Mahidol University Annual Research Abstracts 2000 109 SEIZURES AFTER INTRACRANIAL SURGERY IN PEDIATRIC PATIENTS Anannit Visudthibhan, Pongsakdi

Seizures After Intracranial Surgery In Pediatric Patients

Ā Ā Ā Mahidol University Annual Research Abstracts 2000 109 SEIZURES AFTER INTRACRANIAL SURGERY IN PEDIATRIC PATIENTS Anannit Visudthibhan, Pongsakdi Visudhiphan, Surang Chiemchanya, Chintana Srirattanajaree Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand. Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā We retrospectively reviewed the occurrence of getting after performing intracranial operations in children aged less than 15 years. During a 5-year period, there were 18 patients out of a total of 155 who developed one or more seizures within 1 year after operation. The majority of patients (55.6%) had the start of seizures within 24 hours. Seventy-two percent of the patients had partial seizures. Two patients who developed immediate postoperative seizures had metal derangement. Eight of 10 patients who had primeval start seizures had had an activeness for supratentorial lesions. Among the 6 patients who developed seizures after infratentorial tumor removal, the cause of getting was not known in 4 patients. We emphasize that stimulate investigations to exclude any structural lesions and another possible causes of seizure, especially electrolyte disturbance along with pertinent medication take administration, are primary in patients who amend seizures after the operation. The recommendation for routine administration of medication take prior to the activeness has yet to be concluded. (J Med Assoc Tai 1999; 82(Suppl 1):S111) PLASMA FREE AMINO ACID CONTENTS IN HEALTHY THAI SUBJECTS Prapaisri Sirichakwal1, Belen Feungpean2, Kraisid Tontisirin3 1Institute of Nutrition, 2Research Center, 3Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Thailand. Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā This preliminary enquiry observed the plasma amino Elvis concentrations in 136 flourishing subjects. The subjects were divided into four groups according to their ages: gr 1; 1-3 years, gr 2; 4-11 years, gr 3; 12-19 eld and gr 4; 20-45 years. Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Comparing among the groups, the results showed that in younger children (age 1-3 years) the primary amino acids were slightly modify than the another groups. A wide arrange for most amino acids were observed. The ratio of primary (EAA): non-essential amino Elvis (NEAA) in very young children (1-3 years) was modify than children, adolescents and adults. These ratios were connatural (> 0.5). Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā The data hit been compared with those from individual studies performed in connatural flourishing subjects of assorted age groups, races and dietary habits. The results showed that most of the mean values of individual amino Elvis were higher than others except cystine. The EAA:NEAA ratio of apiece age group was same with another reports. The mean values of plasma amino acids and EAA:NEAA ratio in flourishing subjects were observed for diagnosis, follow up and prognosis of undernourished condition, abnormal amino Elvis metabolism and as a reference for another purposes. (J Med Assoc Tai 1999; 82(Suppl 1):S129)



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