- Case Report
- Neurology
- A long-term subacute sclerosing panencephalitis survivor treated with intraventricular interferon-alpha for 13 years
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Minsun Kwak, Hye-Ryun Yeh, Mi-Sun Yum, Hyun-Jin Kim, Su Jeong You, Tae-Sung Ko
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Clin Exp Pediatr. 2019;62(3):108-112. Published online September 18, 2018
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Subacute sclerosing panencephalitis (SSPE) is a rare, progressive, and fatal central nervous system disorder resulting from persistent measles virus infection. Long-term data are scarce, with a maximum follow-up period of 10 years. Interferon-alpha (IFN-α) is a protein that exerts its antiviral activity via enhancement of cellular immune response and is reported to be an effective drug for the treatment of... |
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- A rare case of dysembryoplastic neuroepithelial tumor combined with encephalocraniocutaneous lipomatosis and intractable seizures
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Jee-Yeon Han, Mi-Sun Yum, Eun-Hee Kim, Seokho Hong, Tae-Sung Ko
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Clin Exp Pediatr. 2016;59(Suppl 1):S139-S144. Published online November 30, 2016
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Encephalocraniocutaneous lipomatosis (ECCL) is a rare neurocutaneous syndrome that affects ectomesodermal tissues (skin, eyes, adipose tissue, and brain). The neurologic manifestations associated with ECCL are various including seizures. However, ECCL patients very rarely develop brain tumors that originate from the neuroepithelium. This is the first described case of ECCL in combination with dysembryoplastic neuroepithelial tumor (DNET) that presented with intractable... |
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- A young child of anti-NMDA receptor encephalitis presenting with epilepsia partialis continua: the first pediatric case in Korea
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Eun-Hee Kim, Yeo Jin Kim, Tae-Sung Ko, Mi-Sun Yum, Jun Hwa Lee
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Clin Exp Pediatr. 2016;59(Suppl 1):S133-S138. Published online November 30, 2016
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Anti-N-methyl D-aspartate receptor (anti-NMDAR) encephalitis, recently recognized as a form of paraneoplastic encephalitis, is characterized by a prodromal phase of unspecific illness with fever that resembles a viral disease. The prodromal phase is followed by seizures, disturbed consciousness, psychiatric features, prominent abnormal movements, and autonomic imbalance. Here, we report a case of anti-NMDAR encephalitis with initial symptoms of epilepsia partialis... |
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- Megalencephaly-capillary malformation-polymicrogyria syndrome: the first case report in Korea
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Yeon-Chul Choi, Mi-Sun Yum, Min-Jee Kim, Yun-Jung Lee, Tae-Sung Ko
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Clin Exp Pediatr. 2016;59(Suppl 1):S152-S156. Published online November 30, 2016
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Megalencephaly-capillary malformation-polymicrogyria syndrome (MCAP), previously known as macrocephaly-cutis marmorata telangiectatica congenita and macrocephaly-capillary malformation syndrome, is a rare multiple-malformation syndrome that is characterized by progressive megalencephaly, capillary malformations of the midline face and body, or distal limb anomalies such as syndactyly. Herein, we report a female infant case that satisfies the recently proposed criteria of MCAP and describe the distinctive... |
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- Two cases of familial cerebral cavernous malformation caused by mutations in the CCM1 gene
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Im-Yong Yang, Mi-Sun Yum, Eun-Hee Kim, Hae-Won Choi, Han-Wook Yoo, Tae-Sung Ko
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Clin Exp Pediatr. 2016;59(6):280-284. Published online June 30, 2016
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Cerebral cavernous malformation (CCM) is a vascular malformation characterized by abnormally enlarged capillary cavities without any intervening neural tissue. We report 2 cases of familial CCMs diagnosed with the CCM1 mutation by using a genetic assay. A 5-year-old boy presented with headache, vomiting, and seizure-like movements. Brain magnetic resonance imaging (MRI) revealed multiple CCM lesions in the cerebral hemispheres. Subsequent... |
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- Review Article
- Neurology
- Cognitive impairment in childhood onset epilepsy: up-to-date information about its causes
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Eun-Hee Kim, Tae-Sung Ko
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Clin Exp Pediatr. 2016;59(4):155-164. Published online April 30, 2016
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Cognitive impairment associated with childhood-onset epilepsy is an important consequence in the developing brain owing to its negative effects on neurodevelopmental and social outcomes. While the cause of cognitive impairment in epilepsy appears to be multifactorial, epilepsy-related factors such as type of epilepsy and underlying etiology, age at onset, frequency of seizures, duration of epilepsy, and its treatment are considered... |
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- Original Article
- Neurology
- Intravenous levetiracetam versus phenobarbital in children with status epilepticus or acute repetitive seizures
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Yun-Jeong Lee, Mi-Sun Yum, Eun-Hee Kim, Tae-Sung Ko
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Clin Exp Pediatr. 2016;59(1):35-39. Published online January 22, 2016
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Purpose This study compared the efficacy and tolerability of intravenous (i.v.) phenobarbital (PHB) and i.v. levetiracetam (LEV) in children with status epilepticus (SE) or acute repetitive seizure (ARS). MethodsThe medical records of children (age range, 1 month to 15 years) treated with i.v. PHB or LEV for SE or ARS at our single tertiary center were retrospectively reviewed. Seizure termination was defined... |
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- Case Report
- Magnetic resonance imaging and spectroscopic analysis in 5 cases of Pelizaeus-Merzbacher disease: metabolic abnormalities as diagnostic tools
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Eun Lee, Mi-Sun Yum, Hae-Won Choi, Han-Wook Yoo, Su Jeong You, Eun-Hye Lee, Tae-Sung Ko
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Clin Exp Pediatr. 2012;55(10):397-402. Published online October 29, 2012
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Pelizaeus-Merzbacher disease (PMD) is a rare, X-linked recessive disorder characterized by dysmyelination in the central nervous system. PMD results from deletion, mutation, or duplication of the proteolipid protein gene (PLP1) located at Xq22, leading to the failure of axon myelination by oligodendrocytes in the central nervous system. PMD may be suspected when there are clinical manifestations such as nystagmus, developmental... |
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- Original Article
- Long-term outcomes of infantile spasms
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Seak Hee Oh, Eun-Hye Lee, Min-Hee Joung, Mi-Sun Yum, Tae-Sung Ko
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Clin Exp Pediatr. 2010;53(1):80-84. Published online January 15, 2010
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Purpose : The aims of this study were to investigate the long-term outcomes in children with infantile spasms (IS) and to identify the prognostic factors influencing their neurodevelopment.
Methods : We retrospectively evaluated seventy two children over five years old who were treated for IS at Asan Medical Center, Seoul, Korea, between 1994 and 2007. Forty-three children were contacted by telephone... |
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- Outcome after Discontinuation of Antiepileptic Drugs in Well Controlled Epileptic Children - Recurrence and Related Risk Factors
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Hyo-Bin Kim, Su Jeong You, Tae-Sung Ko
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Clin Exp Pediatr. 2004;47(1):66-75. Published online January 15, 2004
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Purpose : There has been no exact criteria established for when to discontinue antiepileptic drugs (AEDs) in epileptic children who had been well controlled for a long period. This study was undertaken to evaluate the recurrence rate and predictive risk factors of relapse after discontinuation of AEDs in epileptic children who had been seizure-free.
Methods : We retrospectively studied 294 children... |
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- Clinical Study of Group B β-Hemolytic Streptococcal Meningitis
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Seo-Young Lee, Sou-Jeong You, Deok-Soo Kim, Tae-Sung Ko
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Clin Exp Pediatr. 2003;46(12):1224-1229. Published online December 15, 2003
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Purpose : Bacterial meningitis is a serious disease, especially in the neonatal period, and it carries a significant degree of mortality and morbidity. Group B streptococcus(GBS) is a common cause of neonatal bacterial meningitis. The purpose of this study was to evaluate the clinical manifestations, treatment results and complications of GBS meningitis.
Methods : We analyzed 29 cases retrospectively who had... |
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- Case Report
- A Case of Korean Patient with Nonketotic Hyperglycinemia; Diagnosed Based on CSF Amino Acid Analysis and Magnetic Resonance Spectroscopy
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Kie-Young Park, Ai-Rhan Kim, Ki-Soo Kim, Soo-Young Pi, Tae-Sung Ko, Jung-Hee Lee, Han-Wook Yoo
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Clin Exp Pediatr. 2000;43(7):993-999. Published online July 15, 2000
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Nonketotic hyperglycinemia is an extremely rare congenital metabolic disorder, which is caused by
the lack of a glycine cleavage system. The onset of hyperglycinemic symptom is during the neonatal
or early infant period. Progressing grave neuromotor dysfunction is one of the main symptoms.
They include myoclonic seizure, hiccup, apnea, decreased deep tendon reflex, lethargy and
coma. The prognosis is mostly very poor. Furthermore, there... |
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- Original Article
- Molecular Genetic Diagnosis in Korean Patients with Myoclonic Epilepsy with Ragged Red Fiber(MERRF) Syndrome
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Tae-Sung Ko, Sang-Ahm Lee, Gheeyoung Choe, Han-Wook Yoo
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Clin Exp Pediatr. 1998;41(7):941-952. Published online July 15, 1998
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Purpose : Myoclonic epilepsy with ragged red fiber(MERRF) syndrome is a disease of the mitochondrial encephalomyopathies, characterized by progressive myoclonus(action), epilepsy, cerebellar ataxia, intention tremor, muscle weakness, progressive dementia, sensorineural hearing loss and optic atrophy. Its inheritance is maternally inherited mitochondrial mutation, and its pathologic finding is characterized by ragged red fibers(RRF). Biochemically its defects are diverse. This study was... |
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- Clinical and MRI Findings of Acute Disseminated Encephalomyelitis
Associated with Preceding Infections Confirmed Serologically
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Jung-Yeon Shim, Tae-Sung Ko, Hyung-Nam Moon, Chang-Yee Hong, Choong-Gon Choi,, Shi-Joon Yoo, Dae-Chul Suh
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Clin Exp Pediatr. 1998;41(4):505-513. Published online April 15, 1998
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Purpose : Acute disseminated encephalomyelitis(ADEM) is an inflammatory demyelinating disease
of the central nervous system. The pathogenesis is not well known, but it is thought to be an
immune-mediated disease and may follow a viral infection or vaccinations. MRI demonstrates
decreased signal on T1 weighting and increased signal on T2-weighted image. We report clinical
features and characteristic MRI findings in seven patients with ADEM... |
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- Neurologic Complications Associated with Mycoplasma pneumoniae Infection
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Sung-Jong Park, Tae-Sung Ko, Hyung-Nam Moon, Chang-Yee Hong
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Clin Exp Pediatr. 1996;39(3):346-353. Published online March 15, 1996
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Purpose : Mycoplasma pneumoniae is known to be a common respiratory pathogen in children and cause neurologic complications in some patients. The clinical spectrum of the neurologic complications is wide, ranging from mild meningeal signs to severe neurologic symptoms with poor outcomes. The overall mortality in patients with neurologic complications has been approximated upto 10% and significant residual deficits could... |
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