Document Detail


Latent cerebral hypoperfusion in a boy with persistent nephrotic syndrome.
MedLine Citation:
PMID:  12453603     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pediatricians are often faced with both bad temper and decreased daily activity in children with persistent nephrotic syndrome. These problems, which might affect both mental and physical development, have been explained as a consequence of general fatigue due to systemic edema and/or long-term hospitalization. However, other factors, such as cerebral hypoperfusion, may be involved. We experienced a case of a boy with steroid-resistant nephrotic syndrome who showed diffuse cerebral hypoperfusion on single photon emission computed tomography. Diffuse cerebral hypoperfusion dramatically resolved as the nephrotic syndrome remitted. His bad temper, decreased daily activity, and delay of speech and motor development also improved. In our patient, cerebral hypoperfusion might have been associated with his mental problems, physical problems, and delayed development of speech.
Authors:
Shu-ichi Ito; Atsuo Nezu; Tomoko Nakamura; Masami Kawamoto; Yukoh Aihara; Shumpei Yokota
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Brain & development     Volume:  24     ISSN:  0387-7604     ISO Abbreviation:  Brain Dev.     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-11-27     Completed Date:  2003-02-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7909235     Medline TA:  Brain Dev     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  780-3     Citation Subset:  IM    
Copyright Information:
Copyright 2002 Elsevier Science B.V.
Affiliation:
Department of Pediatrics, Yokohama City University Medical Center, 4-57, Urafune-cho, Minami-ku, 232-0024 Yokohama, Japan. sk-ito@tb3.so-net.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Cerebral Cortex / pathology,  physiopathology,  radionuclide imaging
Cerebrovascular Circulation / physiology
Child, Preschool
Chronic Disease
Cyclosporine / therapeutic use
Developmental Disabilities / diagnosis,  etiology*,  physiopathology*
Electroencephalography
Humans
Hypoxia-Ischemia, Brain / diagnosis,  etiology*,  physiopathology
Magnetic Resonance Imaging
Male
Mood Disorders / etiology
Nephrotic Syndrome / complications*,  drug therapy,  physiopathology
Prednisolone / analogs & derivatives*,  therapeutic use
Recovery of Function / drug effects,  physiology
Tomography, Emission-Computed, Single-Photon
Treatment Outcome
Chemical
Reg. No./Substance:
50-24-8/Prednisolone; 57072-99-8/methyl prednisolonate; 59865-13-3/Cyclosporine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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