Document Detail


Acute infantile encephalopathy predominantly affecting the frontal lobes (AIEF): a novel clinical category and its tentative diagnostic criteria.
MedLine Citation:
PMID:  16829046     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Hideo Yamanouchi; Masashi Mizuguchi
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2006-07-10
Journal Detail:
Title:  Epilepsy research     Volume:  70 Suppl 1     ISSN:  0920-1211     ISO Abbreviation:  Epilepsy Res.     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-08-16     Completed Date:  2006-10-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8703089     Medline TA:  Epilepsy Res     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  S263-8     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Dokkyo University School of Medicine, 880 Kitakobayashi, Mibu, Shimotsuga, Tochigi 321-0293, Japan. yhideo@dokkyomed.ac.jp
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MeSH Terms
Descriptor/Qualifier:
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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