ABSTRACT
105 patients were studied, during a one year period, who had attended the Pediatric Emergency Room, because of a migraine or migraine-like attack. In 8 patients, a different final diagnosis was accomplished during the acute episode: cerebral tumor, subaracnoid bleeding, epilepsy and meningitis. The clinical features are described. Aura symptoms and/or neurologic deficit were necessarily more frequent in these patients than those attending a pediatric out-patient clinic. Neurodiagnostic procedures (EEG, lumbar puncture, CT-Scan) were done in 20%; a third part of the patients were observed at the hospital during several hours before discharge, but only 5% required to be admitted. 30% had attended the Emergency Room in previous occasions for the same purpose. Half of the children did not have a history of migraine, therefore a definite diagnostic of migraine would depend of posterior evolution.
Subject(s)
Migraine Disorders/etiology , Age Factors , Brain Neoplasms/complications , Brain Neoplasms/diagnosis , Child , Child, Preschool , Diagnosis, Differential , Emergency Service, Hospital , Epilepsy, Temporal Lobe/complications , Epilepsy, Temporal Lobe/diagnosis , Humans , Infant , Meningitis, Aseptic/complications , Meningitis, Aseptic/diagnosis , Migraine Disorders/genetics , Spain , Subarachnoid Hemorrhage/complications , Subarachnoid Hemorrhage/diagnosisABSTRACT
Seventy-two patients with cystic fibrosis were under care between January 1st 1972 and December 31st 1988, and 75 until now (July 1989). Fifty are alive, 24 died and 1 was lost to follow-up. The number of alive patients under control at the end of every year rose from 5 in 1972 up to 47 in 1988 and 50 at present. In order to assess the progress of survival rates, we compared two periods: 1972-1980 and 1981-1988. Twenty-eight were under control during the first period and 16 (57%) died, these figures for the second period being 55 and 8 (14%) (p 0.001) respectively. A remarkable increase in cumulative survival rates during the second period was observed at ages 1 (96% vs 68%), 5 (94% vs 55%) and 10 (86% vs 28%). Greater experience and closer follow-up, together with more aggressive treatment are likely to account for the increase in survival. It is vital that reference cystic fibrosis centers should be set-up in our country for the management of so complex a disease as 'cystic fibrosis.
