저혈당성 뇌병증에 의한 시각유발전위검사(VEP) 이상을 보인 신생아 2례
Abnormal Visual Evoked Potential Response from Hypoglycemic Encephalopathy in Two Neonates
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Although neonatal hypoglycemia is a common metabolic abnormality in newborn infants, brain injuries resulting from isolated neonatal hypoglycemia are rare. Many infants who are hypoglycemic do not exhibit clinical manifestations, while other infants are symptomatic and at risk for permanent brain damage. There is no disagreement that hypoglycemia can cause neonatal encephalopathy and result in permanent brain injury. Occipital brain injury associated with neonatal hypoglycemia can result in long-term disability, epilepsy, and visual impairment. Infants should receive ongoing developmental and visual surveillance for lateonset epilepsy, and visual or cognitive impairment. We report two cases of newborn infants with abnormal visual evoked potentials (VEP) caused by neonatal hypoglycemic encephalopathy.
Abstract
Although neonatal hypoglycemia is a common metabolic abnormality in newborn infants, brain injuries resulting from isolated neonatal hypoglycemia are rare. Many infants who are hypoglycemic do not exhibit clinical manifestations, while other infants are symptomatic and at risk for permanent brain damage. There is no disagreement that hypoglycemia can cause neonatal encephalopathy and result in permanent brain injury. Occipital brain injury associated with neonatal hypoglycemia can result in long-term disability, epilepsy, and visual impairment. Infants should receive ongoing developmental and visual surveillance for lateonset epilepsy, and visual or cognitive impairment. We report two cases of newborn infants with abnormal visual evoked potentials (VEP) caused by neonatal hypoglycemic encephalopathy.
참고문헌 (14)
- Han DG, "The study on the change of blood glucose level in neonate", Korean J Pediatr, 13, pp.411~416 (1970)
- Sperling MA, "Hypoglycemia Nelson textbook of pediatrics", pp.655~669 (2007), Philadelphia: WB Sauders Co
- Stoll BJ, "The endocrine system Nelson textbook of pediatrics", pp.782~786 (2007), Philadelphia: WB Sauders Co
- Kalhan SC, "Disorders of carbohydrate metabolism Neonatal-perinatal medicine", pp.1467~1491 (2006), Philadelphia: Mosby Co
- Ogata ES, "Carbohydrate homeostasis Neonatology", pp.876~891 (2005), Philadelphia: Lippincott Co
- Taeusch HW, "Avery's disease of the newborn", pp.1410~1422 (2005), Philadelphia: Elsevier Saunders Co
- Cornblath M, "Controversies regarding definition of neonatal hypoglycemia; suggested operational thresholds", Pediatrics, 105, pp.1141~1145 (2000)
- 김은영, "신생아에서의 포도당 대사와 혈당증의 평가", Korean Journal of Pediatrics, 50(4), pp.223~229 (2007), 대한소아과학회
- Barkovich AJ, "Imaging patterns of neonatal hypoglycemia", Am J Neuroradiol, 19, pp.523~528 (1998)
- Traill Z, "Brain imaing in neonatal hypoglycemia", Arch Dis Child Fetal Neonatal Ed, 79, pp.F145~F147 (1998)
- Murakami Y, "Cranial MRI of neurologically impaired children suffering from neonatal hypoglycemia", Pediatr Radiol, 29, pp.23~27 (1999)
- Caraballo RH, "Symptomatic occipital lobe epilepsy following neonatal hypoglycemia", Pediatr Neurol, 31, pp.24~29 (2004)
- Meissner T, "Long term follow-up of 114 patients with congenital hyperinsulinism", Eur J Endocrinol, 149, pp.43~51 (2003)
- Peter M, "Neonatal hypoglycemia and occipital cerebral injury", J Pediatr, 148, pp.552~555 (2006)