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A Nine-Month-Old Boy With Isodicentric Chromosome 15: A Case Report
박덕호,임승규,박은숙,심은결 대한재활의학회 2013 Annals of Rehabilitation Medicine Vol.37 No.2
Isodicentric chromosome 15 [idic(15)] is a rare chromosomal abnormality that occurs due to inverted duplication of chromosome 15q. It is associated with many clinical findings such as early central hypotonia, developmental delay, cognitive dysfunction, autism spectrum disorders, and seizure. Delayed development is a common problem referred to pediatric rehabilitation clinics. A 9-month-old boy with delayed development was referred to our clinic for assessment and treatment. On chromosomal analysis, he was diagnosed as idic(15) syndrome with 47,XY,+idic(15)(q12) on karyotyping. Herein we describe his clinical manifestations and provide a brief review of the related literature.
이예원,박덕호,김병희,이상억,이장우 대한근전도전기진단의학회 2020 대한근전도 전기진단의학회지 Vol.22 No.2
Superficial temporal artery-middle cerebral artery (STA-MCA) bypass is a surgical treatment for ischemic stroke caused by large artery occlusion. Intraoperative neuropsychological monitoring (IONM) is useful for ensuring cerebral perfusion. Herein, we report 5 cases of patients with ischemic stroke who underwent STA-MCA bypass with IONM. We investigated whether the improved cerebral perfusion was reflected in real time on the evoked potentials (EP) of IONM. To measure changes in cerebral perfusion, all patients underwent pre- and post-operative perfusion-weighted imaging (PWI). Additionally, functional assessments were performed before and after the surgery. We found that the motor evoked potential (MEP) amplitudes showed a consistent increase at the end of surgery. The somatosensory evoked potential (SSEP) latencies decreased consistently, but this change was not large. SSEP amplitudes showed no consistent change. Most of the PWI findings and functional assessments of our patients also improved after the surgery. After bypass surgery, MEP showed more reliable and consistent changes than SSEP.
박은숙,나동욱,박진희,박덕호,심은글 연세대학교의과대학 2013 Yonsei medical journal Vol.54 No.2
Purpose: The objective of this study was to describe hand function in relation with gross motor function and subtype of spastic cerebral palsy and to investigate the relationships among gross motor function, bimanual performance, unimanual capacity and upper limb functional measures in children with spastic cerebral palsy (CP). Materials and Methods: We collected upper extremity data of 140 children with spastic CP. The Gross Motor Functional Classification System (GMFCS) was used to assess gross motor function, Manual Ability Classification System (MACS) for bimanual performance, and Modified House Functional Classification (MHC) for the best capacity of each hand. Upper limb functions were evaluated by using the Upper Limb Physician’s Rating Scale and Upper Extremity Rating Scale. Results: There was a good correlation between GMFCS and MACS in children with bilateral CP, but the correlation was not strong in children with unilateral CP. No significant difference between GMFCS and MACS was found in children with bilateral CP, but children with unilateral CP scored higher on GMFCS than on MACS. A strong correlation was observed between MACS and MHC in children with bilateral CP, but not in children with unilateral CP. The upper limb functional measures in each hand were highly related with MACS and MHC in bilateral CP, but not in unilateral CP. Conclusion: Gross motor function, bimanual performance and the best capacity of each hand are closely related with each other in children with bilateral CP, but not in children with unilateral CP.