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J Korean Neurol Assoc. 1984;2(1):94-102.
- Electroencephalographic and Computed Tomographic
Findings of the West Syndrome
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Bong-Ae Oui, M.D., Ho-Jin Myong, M.D.
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Department of Neurology, Seoul National University
- West 증후군의 뇌파검사 및 뇌전산화단층촬영 소견
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위봉애, 명호진
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서울대학교 신경과.
- Abstract
- Electroencephalograhic and brain computed tomographic findings in 12 children with West syndrome were analysed. All the patients presented infantile spasms and psychomotor retardation. The results were as following.
1) EEG findings were abnormal in all. Hypsarrhythmia was present in 90%.
2) The serial EEG records improved with the reduction of spasms after ACTH treatment. But
no change was observed with the reduction or cessation of spasms after other antiepileptic
drugs.
3) Brain CT findings were abnormal in 5 out of 9 cases. Diffuse cerebral atrophy with
fronto-temporal predominance was demonstrated in 4 cases. Multiple small low denstities
were observed in one case.
4) The spasms were intractable to ACTH treatment for those with structural brain
abnormalities on brain CT.
5) It seems that brain CT constitutes a valuable diagnostic tool in distinguishing between
idiopathic and symptomatic cases and for greater prognostic accuracy, and serial EEG records
can give a guide to the treatment.
Keywords :
- 초록
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