RESUMO
The author analysed from the standpoint of familial history of headaches 89 cases of headaches treated at a neurological outpatient clinic in a period of 3 years. In 14 cases migraine was diagnosed, in 31 cases vasomotor headaches, in 16 post-traumatic headaches, in 7 psychogenic headaches, in 5 cases sinusitis, in 4 intracranial hypertension, in 12 cases the aetiology was unclear. In cases of vasomotor headaches in 90% of cases strong headaches were present in close relatives of the patients while in other groups the familial factor was infrequent.
Assuntos
Cefaleias Vasculares/genética , Adolescente , Fatores Etários , Criança , Pré-Escolar , Feminino , Humanos , Pressão Intracraniana , Masculino , Transtornos de Enxaqueca/genética , Sinusite/genética , Cefaleias Vasculares/etiologiaRESUMO
The authors analysed 13 cases of West's syndrome (8 females and 5 males observed in a period of 30 months. In only one case there was history of perinatal trauma. In 7 children the psychomotor development was very good until the time of development of seizures, in 2 children hyperexcitability was present, 1 was obese, 2 had various infections. In 7 cases the seizures developed within 1 to 20 days after DiPerTe or poliomyelitis vaccination. The time from the onset of seizures to beginning of hormonal treatment ranged from 4 weeks to 5 months. Corticosteroids or ACTH were administered for 2 months at least, and benzodiazepine drugs and/or phenobarbital were given additionally. It was found that the effects of treatment were much better in children referred for treatment early after onset of seizures. In cases with delayed hormonal treatment mental retardation was considerable and seizures were frequent.
