ABSTRACT
OBJECTIVES: In this study, the EEG findings in children with migraine headache were assessed in Bahrami Hospital, Tehran, Iran from 2014 to 2016. MATERIALS & METHODS: In this observational cross-sectional study, 71 consecutive children with migraine headache were enrolled. The EEG findings were determined and compared with other variables. RESULTS: There were 25 cases (35.2%) with abnormal EEG and the type of EEG abnormality comprised slow waves and sharp waves in 19(68%) and 8(32%) patients, respectively. CONCLUSION: Nearly one-third of children with migraine might have abnormal EEG.
Subject(s)
Gastric Outlet Obstruction/diagnosis , Hepatolenticular Degeneration/diagnosis , Renal Veins , Venous Thrombosis/diagnosis , Chelating Agents/therapeutic use , Child , Female , Gastric Outlet Obstruction/etiology , Hematuria/etiology , Hepatitis/etiology , Hepatolenticular Degeneration/drug therapy , Humans , Infant , Infant, Newborn , Male , Penicillamine/therapeutic use , Pyloric Antrum/abnormalities , Venous Thrombosis/complications , Venous Thrombosis/therapyABSTRACT
BACKGROUND: Celiac disease (CD) may be missed or diagnosed late in children with chronic diarrhea. In this study the authors estimated the frequency of CD among pediatric patients with chronic diarrhea based on serologic and pathologic examinations. METHODS: During a 6-year period, all patients with chronic diarrhea of more than 6 weeks referred to the authors' department were included. For each patient, an asymptomatic control was enrolled from among the patients referred to our clinic for other reasons. Serologic tests for CD including immunoglobulin A endomysial antibody and immunoglobulin A antigliadin antibody were performed in all patients and controls. If positive, duodenal biopsy was performed to confirm the diagnosis. Patients subsequently diagnosed as CD were placed on a gluten-free diet and reevaluated after 6 months. RESULTS: 825 cases of diarrhea and 825 controls were enrolled. CD was diagnosed in 54 (6.5%) of the diarrhea patients and seven (0.8%) of the controls. After 6 months of gluten-free diet, 48 (88.8%) patients had significant improvement in symptoms and of these 41 (76.1%) were totally asymptomatic. Forty-two patients allowed repeat endoscopy after 6 months of gluten-free diet and 40 (95.2%) showed improvement in histologic findings. CONCLUSION: CD is common among patients labeled as chronic diarrhea. In this subgroup, gluten-free diet may lead to a significant improvement in symptoms. Routine testing for CD may be indicated in all patients being evaluated for chronic diarrhea.
