
pmid: 12393126
Agyria-pachygyria complex is a disorder of neuronal migration and organization. Patients suffer either motor or intellectual retardation. We report our experiences of 10 patients with agyria-pachygyria complex and evaluate their clinical features, electroencephalography, and evoked potentials. Of nine electroencephalography examinations, five patients demonstrated characteristically high-amplitude fast activity. One of nine patients had an abnormal brainstem auditory-evoked potential. Three of seven patients had abnormal goggled visual-evoked potential. Six patients received somatosensory-evoked potential examinations, and five of these were abnormal, including four with prolonged central conduction times. Of the 10 patients, eight survived with variable intellectual and motor retardation; two died of sepsis. Patients with grades 1-4 agyria-pachygyria had high incidences of somatosensory-evoked potential abnormalities and also suffered worse neurologic outcomes. Normal brainstem auditory-evoked potential but abnormal cortical somatosensory-evoked potential components and prolonged central conduction time in these patients indicate that agyria-pachygyria is a supratentorial disease. We conclude that somatosensory-evoked potential examination is supplemental to neuroimaging in predicting the neurologic prognosis of patients with agyria-pachygyria.
Male, Neurologic Examination, Neurons, Adolescent, Neural Conduction, Brain, Infant, Electroencephalography, Prognosis, Magnetic Resonance Imaging, Child, Preschool, Intellectual Disability, Reaction Time, Humans, Female, Epilepsy, Tonic-Clonic, Psychomotor Disorders, Child, Spasms, Infantile
Male, Neurologic Examination, Neurons, Adolescent, Neural Conduction, Brain, Infant, Electroencephalography, Prognosis, Magnetic Resonance Imaging, Child, Preschool, Intellectual Disability, Reaction Time, Humans, Female, Epilepsy, Tonic-Clonic, Psychomotor Disorders, Child, Spasms, Infantile
| citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 9 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
