RESUMEN
The Authors describe progressive encephalopathies in children hospitalized at the Department of Child Neurology Silesian Medical School from 1980 to 2000. They present ethiology, clinical symptoms and diagnostic protocol based on literature data and their own experience.
Asunto(s)
Encefalopatías/diagnóstico , Adolescente , Encefalopatías/clasificación , Encefalopatías/epidemiología , Niño , Preescolar , Electroencefalografía , Femenino , Humanos , Lactante , Recién Nacido , Imagen por Resonancia Magnética , Masculino , PoloniaRESUMEN
Cerebral tumours are a cause of seizures in less than 1-2% of children epilepsy. Seizure symptoms usually precede the diagnosis by several years and are often the only symptoms of an ongoing process. The symptomatology of the seizures often correlates with localization of a neoplastic lesion. The authors present six children aged 3 to 18 in whom epileptic seizures not susceptible to treatment were caused by cerebral tumours. The duration of epilepsy until the determining of the aetiology was various--from half a year to 13 years. In each of our six patients focal epilepsy occurred with simple or complex seizures with secondary generalization. It was only one patient in whom the tomography of the head turned out to be sufficient enough to establish the diagnosis of a brain tumour; in the other ones MR was necessary. The final diagnosis in four of the children was supported by histopathologic examination carried out during a neurosurgical procedure, whereas in one of them--by means of biopsy of the brain.
Asunto(s)
Neoplasias Encefálicas/complicaciones , Epilepsia/etiología , Epilepsia/patología , Adolescente , Neoplasias Encefálicas/patología , Niño , Preescolar , Electroencefalografía , Epilepsia/fisiopatología , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Índice de Severidad de la EnfermedadRESUMEN
Munchhausen syndrome by proxy is a malignant form of child abuse in which illness in a child is fabricated and/or induced by a parent. It can result in serious illness and even death of the child and it is difficult to detect. The authors give a significant amount of literature examples. They try to find out the difference in ways of hurting by perpetrators. Various types of personalities and emotional disturbances in Munchhausen on proxy syndrome are shown. Child maltreatment and Munchhausen by proxy syndrome need to be part of the differential diagnosis when the clinical picture is atypical or does not appear medically plausible.
Asunto(s)
Síndrome de Munchausen Causado por Tercero/diagnóstico , Adulto , Niño , Femenino , Humanos , Masculino , Síndrome de Munchausen Causado por Tercero/psicología , Relaciones Padres-HijoRESUMEN
The authors present a case of Huntington disease in a 14 year old boy. The basis of genetic, pathoetiology, clinical course of disease, significance of molecular analysis of DNA are discussed.
Asunto(s)
Enfermedad de Huntington/diagnóstico , Adolescente , Encéfalo/diagnóstico por imagen , Humanos , Enfermedad de Huntington/genética , Magnesio/metabolismo , Masculino , Receptores de N-Metil-D-Aspartato/metabolismo , Tomografía Computarizada por Rayos X , Expansión de Repetición de Trinucleótido/genéticaRESUMEN
In the recent years the number of diagnosed cases of Lyme Disease has tended to increase. This is due to the possibility of serological examinations. Between 1992-95 at the Neurological Department of 2nd Chair of Pediatrics Silesian Medical Academy in Katowice 7 children with Lyme Disease were hospitalized. The authors analysed the clinical course, important laboratory and serological data and treatment effects.
Asunto(s)
Enfermedad de Lyme/epidemiología , Adolescente , Niño , Preescolar , Femenino , Humanos , Inmunoglobulina G/inmunología , Inmunoglobulina M/inmunología , Enfermedad de Lyme/inmunología , Masculino , Polonia/epidemiologíaRESUMEN
A case of congenital toxoplasmosis was observed in an infant aged 6 weeks with fatal outcome. Histological changes produced by Toxoplasma gondii in the brain are described.