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1.
An Pediatr (Barc) ; 69(2): 167-70, 2008 Aug.
Artigo em Espanhol | MEDLINE | ID: mdl-18755124

RESUMO

The benign paroxystic positional vertigo (BPPV) is defined by brief episodic vertigo attacks and accompanied by a rotary-linear nystagmus, triggered by head position changes and is always produced in that position. The theory that better explains the BPPV is canalithiasis: free-floating particles leave the utricular macula and enter one of the semicircular canals, producing an endolymphatic movement that stimulates the cupula and produces vertigo and nystagmus. The diagnosis is based on a typical clinical history, normal ear and neurological examination and provocation maneuvers, such as the Dix-Hallpike test, reproduce the vertigo attacks. The treatments are the liberatory maneuvers, such as the Epley maneuver which makes the vertigo disappear. We present two cases of vertigo with a compatible clinic history of BPPV, where the Dix-Hallpike maneuver confirmed the diagnosis. The treatment in both cases was the Epley maneuver.


Assuntos
Vertigem/diagnóstico , Vertigem/terapia , Criança , Pré-Escolar , Humanos , Masculino , Modalidades de Fisioterapia
2.
An. pediatr. (2003, Ed. impr.) ; 69(2): 167-170, ago. 2008. ilus
Artigo em Es | IBECS | ID: ibc-67575

RESUMO

El vértigo posicional paroxístico benigno (VPPB) se define como la aparición de episodios bruscos de vértigo de breve duración, provocados por cambios de posición, acompañados de nistagmo y que se reproducen al adoptar la posición desencadenante. La teoría fisiopatológica que mejor explica las características clínicas y del nistagmo en las maniobras de provocación del VPPB es la canalitiasis: partículas otolíticas desprendidas de la mácula del utrículo penetrarían en el interior de un conducto semicircular; su desplazamiento al realizar determinados movimientos en el plano de ese conducto produce una corriente endolinfática que estimularía la cúpula originando la aparición de vértigo y nistagmo. El diagnóstico se basa en una historia clínica típica, una exploración otoneurológica normal y una reproducción de la crisis con las maniobras de provocación. El tratamiento a través de las maniobras de reposición permite la resolución del cuadro de forma rápida y sencilla. Presentamos dos casos de mareo vistos en nuestro servicio de urgencias. La sospecha clínica y la realización de la maniobra de Dix-Hallpike confirmaron el diagnóstico de VPPB. La maniobra de Epley resolvió el cuadro de manera rápida y definitiva


The benign paroxystic positional vertigo (BPPV) is defined by brief episodic vertigo attacks and accompanied by a rotary-linear nystagmus, triggered by head position changes and is always produced in that position. The theory that better explains the BPPV is canalithiasis: free-floating particles leave the utricular macula and enter one of the semicircular canals, producing an endolymphatic movement that stimulates the cupula and produces vertigo and nystagmus. The diagnosis is based on a typical clinical history, normal ear and neurological examination and provocation maneuvers, such as the Dix-Hallpike test, reproduce the vertigo attacks. The treatments are the liberatory maneuvers, such as the Epley maneuver which makes the vertigo disappear. We present two cases of vertigo with a compatible clinic history of BPPV, where the Dix-Hallpike maneuver confirmed the diagnosis. The treatment in both cases was the Epley maneuver


Assuntos
Humanos , Masculino , Criança , Vertigem/complicações , Vertigem/diagnóstico , Nistagmo Patológico/complicações , Nistagmo Patológico/diagnóstico , Movimentos da Cabeça , Postura/fisiologia , Sinais e Sintomas , Nistagmo Fisiológico/genética , Nistagmo Fisiológico/fisiologia , Vertigem/terapia , Transtornos de Sensação/complicações , Fatores de Tempo
3.
An Pediatr (Barc) ; 64(5): 489-91, 2006 May.
Artigo em Espanhol | MEDLINE | ID: mdl-16756894

RESUMO

Priapism, prolonged and painful erection, is an exceptional cause of consultation in the pediatric population. High- and low-flow priapism and recurrent prolonged erection must be differentiated, as the prognosis and treatment of these entities differ. Assessment of patients with priapism begins with a detailed history, physical examination, and complete blood cell count. The definitive diagnosis is given by penile Doppler ultrasonography, corpora cavernosa blood gas analysis, and pelvic arteriography. We present two patients who attended our emergency service in the last year and propose an algorithm for the diagnosis and treatment of this entity.


Assuntos
Priapismo/diagnóstico , Priapismo/terapia , Algoritmos , Criança , Pré-Escolar , Humanos , Masculino
4.
An. pediatr. (2003, Ed. impr.) ; 64(5): 489-491, mayo 2006. ilus
Artigo em Es | IBECS | ID: ibc-046039

RESUMO

El priapismo, erección prolongada y dolorosa, es un motivo excepcional de consulta pediátrica. La distinción entre el priapismo de alto y bajo flujo, así como la diferenciación de la erección prolongada recurrente, es esencial por su diferente tratamiento y pronóstico. La historia clínica, la exploración y el hemograma son el primer escalón diagnóstico. El eco-Doppler peneano, la gasometría de cuerpos cavernosos y la arteriografía de ilíacas permiten el diagnóstico definitivo. Presentamos 2 casos vistos en nuestra urgencia en el último año y realizamos una revisión de la literatura especializada estableciendo un algoritmo de diagnóstico y tratamiento


Priapism, prolonged and painful erection, is an exceptional cause of consultation in the pediatric population. High- and low-flow priapism and recurrent prolonged erection must be differentiated, as the prognosis and treatment of these entities differ. Assessment of patients with priapism begins with a detailed history, physical examination, and complete blood cell count. The definitive diagnosis is given by penile Doppler ultrasonography, corpora cavernosa blood gas analysis, and pelvic arteriography. We present two patients who attended our emergency service in the last year and propose an algorithm for the diagnosis and treatment of this entity


Assuntos
Masculino , Criança , Pré-Escolar , Humanos , Priapismo/diagnóstico , Priapismo/tratamento farmacológico , Brometo de Butilescopolamônio/uso terapêutico , Infecções Urinárias/complicações , Metimazol/uso terapêutico
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