in children (author's transl)].","authors":"U Petersen,&nbsp;P Koepp,&nbsp;M Solmsen,&nbsp;T Villiez","doi":"10.1055/s-0028-1085412","DOIUrl":"https://doi.org/10.1055/s-0028-1085412","url":null,"abstract":"<p><p>The paper presents the case of a 5 year old boy with the syndrome of gradually developing aphasia, primarily receptive, associated with electroencephalographic abnormalities and behavioral problems. The aphasia developed over a period of 1 1/2 years and was primarily concerned with receptive language. At its peak there was a complete loss of language which coincided with almost continuous spike-wave discharges in EEG as did behavioral problems (hyperactivity and aggressiveness). No seizures occured. With anticonvulsive medication the abnormal EEG-activity diappeared within a 3 week period. Language improvement only began slowly 2 months later. Complete restitution of language was attained 1 year after the total loss of language. As the language improved, the behavior normalized. Various specialist were engaged in the diagnosis of the case and their procedures are described. The cause of this syndrome remains unknown. Similar cases (often with convulsive disorder) reported in literature are discussed and presented in a table.</p>","PeriodicalId":76211,"journal":{"name":"Neuropadiatrie","volume":"9 1","pages":"84-96"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0028-1085412","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11783589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
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