ABSTRACT OF POSTER PRESENTATION (APRIL 17, SATURDAY)

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P2-063 Neuropsychiatry (Neurology) P2-064 Neuropsychiatry (Neurology)PREVALENCE OF PRESUMPTIVE READINGDISORDER AMONG GRADE TWOSTUDENTS IN PUBLIC SCHOOLS OFCLINICAL ANALYSIS OF PATIENTSSUSPECTED OF HAVING NOVEL INFLUENZA A(H1N1) ENCEPHALOPATHYDISTRICT 1 DASMARIÑAS, CAVITE ADESCRIPTIVE CROSS SECTIONAL STUDYJasmin Morales MarasiganPediatrics, DLSU HIS, PhilippinesHiroshi IDEGUCHI 1 , Yukiko IHARA 1 , Yuko TOMONOU 1 ,Takahito INOUE 1 , Sawa YASUMOTO 1 , Shinichi HIROSE 1Institution of First Author 1 , Institution of Second Author 2 , Institution of ThirdAuthor 3; Department of Pediatrics, Faculty of Medicine, Fukuoka University,Fukuoka, JapanBACKGROUND: Reading disorders are present inapproximately 75% of children and adolescents withlearning disorders. Prevalence studies find ratesranging between 2 to 8 percent. Students who havelearning problems in other academic areas mostcommonly experience difficulties with reading aswell. The child may become frustrated by thedifficulty in learning to read and other problems canarise which can jeopardize the child’s success in theschool and in the future. Moreover, readingdifficulties that are not intervened at by 8 year of agetend to persist.OBJECTIVE: To determine the prevalence ofpresumptive reading disorder among grade twostudents in public schools of District 1 Dasmarinas,Cavite.DESIGN: Cross-sectional descriptive study.SUBJECTS: Grade two students from 15 publicschools of District 1 Dasmarinas, Cavite.METHODOLOGY: Stratified random samplingwas used and twenty grade two students wererandomly selected from each 15 Public schools tocollate 300 sample size. The PediatricNeuropsychology Screening Examination on SingleWord Reading was used to screen the students forpresumptive reading disorder.OUTCOME MEASURES: Students who screenedhaving presumptive reading disorder.RESULTS: The prevalence of presumptive readingdisorder was 8.3% with a mean age of 7.84 + 1.248years, found higher among females at 56%.Associated difficulties in written language were alsoidentified.CONCLUSION: Presumptive reading disorder is ascommon among grade two students in public schoolsof Dasmarinas, Cavite as elsewhere. Hence, earlyscreening for all elementary students for readingdisorder is recommended.OBJECTIVES: Stating concisely why the study wasconducted. To analyze the clinical and neurologicalsymptoms and histories of patients who were suspectedof having novel influenza A (H1N1) encephalopathy.METHODS: An explanation of the study design andexperimental methods used From August to November2009, 19 children were admitted to Fukuoka UniversityHospital with suspected encephalopathy due to H1N1infection. The diagnosis of H1N1 infection was made bya rapid influenza test. Here, we investigate their clinicalsymptoms, previous histories, and final diagnoses.MAIN RESULTS: A concise summary of the majorfindings of the experiment or study. The 19 childrenranged from 3 to 12 years of age (average 8 years); 10were boys, 9 girls. Their clinical symptoms showedconsciousness disturbances and hallucinations (6),convulsive seizures and consciousness disturbances (5),convulsive seizures (3), consciousness disturbances (2),convulsive seizures and hallucinations (1),consciousness disturbances, hallucinations, and ataxia(1), hallucinations (1). Previous histories showed febrileconvulsion (6), bronchial asthma (2), acuteencephalopathy (1), and epilepsy (1). Before admission,oseltamivir was given to 8 of the patients, rimantadine to6, and 5 received nothing. We treated withmethylprednisolone pulse therapy 3 children who, onadmission, had high amplitude slowed wave EEGs. In allcases, consciousness disturbances improved the day afteradmission. Our final diagnosis included complex febrileseizures (8), febrile delirium (7), acute cerebellar ataxiawith febrile delirium (1), influenza encephalopathy (1),epilepsy (1), and moyamoya disease (1).CONCLUSION: Summary of the overall findings andthe importance of the study. Patients with a history offebrile seizures are at risk for neurological complicationson H1N1 infection.[Keywords] Arial font, Bold, size 10,)novel influenza[Keywords]reading disorder, reading disabilities, dyslexia,primary school students286
P2-065 Neuropsychiatry (Neurology) P2-066 Neuropsychiatry (Neurology)SECONDARY MALIGNANT NEOPLASMSA STUDY OF ASSOCIATION BETWEENFOLLOWING THE TREATMENT OF PRIMARY EPILEPSY ATTACK AND SLEEPING CYCLE INBRAIN TUMORS IN CHILDRENCHILDRENChung-Hao Wang 1* , Kai-Ping Chang 1 , Ting-Rong Hsu 1 ,Tzu-Ying Yang 1 , Tai-Tong Wong 2 , Feng-Chi Chang 3 ,Donald Ming-Tak Ho 41 Department of Pediatrics, 2 Division of Pediatric Neurosurgery,Department of Neurology, 3 Department of Radiology, 4 Department ofPathology and Laboratory Medicine, Taipei Veterans General Hospital,Taipei, Taiwan, R.O.C.Rong Luo, Tang Xiao Cai, Lan Jie zouPeadatric neurology, West China Second University Hospital, SichuanUniversity, ChinaOBJECTIVE: Brain tumors are the most common solidtumors in children. Secondary malignant neoplasm is a knowncomplication following radiotherapy and chemotherapy. Thisstudy analyzed the secondary malignant neoplasms that havedeveloped as a result of the treatment of primary brain tumorsin children.METHODS: We retrospectively analyzed 615 pediatricpatients with primary central nervous system tumors who wereevaluated and treated at our hospital between January 1, 2000and December 31, 2009. The primary treatment strategy wasgross total removal by surgery whenever possible.Histopathologic examination was done according to the WorldHealth Organization classification. There were 378 patientswho received adjuvant radiotherapy with or withoutchemotherapy or chemotherapy alone. Any newly developedneoplasm that was distinct from the initial tumor byhistopathology was considered to be a secondary neoplasm.The anaplastic transformation from low-grade gliomas tohigh-grade gliomas was excluded. Patients who had adiagnosis of neurofibromatosis type 1 and type 2 were alsoexcluded because of their known predisposition to developsecondary neoplasms.MAIN RESULTS: There were six patients (three males andthree females) developed secondary malignant neoplasms aftertreatment of primary brain tumors with surgery, radiotherapy,with or without conventional intravenous chemotherapy. Themean age of the patients at the time of the initial diagnosis was8.3 years (ranged 5-13 years). The overall incidence rate was1.6% (6/378). The histopathologic diagnosis of primary braintumors were atypical teratoid/rhabdoid tumor (n=2), germ celltumor (n=2), ependymoma (n=1), and medulloblastoma (n=1).The histopathologic diagnosis of secondary malignantneoplasms were malignant spindle cell tumor (n=1),osteosarcoma (n=1), rhabdomyosarcoma (n=2), atypicalteratoid/rhabdoid tumor (n=1), and acute lymphoid leukemia(n=1). The median latency time to the development of thesecondary malignant neoplasms was 3.4 years (ranged 1.8-6.5years). Four patients died with a mean survival period 1.4years (ranged 0.8-2.5 years) after secondary malignantneoplasms diagnosed. Two patients still survive now with amean following period 1.3 years after secondary malignantneoplasms diagnosed.CONCLUSION: A wide spectrum of secondary malignantneoplasms was found after the treatment of primary braintumors in children. Most commonly secondary malignantneoplasms occurred in the central nervous system, followed byhematological malignancy. The prognosis was poor of thesecondary malignant neoplasms.OBJECTIVE: To explore whether sleep cycle affect theseizure of epilepsy as epileptiform discharge that couldbe most easily detected during non-rapid eye movementsleep.METHOD: Sleep cycles of 95 cases with total 504seizure attacks were analyzed by video-EEG.RESULTS: 75 percent of seizures occurred duringwaking and 25 percent of seizures occurred duringsleeping. Among the seizures during sleeping, 85.7%appeared during the second stage of NREM, thirty-sevenpercent during the first stage, 12.7 percent during thethird and the fourth stage, 0.02 percent during REM. Thefrontal epilepsy and temporal epilepsy and Rolandicepilepsy were prone to occur during sleeping, theoccurrence rates were 40.6% 、 33.3% 、 38.7%respectively.CONCLUSIONS: NREM can induce the seizure attack inchildren confirmed epilepsy, the type of focal epilepsywere more easily induced during NREM than others.[Keywords]Epilepsy Attack, Sleeping Cycle, Children[Keywords] Secondary Malignant Neoplasm, Brain Tumor287
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Page 3 and 4: P2-005 Allergy/Immunology/Rheumatol
Page 23 and 24: P2-045 Neuropsychiatry (Neurology)
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Page 40 and 41: P2-079 Nephrology P2-080 Nephrology
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ABSTRACT OF POSTER PRESENTATION (APRIL 17, SATURDAY)

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