PubMed Health⌕ Search

Biomedical subjects

E Dilling-Ostrowska

Publications and source records attributed to E Dilling-Ostrowska.

At least 19 recordsLinked to original sources

[Clinical characteristics of migraine in children according to the age].

We investigated 100 children with migraine admitted to the Developmental Neurology Department, Medical University of Gdańsk between 1988-1997. The diagnosis was made on IHS Criteria (1988). There were 53 children with migraine with aura and 47--without aura. The children were divided into three groups according to the onset of migraine attacks (3-16 years of age). To reveal the relation between clinical manifestation of migraine and the age, statistical analysis was made. The results showed that a higher frequency of migraine with aura was observed in the oldest group of children. Boys were more predisposed to develop migraine earlier. The headaches most often were pulsatile and located in the forehead, rarely-lateralized. There was no relation between location of headache, age, sex and type of migraine. In 63% of children the duration of headache was above 2 hours, in 37%--from few minutes to 2 hours. Vomiting was noticed in two thirds of patients, phonophobia and photophobia were observed in 20 children with migraine without aura and in 5 children with migraine with aura. The frequency of migraine attacks was higher in migraine without aura. Aura symptoms were mainly sensory and visual. CT and MRI were negative.

Age Distribution↗

[Speech disorders in childhood].

The paper discusses the individual childhood speech disorders: articulation, phonation, and rhythm disorders as well as the dysfunction of speech. In addition to the causes of retarded speech development, the authors discuss especially childhood aphasias. As an all-important characteristic feature of childhood aphasia they give emphasis to the rapid regression of speech disorders as well as to the absence of a dependence upon the localization of the lesion. They also discuss the existing nomenclature. Also discussed were the congenital speech disorders for which they suggest the term "congenital abnormality of speech reception and expression".

Aphasia↗

[Diagnostic difficulties in facial hemispasm in a child].

The authors report a case of facial hemispasm in a 7 years old child observed for several years. Spasms appeared at the age of 13 months. Based on the observations and results of clinical investigations the authors come to conclusion that facial hemispasm in this case was probably due to irritation of the facial nerve coexisting with epileptic seizures. They assume that a diffuse central nervous system damage is present in the patient, probably due to meningoencephalitis at the age of 3 months.

Child↗

[Clinico-etiological correlations in children with sciatica].

During a period of 30 years 21 children with sciatic pains were treated at the Developmental Age Neurology, Medical Academy in Gdańsk. The aetiological factors and clinical manifestations were analysed. Nucleus pulposus prolapse was diagnosed in 5 children, in 9 cases neoplasms were found (in 3 cases malignant tumours of the sacral bone, intraspinal tumours in 6 cases); in 4 cases obliterative intraspinal arachnitis, and in 3 cases other causes were diagnosed. With the exception of one child the other ones were in the school-age group. In nearly all cases the onset was insidious. In one-third of children with neoplastic processes the neurological symptoms appeared after injuries and caused initially considerable diagnostic difficulties. In 18 cases disturbances of spinal configuration and mobility were observed. Pain produced by stretching was present in 20 cases. Sphincter disturbances were observed in 6 cases (including 5 with tumours). Motor defects were noticed in all patients, more pronounced in cases of tumours. Patency of the subarachnoid spinal space was without any greater importance for the diagnosis of sciatic pains. Raised protein level in the cerebrospinal fluid was highest in cases of intraspinal tumours, and it was moderately pronounced in obliterative arachnitis, while in nucleus pulposus prolapse the protein level varied. Plain films were of lower diagnostic importance, with the exception of sacral bone tumours and nucleus pulposus prolapse. Of greater importance were contrast medium radiological examinations of fluid spaces.

Adolescent↗