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차병호 대한소아청소년과학회 2007 Clinical and Experimental Pediatrics (CEP) Vol.50 No.8
Sleep disorders are very common among pediatric patients. Its prevalence is between 10% and 45% in preschool- and school-aged children. However parents commonly do not concern about their children‘s sleeping habits and for many pediatricians, there is not part of the routine office visit about a childs sleep. Sleep disorders were classified by International Classification of Sleep Disorder (ICSD) as dyssomnias, parasomnias, sleep disorders associated with mental, neurologic, or other medical disorders, and proposed sleep disorders. There are lots of differences in the causes, manifestations, and managements of sleep disorders between children and adult. The sleep disorders in childhood may manifest themselves as bedtime resistance, refusal to go to bed at a parentally described time, sleep-onset delay, inability to fall asleep within a reasonable time, prolonged nighttime awakening, and inability to return to sleep without assistance after waking during the night, and so have wide-ranging influences on children‘s behavior, mood, school performance, and family life. It‘s very important for pediatrician to concern about the sleep disturbances in childhood and so the problems of sleep in children should be early detected and managed.
The Risk Factors and Clinical Features of Posttraumatic Seizure in Preschool-Aged Children
차병호,Ki-Taek Oh,Taewoo Shin 대한소아신경학회 2019 대한소아신경학회지 Vol.27 No.1
Purpose: This study aimed to identify the clinical characteristics and risk factors of posttraumatic seizure (PTS) in preschool-aged children. Methods: This study is based on a retrospective electronic medical record review of 1,576 children under 5 years old, who visited Wonju Severance Christian Hospital by head trauma from January 1, 2011 to December 31, 2015. We reviewed the patients’ age, sex, personal history of seizure, body temperature at visit, causes of head trauma, radiologic findings, Glasgow Coma Scale (GCS) score, time interval until the occurrence of seizure after head trauma and clinical characteristics of seizure. Patients with PTS were divided into three groups of immediate (within the day of head trauma), early (within 7 days) and late (after 7 days) seizures. Results: Of the 1,576 head traumas, 53 patients (3.4%) developed PTS of which 32.1% occurred immediately, 11.3% early, 56.6% lately. The mean age was 2.02±1.63 years and 60.6% was male. Thirty-eight patients (2.6%) had fever at the time of emergency room visit, and 45 patients (2.9%) had a history of seizures. The causes of head injuries were blunt trauma (34.5%), fall down (29.5%), slip down injury (25.1%), in car traffic accidents (7.2%), out car traffic accident (1.9%), and causes unknown (1.8%). The severity of traumatic brain injury (TBI) was mild in 99.0%, moderate in 0.4%, and severe in 0.5%. On radiologic findings, 88.6% was normal, 6.0% had skull fracture, 2.8% had intracranial hemorrhage (ICH) and 2.7% had both skull fracture and ICH. Three deaths and seven cases of epilepsy were observed. Conclusion: The incidence of PTS in preschool-aged children was 3.4%. Among the seizure patients, 34.0% had immediate PTS, 11.3% had early PTS, and 54.7% had late PTS. The risk factors for PTS in preschool-aged children were fever over 38.0˚C at the time of head trauma, personal history of seizure, TBI severity by GCS. But age, sex, causes of head trauma, and radiologic findings did not related to the occurrence of seizure.
차병호(Byung Ho Cha),박석원(Seok Woon Park),이준수(Joon Soo Lee),고창준(Chang Jun Coe),장진섭(Jin Seob Jang) 대한소아신경학회 1994 대한소아신경학회지 Vol.2 No.1
200 children studying at the special school under the clinical diagnosis of childhood autism have been evaluated by the criteria of DSM-III-R and autistic behavior check list designed by krug and Arick as well as measurement of developmental status by Griffths mental development scale. There were classified as typical Kanner autism. pervasive developmental disorder not otherwise specified(PDD-NOS). Asperger syndrome and mental retardation. 21% of 200 children was typical autistic children was typical autistic children and most of them were belonged to simple mental retardation. Asperger syndrome and PDD-NOS. We concluded that the diagnosis of autism should be made sincerely by team works consist of neurologist, psychologist, social worker and special educator because each individual has various degree of disable and behavioral characteristics.