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Biomedical subjects

A Golczyk-Wojnar

Publications and source records attributed to A Golczyk-Wojnar.

13 recordsLinked to original sources
PubMedDate not supplied

[Mental disorders in children with epilepsy].

In a group of 80 epileptic children aged 10-11-12 years in 75% of cases psychic changes were found, including disturbances of intellectual abilities of the oligophrenic-dementive type, and personality disorders. The cause of these disturbances was organic brain damage due mainly to pathological events in pregnancy and labour, and to mechanical craniocerebral trauma in early childhood. Other causes included: duration, type and frequency of seizures and longstanding pharmacological polytherapy not considering the interaction of drugs. The coexistent neurotic symptoms in 60% out of 80 studied children were caused by abnormal family situation and situation in school which had undoubtedly an effect on the prognosis and course of epilepsy in children.

Child↗
PubMedDate not supplied

[Catamnestic studies of children with epilepsy].

Late results of epilepsy treatment in 150 children hospitalized in the Department of Psychiatry, Institute of Paediatrics, Medical Academy in Warsaw and followed-up in the outpatient clinic of this Department are described. The criteria of selection of the cases for analysis were age of 10 years, at least, and disease duration at least 4 years. It was found that in 72% of cases the seizures had been completely controlled (absent for at least 2 years). In 28% the seizures continued despite systematic treatment. The analysis showed that persistence of seizures was caused, among other factors, by the degree and extent of the organic damage to the central nervous system confirmed in neurological and psychological examination and electroencephalographic investigations, the type of seizures, mainly seizures of salaam type and partial seizures with complex signs, recurring status epilepticus, and coexistence of various types of seizures in a child. Interseizure psychic disturbances were more frequently observed in children in whom the seizures could not have been controlled completely.

Adolescent↗
PubMedDate not supplied

[Evaluation of the mental state of children with early-childhood onset of epilepsy treated between 1977 and 1981 (preliminary report)].

From a group of 248 cases of epilepsy observed in the last five years 69 (28%) children, 32 boys and 37 girls, were isolated (aged from several months to 14 years) in whom the first epileptic seizures appeared at the age of 3 years or less. The subgroups were subjected to detailed psychiatric-psychological analysis for establishing whether epilepsy beginning in the life period of the most intense developmental processes may have any decisive influence on the psychic development and social adaptation of the child. It was found that children with epilepsy beginning at the age below 3 years require not only a careful differential diagnosis but even more a comprehensive therapeutic management, which should include, besides systematic administration of drugs and periodic EEG control also a continuous psychological and psychiatric supervision and care which would ensure a possibly optimal development of mental skills and social adaptation in the family and outside it.

Adolescent↗
PubMedDate not supplied

[Epileptic seizures among the population of Mokotów: incidence and prognosis].

In the years 1976-1979 all cases of first epileptic seizure of any type were analysed in the whole population of the Mokotów District. The total number of patients with the first seizure in life was 272. The mean annual incidence coefficients were: for the repeatedly occurring seizures (i.e.epilepsy)--21.2/100 thousand of the general population, including 25.3 for men and 17.5% for women; isolated seizures--8.0 and 10.1 and 6.1 respectively; febrile seizures (diagnosed in children aged up to 4 years)--12.9 and 15.6 and 10.4 respectively; in another 2.3 subjects per 100 thousand the reported seizures were suspected of being epilepsy. It may be stated, generally, that in each 100 thousand of the population 44 subjects require annually examination because of epileptic seizure of seizures (or a disease in which seizures were one of its signs). The incidence was higher in men than in women (54 and 36 respectively). Epilepsy incidence coefficients and similar coefficients of isolated seizures were low in the first two decades of life, rising then gradually to a maximal level at the age of 70 and more years (60,3/100 thousand). The aetiology of the disease was disclosed in 70% of cases: head trauma in 20%, chronic alcoholism in 16%, stroke in 12%, brain tumour in about 10%. These were the most frequent aetiological factors. During follow-up 31 patients died, mostly the cases of brain tumour (40%), stroke (29%) and intracranial haematomas (about 10%). EEG obtained shortly after the first seizure is of low prognostic value.

Adolescent↗