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Biomedical subjects

J Campos Castelló

Publications and source records attributed to J Campos Castelló.

At least 19 recordsLinked to original sources
PubMed2002

[Childhood headache. A diagnostic approach].

Headaches are common during childhood and become more frequent in adolescence. The rational, cost-effective evaluation of children with headache begins with a careful history. The first step is to identify the temporal pattern of the headache -acute, acute-recurrent, chronic-progressive, chronic-nonprogressive, or mixed. The next step is a physical and neurologic examination. Neuroimaging is not routinely warranted in the evaluation of childhood headache and should be reserved for use in children with acute or chronic-progressive patters of abnormalities in neurologic examination. Pediatric migraine differs from adult migraine. Recent studies indicate the need to revise diagnostic criteria for pediatric migraine, which would allow its real prevalence in this age group to be determined. The sensitivity and specificity of the International Headache Society (IHS) criteria for childhood migraine would be increased if the minimum duration of migraine were reduced and if a diagnosis of migraine were allowed when severe headache is associated with nausea, even though the criteria of location, quality, and aggravation by physical activity are not fulfilled. There are no differences in the fulfillment of the IHS criteria for migraine and tension-type headache between children and adolescents. Independent of age, the intensity of headache and the presence or absence of nausea are the most important features for differentiating the two major types of idiopathic headache.Migraines, migraine variants, tension headache and other types of headache often present for the first time during childhood and require close follow-up by the pediatrician. Investigation into this disorder is still developing.

Child↗
PubMed1988

[A migraine hemisyndrome in childhood].

Authors consider that migraine hemisyndrome is the unilateral development of neurological signs and symptoms both in the prodromic and critical stages of migraine. Symptoms usually are not limited to the territory of only one cerebral artery in each one of the episodes. More common symptoms are the visual ones followed by sensitive and motor together with frequent dysphasia. Incidence in childhood is not well known, ranging in several series between 5 and 10.7% of all the cases of migraine. Authors reviewed 127 cases of migraine in children under 14 years old detecting 7 cases (5.51%) of migraine hemisyndrome in childhood. Incidence, age of onset, sex, personal and family history, clinical features, triggering factors and diagnostic and therapeutical approach are analyzed.

Adolescent↗
PubMed1983

[Methods of measurement of intracranial pressure in childhood].

A revision of the different techniques of measurement of intracranial pressure in childhood is presented. The value of pressure in the fontanel and mainly that of the transducer of dejection APT-16 is considered to be of interest in the neonatal period.

Age Factors↗
PubMed1978

[Treatment of lennox syndrome with medium chain triglycerides (author's transl)].

Twelve cases of Lennox syndrome were treated with a ketogenic diet with medium chain triglycerides during an average period of five months. All the cases were resistant to drug treatment. In five cases seizures disappeared, in five the frequency decreased and two remained without changes. The alertness improved in seven cases. Electroencephalographic records did not show any important improvement. The diet was generally well tolerated and it only had to be discontinued in one case.

Child, Preschool↗
PubMedDate not supplied

[Cerebral infarct in childhood as a complication of migraine with aura. A case report].

INTRODUCTION: A migrainous infarct is a complication which may occur during the course of an attack of migraine, especially during the phase of the aura. It is the cause of between 1 and 14% of the cerebral infarcts in children. Even today there is still controversy as to whether it occurs in childhood, in spite of a strongly based clinical suspicion of it, since it is difficult to prove the chain of clinicopathological events scientifically. CLINICAL CASE: We report the clinical case of an adolescent girl of eleven years of age who complained of having attacks of migraine with aura for the previous two years and fulfilled the criteria of the International Headache Society (IHS). She was referred to us when a cranial CAT scan showed a hypodense area at the level of the ganglia of the left base, although neurological examination was still normal. The probable ischaemic nature of the lesion was confirmed using neuroimaging techniques (magnetic resonance). On electroencephalography there was a slow focal pattern which was moderately persistent in the left temporal cortex. Other causes of cerebral infarct were rules out on further complementary studies. CONCLUSIONS: The patient therefore fulfilled the criteria of the IHS for diagnosis of a migrainous infarct. We also analyze the main findings regarding clinical history, epidemiology, clinical findings and diagnosis of migrainous infarct in childhood.

Brain↗
PubMedDate not supplied

[Incidence of occipito-cervical instability in Down syndrome].

Seventy children with Down Syndrome (22 boys and 48 girls), ages ranging between five and seventeen years, were evaluated for instability of the upper cervical-spine. X-ray study of this region in lateral projection was did, in neutral position and flexion-extension of the neck. The distance between the anterior arch of the atlas and odontoid process as well as the displacement of the basion in relation to the first cervical vertebrae were examined. Twelve patients (17.14 percent) exhibited motion alterations of the region studied: atlanto-axial instability in eight cases (interval bigger than 4.5 mm) and atlanto-occipital instability in four cases.

Adolescent↗