Evolution of the epileptic EEG foci in children with febrile convulsions.
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Adolescent↗
Biomedical subjects
Y Takuma
Publications and source records attributed to Y Takuma.
[Studies on the use of computers at the Department of Urology. 3. Practice of dialysis and auxiliary therapeutic system at the dialysis room].
The recent development of blood purification methods is remarkable. Now the physician can choose a different method and apparatus for blood purification according to the condition of each patient. Unlike the days when a uniform therapeutic method was used on all patients, the method and apparatus used on each patient may differ, and therefore if an inappropriate method or apparatus is used, it may result in a serious medical error. Patients on dialysis are in a pathologic state brought about by the causative disease and that brought about by renal failure which can not be cured by blood purification therapy. Therefore, it is necessary to accumulate a large amount of information on the patient's condition, including tests, and to use them effectively to provide optimum management of the patient. The author developed a system to collect and analyse large amounts of such information by using a microcomputer to help improve the practise of dialysis, and enable more appropriate patient management. The input of this system are basic data on the patient, information relating to dialysis treatment, symptoms of the patient, results of tests, treatment applied etc.; its output are medical bills, drug requisition sheet, dialysis record etc. Simultaneously, the various pieces of information stored by this system can be retrieved as required. The planned objective of this system has been achieved in the past 8 months.
Computers↗
The 'double cortex' syndrome on MRI.
We report a 6-year-old girl with diffuse subcortical heterotopia (band heterotopia), an unusual type of ectopic gray matter on magnetic resonance imaging (MRI). Her cerebral parenchyma had four layers consisting of cortex, thin outer white matter, diffuse subcortical heterotopia, and inner white matter around the lateral ventricles, giving the appearance of a 'double cortex'. The overlying cortex had midly broad gyri, especially in the frontal lobes. MRI showed the appearance of laminar heterotopia, a classical pathological entity. The double cortex syndrome is presumably a radiological delineation of laminar heterotopia. Her development was slightly delayed and she was clumsy and easily upset, with poor impulse control. However, her daily life was largely unaffected in spite of the severe abnormalities on MRI. She had abnormal movements during sleep, and sleeping EEG showed high voltage spindles in the bilateral frontal areas but no epileptic discharges. It could not be determined whether or not these movements were epileptic. The double cortex syndrome, an anomaly of the central nervous system associated with mental retardation, epilepsy, behavioral problems, and exclusive occurrence in girls, will be established as a clinico-radiological entity.
Brain Diseases↗