Annals of Rehabilitation Medicine

Two Pediatric Cases of Successful Management of Postictal Transient Urinary Retention: Ho Eun Park, Je-Sang Lee, Dong Min Kim, Yong Beom Shin; Ann Rehabil Med 2020;44(1):90-93. Published online February 29, 2020; DOI: https://doi.org/10.5535/arm.2020.44.1.90

Abstract
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We report two cases of postictal urinary retention in pediatric patients with cognitive impairment. Two girls with intellectual disabilities, concomitant cerebral palsy (case 1) and Rett syndrome (case 2), developed urinary retention following seizures. Their caregivers brought them to the hospital with complaints of abdominal distension. After excluding neurological progression, they were referred to the rehabilitation clinic for the evaluation and management of postictal urinary retention. We followed two different approaches in each case to restore normal urination. While serial manual cystometrograms were performed in case 1, clean intermittent catheterization with a voiding diary was performed in case 2 until restoration of normal urination. Based on these pediatric cases of successfully managed postictal urinary retention, we suggest that more attention may be needed for children with cognitive impairment to diagnose and manage postictal urinary retention.

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Neurogenic Bladder: A Rare Autonomic Sign in a Patient With Preserved Speech Variant (Zappella Variant) Rett Syndrome
Özge Tanıdır Artan, Büşranur Çavdarlı, Umut Selda Bayrakçı, Bilge Karabulut, Aydan Değerliyurt
Turkish Journal of Pediatric Disease.2024; : 1. CrossRef
Acute urinary retention in pediatric cerebral palsy: Is there an optimal management strategy?
Laura B. Cornwell, Emily Ewing, Jeffrey Algra, George J. Chiang
Journal of Pediatric Urology.2021; 17(4): 527.e1. CrossRef

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Pharyngeal Dystonia Misdiagnosed as Cricopharyngeal Dysphagia Successfully Treated by Pharmacotherapy: Ho Eun Park, Myung Jun Shin, Je-Sang Lee, Yong Beom Shin; Ann Rehabil Med 2019;43(6):720-724. Published online December 31, 2019; DOI: https://doi.org/10.5535/arm.2019.43.6.720

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A 43-year-old woman suffered from drooling and dysphagia after a stroke in the left posterior inferior cerebellar artery territory. Videofluoroscopic swallowing study showed compatible findings of cricopharyngeal dysphagia. Despite the injection of botulinum neurotoxin, no symptom improvement was achieved and pharyngeal dystonia was considered as the cause. Medications for dystonia dramatically helped with saliva control and resulted in a small improvement in the progression of food from the pharyngeal to esophageal phase. After adjusting the drug dose, the patient was able to perform social activities without drooling. Moreover, she could consume food orally; however, this was limited to small amounts of liquid, and the main method of nutrition support was via an orogastric tube. Therefore, we suggest that physicians should make a differential diagnosis of combined dystonia in patients complaining of dysphagia by esophageal manometry and electromyography.

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Correction: Physiological Responses During the Lower Body Positive Pressure Supported Treadmill Test: Tae Sik Bang, Woo Hyuk Choi, Sang Hun Kim, Je-Sang Lee, Soo-Yeon Kim, Myung Jun Shin, Yong Beom Shin; Ann Rehabil Med 2016;40(6):1152-1152. Published online December 30, 2016; DOI: https://doi.org/10.5535/arm.2016.40.6.1152; Corrects: Ann Rehabil Med 2016;40(5):851 Correction in: Ann Rehabil Med 2017;41(1):167

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An Erratum to Correct an Error in Title

Annals of Rehabilitation Medicine.2017; 41(1): 167. CrossRef

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Analysis of Pulmonary Function Test in Korean Patients With Duchenne Muscular Dystrophy: Comparison of Foreign and Korean Reference Data: Tae Sik Bang, Woo Hyuk Choi, Sang Hun Kim, Je-Sang Lee, Soo-Yeon Kim, Myung Jun Shin, Yong Beom Shin; Ann Rehabil Med 2016;40(5):851-861. Published online October 31, 2016; DOI: https://doi.org/10.5535/arm.2016.40.5.851; Correction in: Ann Rehabil Med 2016;40(6):1152

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Objective

To determine the abnormal pulmonary function value in Korean Duchenne muscular dystrophy (DMD) patients, we performed a comparative analysis of the patients' pulmonary function value expressed as % of the overseas reference data and Korean healthy children and adolescent reference data.

Methods

We performed pulmonary function test (PFT) in a total of 27 DMD patients. We compared the patients' FVC% and FEV1% of the overseas reference data with those of the Korean children and adolescent reference data. Also, we compared the patients' MIP% and MEP% of the prediction equation data with those of the Korean children and adolescent reference data.

Results

Age of the subjects ranged from 8 to 16 years (12.03±2.27 years). The mean maximal expiratory pressure (MEP), maximal inspiratory pressure (MIP), vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and peak cough flow (PCF) were 36.93±9.5 cmH₂O, 45.79±17.46 cmH₂O, 1.4±0.43 L, 1.45±0.45 L, 1.40±0.41 L, and 206.25±61.21 L/min, respectively. The MIP%, MEP%, and FVC% of the Korean children and adolescent reference data showed statistically significant higher values than those of the prediction equation data.

Conclusion

We observed a clear numeric difference between Korean DMD patients' pulmonary function value expressed as % of the overseas data and inland data. To perform a precise assessment of respiratory function and to determine appropriate respiratory therapy, pulmonary function values of Korean DMD patients should be interpreted taking into account the inland normal pulmonary function test data.