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Review Article
Neurology
How can neurological outcomes be predicted in comatose pediatric patients after out-of-hospital cardiac arrest?
Hyo Jeong Kim
Clin Exp Pediatr. 2020;63(5):164-170.   Published online October 10, 2019
The prognosis of patients who are comatose after resuscitation remains uncertain. The accurate prediction of neurological outcome is important for management decisions and counseling. A neurological examination is an important factor for prognostication, but widely used sedatives alter the neurological examination and delay the response recovery. Additional studies including electroencephalography, somatosensory-evoked potentials, brain imaging, and blood biomarkers are useful for...
Case Report
Giant coronary aneurysm caused by Kawasaki disease: consistency between catheter angiography and electrocardiogram gated dual-source computed tomography angiography
Eun-Ha Hwang, Jung-Ki Ju, Min-Jung Cho, Ji-Won Lee, Hyoung-Doo Lee
Clin Exp Pediatr. 2015;58(12):501-504.   Published online December 22, 2015

We present the case of a 5-year-old child with coronary complications due to Kawasaki disease; this patient unintentionally underwent both dual-source computed tomography (DSCT) coronary angiography and invasive coronary angiographic examination in 2 months. This case highlights the strong consistency of the results between DSCT coronary angiography and invasive coronary angiography. Compared to conventional invasive coronary angiography, DSCT coronary angiography...

Review Article
Comprehensive understanding of atrial septal defects by imaging studies for successful transcatheter closure
Jinyoung Song
Clin Exp Pediatr. 2014;57(7):297-303.   Published online July 23, 2014

Transcatheter closure of atrial septal defects has become a popular procedure. The availability of a preprocedural imaging study is crucial for a safe and successful closure. Both the anatomy and morphology of the defect should be precisely evaluated before the procedure. Three-dimensional (3D) echocardiography and cardiac computed tomography are helpful for understanding the morphology of a defect, which is important...

Original Article
Discordant findings on dimercaptosuccinic acid scintigraphy in children with multi-detector row computed tomography-proven acute pyelonephritis
Jeongmin Lee, Duck Geun Kwon, Se Jin Park, Ki-Soo Pai
Clin Exp Pediatr. 2011;54(5):212-218.   Published online May 31, 2011
Purpose

The diagnosis of acute pyelonephritis (APN) is often difficult, as its clinical and biological manifestations are non-specific in children. If not treated quickly and adequately, however, APN may cause irreversible renal damage, possibly leading to hypertension and chronic renal failure. We were suspecting the diagnostic value of 99mTc-dimercaptosuccinic acid (DMSA) scan by experiences and so compared the results of DMSA...

Limitations of 99mTc-DMSA scan in diagnosing acute pyelonephritis in children
Byung Gee Kim, Jae Ryoung Kwak, Ji Min Park, Ki Soo Pai
Clin Exp Pediatr. 2010;53(3):408-413.   Published online March 15, 2010
Purpose : We aimed to prove the relative limitation of 99mTc-DMSA scintigraphy (DMSA) compared to computed tomography (CT) in diagnosing acute pyelonephritis (APN) in children. Methods : Since September 2006, after a 64-channel CT was imported, 10 DMSA false-negative patients have been identified: these patients underwent a CT scan for acute abdomen or acute febrile symptoms and were diagnosed as...
Ictal single-photon emission computed tomography with slow dye injection for determining primary epileptic foci in infantile spasms
Yun Jung Hur, Joon Soo Lee, Hoon Chul Kang, Hye Jung Park, Mi Jin Yun, Heung Dong Kim
Clin Exp Pediatr. 2009;52(7):804-810.   Published online July 15, 2009
Purpose : We investigated whether ictal single-photon emission computed tomography (SPECT) with prolonged injection of technetium-99m (99mTc) ethyl cysteinate dimer during repeated spasms can localize the epileptogenic foci in children with infantile spasms. Methods : Fourteen children with infantile spasms (11 boys, 3 girls; mean age, 2.2¡¾1.3 years) were examined. When a cluster of spasms was detected during video electroencephalography (EEG)...
Airway Compression or Airway Anomaly Causing Respiratory Symptoms in Infants and Children with Cardiovascular Diseases
Ja-Hyeong Kim, So-Yeon Lee, Hyo-Bin Kim, So-Eun Koo, Sung-Jong Park, Young-Hui Kim, In-Suk Park, Jae-Kon Ko, Dong-Man Seo, Soo-Jong Hong
Clin Exp Pediatr. 2005;48(7):737-744.   Published online July 15, 2005
Purpose : Infants and children with cardiovascular diseases often present with respiratory symptoms. However, missed or delayed evaluation for potential airway problem may complicate overall prognosis. The aim of this study is to determine the clinical characteristics of these patients and explore the cause of airway problem. Methods : We reviewed the medical records of 64 patients(M : F=33:31, mean...
Correlation of Body Mass Index, Body Fat Distribution, Aminotranferases and Computed Tomography in Obese Children with Fatty Liver
So Eun Park, Hye Ran Yang, Ju Young Chang, Jae Sung Ko, Jeong Kee Seo, Whal Lee, Woo Sun Kim
Clin Exp Pediatr. 2005;48(3):276-283.   Published online March 15, 2005
Purpose : Visceral fat accumulation plays a major role in metabolic complications of obesity. It is known that nonalcoholic fatty liver in obese adults is associated with visceral fat accumulation. Body mass index(BMI) is used as the index of obesity in children. The aim of this study is to evaluate the correlation of BMI and visceral adipose tissue(VAT), and the...
Values of Lung CT in Children with a Vague History of Aspiration
Myoung-Bum Choi, Hyang-Ok Woo, Jum-Su Kim, Ji-Hyoun Seo, Jae-Young Lim, Chan-Hoo Park, Jin-Jong You, Hee-Shang Youn
Clin Exp Pediatr. 2004;47(4):399-404.   Published online April 15, 2004
Purpose : The purpose of this study was to investigate the diagnostic value of spiral computed tomography (CT) using contiguous slices with partially thin sections around the hilar level in the bronchial foreign bodies of children with a vague history of aspiration. Methods : Fourteen children were identified to be examined with spiral CT due to obscure histories of aspiration episodes....
Utility of Abdominal Computerized Tomography in Diagnosis of Acute Appendicitis
Su Jin Sung, Ji Young Yeoun, Seong Hoon Lee
Clin Exp Pediatr. 2004;47(3):290-293.   Published online March 15, 2004
Purpose : To evaluate the accuracy of ultrasonography(USG) and abdominal computerized tomography(CT) and the possibility of reducing unnecessary appendectomy rate with improvement of diagnostic accuracy using optional CT with USG. Methods : From January 1999 to May 2003, 496 patients younger than 14 years received surgical intervention with preoperative impression of acute appendicitis. They were devided into three groups no...
High-Resolution Computed Tomography(HRCT) Findings of the Lung in Asthmatic Children and Their Correlation with Clinical Characteristics
Do Kyun Kim, Yang Park, Young Yull Koh, Jung Eun Chun, Woo Sun Kim
Clin Exp Pediatr. 2000;43(12):1583-1590.   Published online December 15, 2000
Purpose : The purposes of this study were to determine the abnormal high-resolution computed tomography(HRCT) findings of the lung in uncomplicated asthmatic children, to compare the clinical characteristics between normal and abnormal HRCT finding groups and to correlate abnormal HRCT findings with clinical characteristics, especially FEV1 and PC20. Methods : Forty asthmatic children were studied. Inspiratory and expiratory HRCT scans were...
Case Report
Four Cases of Pulmonary Artery Sling with Bridging Bronchus
Seung A Lee, Jung Yeon Shim, Young Hwue Kim, Jae Kon Ko, In Sook Park, Soo-Jong Hong, Chang Yee Hong
Clin Exp Pediatr. 1997;40(5):709-715.   Published online May 15, 1997
Pulmonary artery sling with bridging bronchus is not only rare but also difficult to diagnose unless specially sought. When young infant suffers from prolonged or recurrent wheezing, possibility of underlying anomalies of the tracheobronchial trees or great vessels should be considered, even though bronchiolitis and gastroesophageal reflux are the most common causes. We experienced four cases of pulmonary artery sling with...
Five Cases of Thymic Hyperplasia
Soo Kyoung Lee, Soo Young Lee, Kyu Eun Kim, Byung Ju Chung, Ki Young Lee
Clin Exp Pediatr. 1992;35(10):1435-1442.   Published online October 15, 1992
Diagnosis of thymic hyperplasia may be quite difficult because thymus has not always sail appearance and it sometimes appears to be a huge mass in the mediastinum. This fact causes sometimes diagnostic thoracotomy or often make primary physicians fail in treatment and transfer their patients to other hospitals. But in most cases diagnosis can be made by a lateral chest...
Original Article
Brain Computed Tomography in the evaluation of patients with Developmental Retardation with or without Growth Retardation.
H S Lee, I J Cho, H D Cha, C M Kang
Clin Exp Pediatr. 1989;32(1):75-80.   Published online January 31, 1989
Brain computed tomography was carried out on 37 patients with developmental retardation with or without growth retardation which were admitted to Pediatric Department of Dong San Hospital, Keimyung University during the period of 6 years and 2 months from April 1980 to May 1986 and following results were obtained. Computed tomographic abnomalities were defined in 78.4% of these patients. Majorities were brain atrophy (55.2% )...
Significance of Brain CT in Children with Intracranial Disorders.
Eun Kyung Choi, Myung Ho Kwon, Mea Young Chung, Dong Hyuck Kim
Clin Exp Pediatr. 1988;31(1):58-63.   Published online January 31, 1988
Brain CT (Computerized Transaxial Tomography) is a noninvasive, safe and painless diagnostic approach to neurologic disorders in children. Brain CT is valuable in diagnosing intracranial pathology by demonstration of location, extent and nature of a lesion, and is also used to follow up after treatment. We have analysed 75 children with chief complaints of neurological symptoms examined at Department of Pediatrics, Koryo General Hospital, Seoul...
Significance of Brain CT in Children with Meningitig.
Myeong Yeon Lee, Byoung Soo Cho, Sa Jun Chung, Yong Mook Choi, Chang Il Ahn
Clin Exp Pediatr. 1987;30(6):640-650.   Published online June 30, 1987
This study was undertaken to evaluate the significance of brain CT in children with meningitis. The findings of brain CT in 71 children with meningitis were evaluated in relation to the clinical outcome. We divided 71 cases into 5 groups according to clinical outcome on discharge, that is, Group I: Recovery. Group II: Discharge with improvement. Group III: Discharge with residual sequalae. Group IV:...
Comuted Tomographic Findings in Tuberculous Meningitis.
H Y Chung, K J Kim, T C Kwon, Y D Kwon, C M Kang
Clin Exp Pediatr. 1983;26(7):675-680.   Published online July 31, 1983
14 cases of clinically proven tuberculous meningitis were studied by computed tomography at Keimyung University, School of Medicine during the period of 23 months from April 1980 through Februrary 1982. We obtained some results through C-T scan. We observed the clinical progress of the disease to the abnormal C-T findings and investigated the relationship between C-T findings and prognosis of the patients.57.1 % of tuberculous...
Diagnostic Vavule of Brain Computed Tomography in Neurologic Disorder of Children.
Y G Kim, T W Paik, T C Kwon, Y D Kwon, C M Kang
Clin Exp Pediatr. 1983;26(1):57-65.   Published online January 31, 1983
Brain computed tomography is a noninvasive, safe, simple and accurate technique for demonstration of intracranial pathology. This new method detects small variation in. tissue density by computerized assembly of information from multiple tomographic section through the head. This is the report of brain CT on 88 children who gave thn clinical symptoms and signs of neurogic disorder. These cases were managed...
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