JaLCDOI 10.18926/AMO/48961
FullText URL 66_5_369.pdf
Author Akiyama, Mari| Kobayashi, Katsuhiro| Ohtsuka, Yoko|
Abstract Dravet syndrome (DS), or severe myoclonic epilepsy in infancy, is one of the most severe types of genetic epilepsy. It is characterized by the initial occurrence of febrile or afebrile seizures that often evolve into status epilepticus in infants with normal development, and by the subsequent appearance of myoclonic and/or atypical absence seizures as well as complex partial seizures. The key feature that characterizes DS is fever sensitivity, although photosensitivity and pattern-sensitivity are also often seen. The prognosis is unfavorable in most cases. Seizures become drug-resistant and persist, with many patients suffering from motor and cognitive impairment. Mutations of SCN1A, which encodes the voltage-gated sodium channel NaV1.1, are the most frequent genetic cause of this syndrome. SCN1A mutations and/or microchromosomal rearrangements involving SCN1A are detected in about 85% of patients. Mutations of PCDH19 have also been reported in female patients with clinical findings compatible with DS. PCDH19 mutations might account for 5% of overall DS cases. Thirty years after its first description, DS is considered as a model of channelopathy. This survey reviews recent developments in the research literature on DS, focusing on the clinical course, as well as its genetic causes.
Keywords Dravet syndrome long-term outcome SCN1A PCDH19
Amo Type Review
Publication Title Acta Medica Okayama
Published Date 2012-10
Volume volume66
Issue issue5
Publisher Okayama University Medical School
Start Page 369
End Page 376
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2012 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 23093055
Web of Science KeyUT 000310253900001
JaLCDOI 10.18926/AMO/49045
FullText URL 66_6_487.pdf
Author Agari, Takashi| Mihara, Tadahiro| Baba, Koichi| Kobayashi, Katsuhiro| Usui, Naotaka| Terada, Kiyohito| Nakamura, Fumihiro| Matsuda, Kazumi| Date, Isao|
Abstract We report on a case of successful surgical treatment of drug-resistant epilepsy associated with a solitary lesion of periventricular nodular heterotopia (PNH). In the reported patient, intracranial ictal electroencephalography disclosed that seizures did not originate from the heterotopic nodules. However, the seizures were completely suppressed by lesionectomy of PNH alone. Epileptogenesis associated with PNH likely involves a very complex network between PNH and the surrounding cortex, and the disruption of this network may be an effective means of curing intractable, PNH-associated epilepsy.
Keywords periventricular nodular heterotopia epilepsy surgery ictal electroencephalography
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2012-12
Volume volume66
Issue issue6
Publisher Okayama University Medical School
Start Page 487
End Page 492
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2012 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 23254583
Web of Science KeyUT 000312966100008
JaLCDOI 10.18926/AMO/57955
FullText URL 74_1_65.pdf
Author Akiyama, Tomoyuki| Saigusa, Daisuke| Hyodo, Yuki| Umeda, Keiko| Saijo, Reina| Koshiba, Seizo| Kobayashi, Katsuhiro|
Abstract To characterize metabolic profiles within the central nervous system in epilepsy, we performed gas chromatography-tandem mass spectrometry (GC-MS/MS)-based metabolome analysis of the cerebrospinal fluid (CSF) in pediatric patients with and without epilepsy. The CSF samples obtained from 64 patients were analyzed by GC-MS/MS. Multivariate analyses were performed for two age groups, 0-5 years of age and 6-17 years of age, to elucidate the effects of epilepsy and antiepileptic drugs on the metabolites. In patients aged 0-5 years (22 patients with epilepsy, 13 without epilepsy), epilepsy patients had reduced 2-ketoglutaric acid and elevated pyridoxamine and tyrosine. In patients aged 6-17 years (12 with epilepsy, 17 without epilepsy), epilepsy patients had reduced 1,5-anhydroglucitol. Valproic acid was associated with elevated 2-aminobutyric acid, 2-ketoisocaproic acid, 4-hydroxyproline, acetylglycine, methionine, N-acetylserine, and serine. Reduced energy metabolism and alteration of vitamin B6 metabolism may play a role in epilepsy in young children. The roles of 1,5-anhydroglucitol in epilepsy in older children and in levetiracetam and zonisamide treatment remain to be explained. Valproic acid influenced the levels of amino acids and related metabolites involved in the metabolism of serine, methionine, and leucine.
Keywords antiepileptic drugs gas chromatography-tandem mass spectrometry metabolome analysis metabolomics
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2020-02
Volume volume74
Issue issue1
Publisher Okayama University Medical School
Start Page 65
End Page 72
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2020 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 32099251
Web of Science KeyUT 000516606200010
NAID 120006795622
Author 小林 勝弘|
Published Date 1987-03-31
Publication Title
Content Type Thesis or Dissertation
Author Akiyama, Mari| Kobayashi, Katsuhiro| Yoshinaga, Harumi| Ohtsuka, Yoko|
Published Date 2011-08-01
Publication Title 岡山医学会雑誌
Volume volume123
Issue issue2
Content Type Journal Article
Author Kobayashi, Katsuhiro|
Published Date 2016-12-01
Publication Title Journal of Okayama Medical Association
Volume volume128
Issue issue3
Content Type Journal Article
FullText URL PI_62_5_587_592.pdf PI_62_5_Fig1.tif PI_62_5_Fig2.tif
Author Miyahara, Hiroyuki| Akiyama, Tomoyuki| Hasegawa, Kosei| Akiyama, Mari| Oka, Makio| Kobayashi, Katsuhiro| Tsukahara, Hirokazu|
Keywords adrenocorticotropic hormone therapy calcium crystal renal tubular epithelial cell urinary sediment
Note This is the peer reviewed version of the following article: Miyahara, Hiroyuki et.al. "Laboratory changes during adrenocorticotropic hormone therapy associated with renal calcified lesions" Pediatrics International 62(5) 587-592 (2020), which has been published in final form at https://doi.org/10.1111/ped.14158. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.|
Published Date 2020-01-19
Publication Title Pediatrics International
Volume volume62
Issue issue5
Publisher Wiley
Start Page 587
End Page 592
ISSN 1328-8067
NCID AA11320483
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2020 Japan Pediatric Society
File Version author
PubMed ID 31957090
DOI 10.1111/ped.14158
Web of Science KeyUT 000536494300014
Related Url isVersionOf https://doi.org/10.1111/ped.14158
FullText URL fulltext.pdf Fig1.tif SupplementaryMaterial1.pdf SupplementaryMaterial2.pdf SupplementaryMaterial3.pdf
Author Akiyama, Tomoyuki| Hyodo, Yuki| Hasegawa, Kosei| Oboshi, Taikan| Imai, Katsumi| Ishihara, Naoko| Dowa, Yuri| Koike, Takayoshi| Yamamoto, Toshiyuki| Shibasaki, Jun| Shimbo, Hiroko| Fukuyama, Tetsuhiro| Takano, Kyoko| Shiraku, Hiroshi| Takeshita, Saoko| Okanishi, Tohru| Baba, Shimpei| Kubota, Masaya| Hamano, Shin-ichiro| Kobayashi, Katsuhiro|
Keywords ALDH7A1 PLPBP PLPHP PROSC Pyridoxal 5′-phosphate homeostasis protein deficiency Pyridoxine-dependent epilepsy
Note © 2020 Elsevier Inc.. This manuscript version is made available under the CC-BY-NC-ND 4.0 License.http://creativecommons.org/licenses/by-nc-nd/4.0/.This is the accepted manuscript version. The formal published version is available at https://doi.org/10.1016/j.pediatrneurol.2020.08.020|
Published Date 2020-12
Publication Title Pediatric Neurology
Volume volume113
Publisher Elsevier
Start Page 33
End Page 41
ISSN 0887-8994
NCID AA10472238
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
File Version author
PubMed ID 32980745
DOI 10.1016/j.pediatrneurol.2020.08.020
Web of Science KeyUT 000591640100007
Related Url isVersionOf https://doi.org/10.1016/j.pediatrneurol.2020.08.020
FullText URL fulltext.pdf
Author Kobayashi, Katsuhiro| Shibata, Takashi| Tsuchiya, Hiroki| Akiyama, Tomoyuki|
Keywords epilepsy child scalp EEG false ripple high-frequency oscillation (HFO) fast oscillation (FO)
Published Date 2021-06-15
Publication Title Frontiers In Human Neuroscience
Volume volume15
Publisher Frontiers Media SA
Start Page 696882
ISSN 1662-5161
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2021 Kobayashi, Shibata, Tsuchiya and Akiyama.
File Version publisher
PubMed ID 34211382
DOI 10.3389/fnhum.2021.696882
Web of Science KeyUT 000667490200001
Related Url isVersionOf https://doi.org/10.3389/fnhum.2021.696882
Author Akiyama, Mari| Akiyama, Tomoyuki| Saigusa, Daisuke| Hishinuma, Eiji| Matsukawa, Naomi| Shibata, Takashi| Tsuchiya, Hiroki| Mori, Atsushi| Fujii, Yuji| Mogami, Yukiko| Tokorodani, Chiho| Kuwahara, Kozue| Numata-Uematsu, Yurika| Inoue, Kenji| Kobayashi, Katsuhiro|
Keywords Amino acids Biomarkers Intractable epilepsy Ketone bodies Organic acids
Note © 2023 British Epilepsy Association. This manuscript version is made available under the CC-BY-NC-ND 4.0 License. http://creativecommons.org/licenses/by-nc-nd/4.0/. This is the accepted manuscript version. The formal published version is available at https://doi.org/10.1016/j.seizure.2023.03.014.| This fulltext file will be available in Apr. 2024.|
Published Date 2023-04
Publication Title Seizure
Volume volume107
Publisher Elsevier BV
Start Page 52
End Page 59
ISSN 1059-1311
NCID AA1091615X
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2023 British Epilepsy Association.
File Version author
PubMed ID 36958064
DOI 10.1016/j.seizure.2023.03.014
Web of Science KeyUT 000994635600001
Related Url isVersionOf https://doi.org/10.1016/j.seizure.2023.03.014
Title Alternative The 65th Annual Meeting of the Japanese Society of Child Neurology
Author Kobayashi, Katsuhiro|
Publication Title Journal of Okayama Medical Association
Published Date 2023-08-01
Volume volume135
Issue issue2
Start Page 98
End Page 99
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.135.98
language Japanese
Copyright Holders Copyright (c) 2023 岡山医学会
File Version publisher
DOI 10.4044/joma.135.98
JaLCDOI 10.18926/AMO/65980
FullText URL 77_5_561.pdf
Author Tsuchiya, Hiroki| Shibata, Takashi| Sasaki, Tatsuya| Inoue, Takushi| Date, Isao| Akiyama, Tomoyuki| Kobayashi, Katsuhiro|
Abstract West syndrome, an infantile developmental and epileptic encephalopathy with a deleterious impact on long-term development, requires early treatment to minimize developmental abnormality; in such cases, epilepsy surgery should be considered a powerful therapeutic option. We describe a 10-month-old female admitted with West syndrome associated with a hemispheric lesion following abusive head trauma. Her seizures were suppressed by hemispherotomy at 12 months of age, leading to developmental improvement. Surgical treatment of West syndrome following traumatic brain injury has not been reported previously but is worth considering as a treatment option, depending on patient age and brain plasticity.
Keywords abusive head trauma developmental and epileptic encephalopathy epilepsy surgery epileptic spasms hemispherotomy
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2023-10
Volume volume77
Issue issue5
Publisher Okayama University Medical School
Start Page 561
End Page 566
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2023 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 37899268
Web of Science KeyUT 001110832700002
Title Alternative Child neurology and childhood-onset intractable diseases
Author Kobayashi, Katsuhiro|
Keywords 指定難病 小児慢性特定疾患 発達性てんかん性脳症 先天性代謝異常症
Publication Title Journal of Okayama Medical Association
Published Date 2023-12-01
Volume volume135
Issue issue3
Start Page 116
End Page 122
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.135.116
language Japanese
Copyright Holders Copyright (c) 2023 岡山医学会
File Version publisher
DOI 10.4044/joma.135.116