Convection-enhanced delivery for the treatment of pediatric neurologic disorders.

Abstract:

:Direct perfusion of specific regions of the central nervous system by convection-enhanced delivery is becoming more widely used for the delivery of compounds in the research and treatment of various neural disorders. In contrast to other currently available central nervous system delivery techniques, convection-enhanced delivery relies on bulk flow for distribution of solute. This allows for safe, targeted, reliable, and homogeneous delivery of small-molecular-weight and large-molecular-weight substances over clinically relevant volumes in a manner that bypasses the blood-central nervous system barrier. Recent studies have also shown that coinfused imaging surrogate tracers can be used to monitor and control the convective distribution of therapeutic agents in vivo. The unique features of convection-enhanced delivery, including the ability to monitor distribution in realtime, provide an opportunity to develop new research and treatment paradigms for pediatric patients with a variety of intrinsic central nervous system disorders.

journal_name

J Child Neurol

authors

Song DK,Lonser RR

doi

10.1177/0883073808321064

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

1231-7

issue

10

eissn

0883-0738

issn

1708-8283

pii

23/10/1231

journal_volume

23

pub_type

杂志文章,评审
  • Blindness from late presenting undiagnosed pancraniosynostosis mimicking pseudotumor cerebri.

    abstract::We report the unique case of late-onset pancraniosynostosis presenting with rapid visual deterioration, without other symptoms of increased intracranial pressure. A 10-year-old girl had episodes of blurry vision for 1 month. Magnetic resonance imaging (MRI) demonstrated a borderline Chiari I malformation. Ophthalmolog...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073813495307

    authors: Bonfield CM,Tamber MS,Losee JE

    更新日期:2014-08-01 00:00:00

  • Pediatric acute transverse myelitis overview and differential diagnosis.

    abstract::Acute transverse myelitis is a clinical syndrome affecting the spinal cord, which is characterized by acute onset of motor, sensory, and autonomic dysfunction. Approximately 20% of cases of acute transverse myelitis occur in children. This review summarizes the current published literature on acute transverse myelitis...

    journal_title:Journal of child neurology

    pub_type: 杂志文章,评审

    doi:10.1177/0883073812452916

    authors: Wolf VL,Lupo PJ,Lotze TE

    更新日期:2012-11-01 00:00:00

  • Experience in the use of the ketogenic diet as early therapy.

    abstract::The ketogenic diet has traditionally been considered an anticonvulsant therapy of last resort, despite excellent efficacy and limited side effects. We hypothesized that the ketogenic diet would have similar results in patients with new-onset epilepsy. A retrospective study was conducted of patients started on the keto...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/08830738050200010501

    authors: Rubenstein JE,Kossoff EH,Pyzik PL,Vining EP,McGrogan JR,Freeman JM

    更新日期:2005-01-01 00:00:00

  • A sensitive diffusion tensor imaging quantification method to detect language laterality in children: correlation with the Wada test.

    abstract::Using diffusion tensor imaging tractography and color-coded anisotropy map quantification, we investigated asymmetry of the arcuate fasciculus to determine language laterality in children and compared it with the Wada test. Arcuate fasciculus volume and fractional anisotropy were measured after tractography. We also q...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073811409225

    authors: Tiwari VN,Jeong JW,Asano E,Rothermel R,Juhasz C,Chugani HT

    更新日期:2011-12-01 00:00:00

  • From research to policy to practice: prescription for success for students with learning disabilities.

    abstract::As a community, physicians with expertise in child development and an appreciation of school-related challenges are uniquely positioned to enhance the well-being of children with specific learning disabilities. Efforts in such areas as differential diagnosis, enhancing communication between home and school and among p...

    journal_title:Journal of child neurology

    pub_type: 杂志文章,评审

    doi:

    authors: Horowitz SH

    更新日期:2004-10-01 00:00:00

  • Brain Lesions as a Predictor of Therapeutic Outcomes of Hand Function in Infants With Unilateral Cerebral Palsy.

    abstract:AIM:The present study aimed to investigate whether the response variability of infants to modified constraint-induced movement therapy and bimanual therapy are associated with different types of brain lesions. METHOD:Infants with unilateral cerebral palsy (N = 22) ages 8-15 months (mean = 10.95, standard deviation = 2...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073818801632

    authors: Chamudot R,Parush S,Rigbi A,Gross-Tsur V

    更新日期:2018-12-01 00:00:00

  • Meningismus is a commonly overlooked finding in tension-type headache in children and adolescents.

    abstract::At present, both migraine and tension-type headaches in children are believed to be chronic primary headaches. Meningeal signs in both cases are ignored or not examined, and the neurologic status is considered normal. This is the first study that focuses on meningeal signs in children with chronic headaches. The study...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/08830738060210050601

    authors: Almazov I,Brand N

    更新日期:2006-05-01 00:00:00

  • Intracranial cavernomatous hemangiomas as a cause of childhood temporal lobe epilepsy.

    abstract::A 12-year-old boy presented with complaints of seizures since the age of 7 years. Seizure semiology was consistent with origin from the right temporal lobe. Magnetic resonance imaging of the brain revealed a large right temporal and multiple small intracranial cavernomatous hemangiomas. The imaging findings and clinic...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073810371226

    authors: Sharma S,Sankhyan N,Gulati S,Kumar A

    更新日期:2010-11-01 00:00:00

  • Weinberg's syndrome: a disorder of attention and behavior problems needing further research.

    abstract::A subset of inattentive children have an underlying problem in sustaining wakefulness ("vigilance"). This disorder of vigilance, termed Weinberg's syndrome, is characterized by difficulty in maintaining wakefulness and alertness as evidenced by (among other symptoms) motor restlessness (fidgeting and moving about, yaw...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307380001500710

    authors: Brumback RA

    更新日期:2000-07-01 00:00:00

  • Acute respiratory failure precipitated by general anesthesia in Leigh's syndrome.

    abstract::Three patients with Leigh's syndrome developed respiratory failure following general anesthesia. Although all three had respiratory symptoms prior to the anesthetic, the diagnosis was not suspected at the time of the procedure in two of the children. We reviewed the case notes of 16 other patients with Leigh's syndrom...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307389000500214

    authors: Grattan-Smith PJ,Shield LK,Hopkins IJ,Collins KJ

    更新日期:1990-04-01 00:00:00

  • Pyridoxine-dependent seizures associated with hypophosphatasia in a newborn.

    abstract::Pyridoxine dependency and congenital hypophosphatasia are unusual metabolic disorders. We report a female infant born from healthy consanguineous parents with shortening of limbs, detected during pregnancy by ultrasonography. Immediately after delivery, the baby was admitted to the neonatal intensive care unit because...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307380201700314

    authors: Nunes ML,Mugnol F,Bica I,Fiori RM

    更新日期:2002-03-01 00:00:00

  • Reproducibility of detecting silent cerebral infarcts in pediatric sickle cell anemia.

    abstract::Detecting silent cerebral infarcts on magnetic resonance images (MRIs) in children with sickle cell anemia is challenging, yet reproducibility of readings has not been examined in this population. We evaluated consensus rating, inter-, and intra-grader agreement associated with detecting silent cerebral infarct on scr...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073813506491

    authors: Liem RI,Liu J,Gordon MO,Vendt BA,McKinstry RC 3rd,Kraut MA,Strouse JJ,Ball WS,DeBaun MR

    更新日期:2014-12-01 00:00:00

  • Asymmetries in brain maturation and behavioral disturbances: multivariate electroencephalogram and P300 studies.

    abstract::If behavior results from brain function, some evidence of dysfunction could be expected in children with major behavioral problems. Yet, neurophysiologic studies in these children are frequently normal. We hypothesized a relationship between maturational asymmetry and behavior, given the role of hemispheric imbalance ...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307389901400206

    authors: Gerez M,Tello A,Serrano C,Ibarra R,Mallet A

    更新日期:1999-02-01 00:00:00

  • Novel mutation in Sjogren-Larsson syndrome is associated with divergent neurologic phenotypes.

    abstract::Sjögren-Larsson syndrome is an inherited disorder of lipid metabolism caused by mutations in the ALDH3A2 gene that codes for fatty aldehyde dehydrogenase, which results in accumulation of fatty aldehydes and alcohols and is characterized by ichthyosis, intellectual disability, and spastic diplegia/quadriplegia. The au...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073812460581

    authors: Davis K,Holden KR,S'Aulis D,Amador C,Matheus MG,Rizzo WB

    更新日期:2013-10-01 00:00:00

  • Neonatal form of nemaline myopathy, muscle immaturity, and a microvascular injury.

    abstract::An infant with a neonatal form of nemaline myopathy showed ultrastructural features of muscle immaturity. Immaturity was characterized by an abnormal presence of myotubes, as well as cells in clusters within a common basement membrane and a great number of satellite cells adhering to very small muscle fibers. In addit...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307389000500209

    authors: Fidziańska A,Goebel HH,Kleine M

    更新日期:1990-04-01 00:00:00

  • Animal models of germinal matrix hemorrhage.

    abstract::Germinal matrix hemorrhage refers to bleeding that arises from the subependymal (or periventricular) germinal region of the immature brain. Clinical studies have shown that infants who experience germinal matrix hemorrhage can develop hydrocephalus or suffer from long-term neurologic dysfunction, including cerebral pa...

    journal_title:Journal of child neurology

    pub_type: 杂志文章,评审

    doi:10.1177/08830738060210050201

    authors: Balasubramaniam J,Del Bigio MR

    更新日期:2006-05-01 00:00:00

  • Juvenile dermatomyositis presenting with anasarca.

    abstract::Generalized edema can occur during the course of juvenile dermatomyositis. In this article, a 4-year-old boy with generalized nonpitting edema and proximal weakness is reported. Characteristic cutaneous lesions, laboratory tests, results of electromyography, and magnetic resonance imaging findings resulted in a diagno...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073808318544

    authors: Saygi S,Alehan F,Baskin E,Bayrakci US,Ulu EM,Ozbek N

    更新日期:2008-11-01 00:00:00

  • Cervicomedullary spinal stenosis and ventriculomegaly in a child with developmental delay due to chromosome 16p12.1 microdeletion syndrome.

    abstract::We present a case of a 1-year-old female child who was referred to the Early Intervention Clinic for evaluation of developmental delay and progressively enlarging head size. Developmental assessment revealed significant motor delay with borderline cognitive impairment. MRI of the brain revealed generalized ventriculom...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073814533149

    authors: Rai B,Sharif F

    更新日期:2015-03-01 00:00:00

  • Successful treatment of cytomegalovirus polyradiculopathy in a 9-year-old child with congenital human immunodeficiency virus infection.

    abstract::Cytomegalovirus lumbosacral polyradiculopathy is a well-documented complication of human immunodeficiency virus in adults who have a CD4 count of less than 40/microL. Patients present with an acute ascending flaccid paralysis of the lower limbs with areflexia, paresthesia, and urinary and bowel symptoms. However, it a...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073808322671

    authors: Sohal A,Riordan A,Mallewa M,Solomon T,Kneen R

    更新日期:2009-02-01 00:00:00

  • Advancing the medical management of epilepsy: disease modification and pharmacogenetics.

    abstract::Despite the recent development of new antiepilepsy drugs, a significant number of children are still unable to achieve seizure freedom without side effects. Understanding the factors behind individual variability in antiepilepsy drug tolerability and dose response and incorporating these factors into a treatment plan ...

    journal_title:Journal of child neurology

    pub_type: 杂志文章,评审

    doi:10.1177/08830738020170011301

    authors: Glauser TA

    更新日期:2002-01-01 00:00:00

  • Impaired social behavior in children with benign childhood epilepsy with centrotemporal spikes.

    abstract::The aim of the present study was to assess the emotional and cognitive aspects of social cognition among patients with rolandic epilepsy. A computerized neuropsychological battery was used for cognitive evaluation. Affective and cognitive social cognition were evaluated using two computerized Theory of Mind tasks. Cog...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073811414420

    authors: Genizi J,Shamay-Tsoory SG,Shahar E,Yaniv S,Aharon-Perez J

    更新日期:2012-02-01 00:00:00

  • Neurodevelopmental delay associated with nonconvulsive status epilepticus in a toddler.

    abstract::Nonconvulsive status epilepticus is a prolonged and continuous state of increased unawareness without overt motor seizures linked with repetitive generalized epileptic discharges. In children, it may occur de novo but more commonly may complicate a preexisting epileptic disorder. We report on a 2-year-old female who p...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307380101600310

    authors: Shinawi M,Shahar E

    更新日期:2001-03-01 00:00:00

  • Electroencephalogram discharges in atypical cognitive development.

    abstract::To investigate the significance of electroencephalogram (EEG) discharges and their treatment, we retrospectively reviewed the charts of 22 children with atypical cognitive development that did not respond to standard educational therapy and demonstrated discharges on EEG. Most children demonstrated no obvious symptoms...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073809344743

    authors: Frye RE,Butler I,Strickland D,Castillo E,Papanicolaou A

    更新日期:2010-05-01 00:00:00

  • Are the pupils of premature infants affected by intraventricular hemorrhage?

    abstract::The size and reactivity to light of the pupil in infants with intraventricular hemorrhage has been variously described in the literature. These descriptions have included miosis, reactivity to light, nonreactivity to light, and anisocoria. We studied the size and light reactivity of 20 infants with intraventricular he...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307389400900423

    authors: Isenberg SJ,Vazquez M

    更新日期:1994-10-01 00:00:00

  • The examination of peer review and publication in neurology.

    abstract::Despite remarkable growth in the clinical neurology literature, there is little research on peer review and biomedical publication in neurology. Biomedical publication research encompasses every step of the research process, from the methodology to the publication of research findings. Some general medical journals ha...

    journal_title:Journal of child neurology

    pub_type: 杂志文章,评审

    doi:10.1177/0883073810374647

    authors: Wong VS

    更新日期:2010-10-01 00:00:00

  • Precursors of executive function in infants with sickle cell anemia.

    abstract::Executive dysfunction occurs in sickle cell anemia, but there are few early data. Infants with sickle cell anemia (n = 14) and controls (n = 14) performed the "A-not-B" and Object Retrieval search tasks, measuring precursors of executive function at 9 and 12 months. Significant group differences were not found. Howeve...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073812453495

    authors: Hogan AM,Telfer PT,Kirkham FJ,de Haan M

    更新日期:2013-10-01 00:00:00

  • Association of adenosine deaminase polymorphism with mild mental retardation.

    abstract::The etiology of mild mental retardation remains undefined in about 60% of cases. Even though the causes of mild mental retardation are likely to be heterogeneous, the evidence for genetic involvement is increasing, along with the development of specific diagnostic techniques. To improve our understanding of the geneti...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/08830738060210091201

    authors: Saccucci P,Arpino C,Rizzo R,Gagliano A,Volzone A,Lalli C,Galasso C,Curatolo P

    更新日期:2006-09-01 00:00:00

  • Child neurologists as health care surrogate for imperiled children.

    abstract::We explored child neurologists' attitudes toward taking on the role of health care surrogate for terminally ill children. Physician members of the Child Neurology Society were sent a 16-question survey via email. Of the assumed 1050 recipients, 116 (11%) answered the questionnaire. Most individuals who have been in pr...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073810380048

    authors: Weisleder P,Perkins E,McLaughlin A

    更新日期:2011-03-01 00:00:00

  • Speed-accuracy testing on the Apple iPad provides a quantitative test of upper extremity motor performance in children with dystonia.

    abstract::The currently available scales for quantitative measurement of the severity of childhood dystonia require human observer ratings and provide poor granularity in the scores for individual limbs. We evaluated the use of new-generation high-quality touchscreens (an iPad) according with the Fitts law, which is a mathemati...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073813494265

    authors: Bertucco M,Sanger TD

    更新日期:2014-11-01 00:00:00

  • Coexistent central and peripheral nervous system involvement in a Charcot-Marie-Tooth syndrome X-linked patient.

    abstract::A 14-year-old boy with an episode of acute weakness resembling acute demyelinating encephalomyelitis and polyradiculoneuritis after a febrile illness is described. Molecular analysis showed a mutation at codon 164 of the connexin 32 gene. Neuroradiological and neurophysiological follow-up is reported during acute and ...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073809344119

    authors: Fusco C,Frattini D,Pisani F,Spaggiari F,Ferlini A,Della Giustina E

    更新日期:2010-06-01 00:00:00