본문 바로가기
KERD
논문KCI 등재

The First Report of Fetal Alcohol Effect in a 12 Year-Old Child in Korea

1

조회

0

다운로드

2

인용

0

참고문헌

키워드

주제분류정신과학

초록

We present the first report of fetal alcohol effect in a 12 year-old child in Korea. The mother had consumed 162 g of alcohol per week continuously during pregnancy. His first febrile seizure occurred before he was 1 year old, and became more frequent 2 years later. He started showing signs of right paraplegia when he was 3.5 years old and brain MRI revealed periventricular leucomalacia near the left ventricle. He was microcephalic and his growth was retarded. He was irritable, impatient, impulsive, and inattentive, and showed disinterest in school activities and aggressive and dangerous behavior. After the diagnosis of attention deficit/hyperactivity disorder was made, psychopharmacological treatment and family support was initiated. After 10 months, he still had intermittent ideas of reference, although the aggressive behavior, inattentiveness, and impulsivity had improved. Using this case study, we stress the importance of maternal alcohol history in patients with these characteristics.

Abstract

We present the first report of fetal alcohol effect in a 12 year-old child in Korea. The mother had consumed 162 g of alcohol per week continuously during pregnancy. His first febrile seizure occurred before he was 1 year old, and became more frequent 2 years later. He started showing signs of right paraplegia when he was 3.5 years old and brain MRI revealed periventricular leucomalacia near the left ventricle. He was microcephalic and his growth was retarded. He was irritable, impatient, impulsive, and inattentive, and showed disinterest in school activities and aggressive and dangerous behavior. After the diagnosis of attention deficit/hyperactivity disorder was made, psychopharmacological treatment and family support was initiated. After 10 months, he still had intermittent ideas of reference, although the aggressive behavior, inattentiveness, and impulsivity had improved. Using this case study, we stress the importance of maternal alcohol history in patients with these characteristics.

참고문헌 (22)

  1. Lemoine P, "Children of alcoholic parents--observed anomalies: discussion of 127 cases", Ther Drug Monit, 25, pp.132~136 (2003)
  2. Jones KL, "Recognition of the fetal alcohol syndrome in early infancy", Lancet, 2, pp.999~1001 (1973)
  3. Jones KL, "Pattern of malformation in offspring of chronic alcoholic mothers", Lancet, 1, pp.1267~1271 (1973)
  4. May PA, "Estimating the prevalence of fetal alcohol syndrome. A summary", Alcohol Res Health, 23, pp.159~167 (2001)
  5. Cordero JF, "A practical clinical approach to diagnosis of fetal alcohol spectrum disorders: clarification of the 1996 Institute of Medicine criteria", Pediatrics, 115, pp.1787~ (2005)
  6. Kim EJ, "A case of fetal alcohol syndrome", J Korean Pediatr Soc, 41, pp.1001~1005 (1998)
  7. Kim JH, "A case of fetal alcohol syndrome", J Korean Child Neurol Soc, 9, pp.393~397 (2001)
  8. Kim YS, "Normative data on the Korean ADHD Rating Scales (K-ARS) for parents and teacher", J Korean Neuropsychiatr Assoc, 42, pp.352~359 (2003)
  9. "The Follow up study of internet addiction proneness scale"[URL]
  10. Koran Educational Development Institute, "Wechsler Intelligence Scale for children" (1991), Koran Educational Development Institute
  11. Greenberg LM, "Developmental normative data on the test of variables of attention (T.O.V.A.)", J Child Psychol Psychiatry, 34, pp.1019~1030 (1993)
  12. Shin MS, "A study of the development and standardization of ADHD diagnostic system", J Kor Acad Child Adolesc Psychiatry, 11, pp.91~99 (2000)
  13. 구훈정, "아동 색 선로 검사의 표준화 연구", 소아 청소년 정신의학, 19(1), pp.28~37 (2008), 대한소아청소년 정신의학회
  14. Burd L, "Recognition and management of fetal alcohol syndrome", Neurotoxicol Teratol, 25, pp.681~688 (2003)
  15. Elgen I, "Complexity of foetal alcohol or drug neuroimpairments", Acta Paediatr, 96, pp.1730~1733 (2007)
  16. Elgen I, "Lack of recognition and complexity of foetal alcohol neuroimpairments", Acta Paediatr, 96, pp.237~241 (2007)
  17. Havlicek V, "EEG frequency spectrum characteristics of sleep states in infants of alcoholic mothers", Neuropadiatrie, 8, pp.360~373 (1977)
  18. Sorbel J, "Alcohol effects on the heritability of EEG spectral power", Alcohol Clin Exp Res, 20, pp.1523~1527 (1996)
  19. O’Malley KD, "Fetal alcohol syndrome and seizure disorder", Can J Psychiatry, 43, pp.1051~ (1998)
  20. Ahn SH, "Pediatrics" (2007), Daehan Printing & Publishing Co., Ltd
  21. Korea Institute for Health and Social Affairs, "Korea National Health and Nutrition Examination Survey" (2002), Korea Institute for Health and Social Affairs
  22. "Nearly half of senior high school students drink alcohol: survey"[URL]

관련 논문AI추천

이 간행물의 다른 논문 (2건)