| Acute infantile encephalopathy predominantly affecting the frontal lobes (AIEF): a novel clinical category and its tentative diagnostic criteria. | |
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MedLine Citation:
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PMID: 16829046 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acute infantile encephalopathy predominantly affecting the frontal lobes (AIEF) is proposed as a novel form of acute encephalopathy in infancy. To establish the diagnostic criteria for AIEF, we reviewed the clinical data of 10 patients who were seen by us and diagnosed as having AIEF, and those of 7 patients in the literature compatible with the diagnosis of AIEF. The mean age of onset was 1 year and 7 months. Boys and girls were equally affected. There is always an association with hyperpyrexia due to viral illness. Manifestations at the onset were convulsive status epilepticus and prolonged coma followed by signs of frontal lobe dysfunction such as a lack of spontaneity and regression of verbal functions. Imaging studies demonstrated edematous changes of the bilateral frontal lobes, which showed increased cerebral perfusion initially but attenuated perfusion several weeks later. The recovery of intellectual deficit was generally slower than that of motor disability. Based on these findings, we propose tentative diagnostic criteria of AIEF. |
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Authors:
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Hideo Yamanouchi; Masashi Mizuguchi |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2006-07-10 |
Journal Detail:
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Title: Epilepsy research Volume: 70 Suppl 1 ISSN: 0920-1211 ISO Abbreviation: Epilepsy Res. Publication Date: 2006 Aug |
Date Detail:
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Created Date: 2006-08-16 Completed Date: 2006-10-26 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8703089 Medline TA: Epilepsy Res Country: Netherlands |
Other Details:
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Languages: eng Pagination: S263-8 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Dokkyo University School of Medicine, 880 Kitakobayashi, Mibu, Shimotsuga, Tochigi 321-0293, Japan. yhideo@dokkyomed.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Brain Diseases / complications, diagnosis* Child, Preschool Female Frontal Lobe / pathology* Humans Infant Language Disorders / etiology Magnetic Resonance Imaging Male Status Epilepticus / etiology*, pathology Tomography, Emission-Computed, Single-Photon |
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