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Biomedical subjects

A Fois

Publications and source records attributed to A Fois.

At least 73 records · Page 4Linked to original sources

Electroencephalographic findings in pediatric cases of coma.

Electroencephalographic aspects of coma in 201 children are presented. The ages of the subjects ranged between 1 month and 14 years. The EEG picture was not specific. Diffuse slowing and convulsive activity were present in meningoencephalitis and postconvulsive coma. Diffuse slowing was also present in coma of metabolic origin. Mixed slow and fast activity was typical of coma due to benzodiazepines, barbiturates and alcohol. In patients with intracerebral hemorrhages, there was marked focal slowing associated with generalized delta and theta waves. In 12 patients with craniocerebral trauma, the EEG showed generalized slowing which was associated with focal reduction of voltage in 6 cases and with convulsive activity in 2. Extreme slowing or an isoelectric recording had a bad prognosis. The reappearance of sleep spindles was a favorable sign.

Adolescent↗

Familial tyrosinaemia with eye and skin lesions. Presentation of two cases.

Two cases of tyrosinaemia with eye and skin lesions typical of the Richner-Hanhart syndrome are described. The patients are a 29- and 26-year-old brother and sister. They do not show neurological abnormalities or mental retardation. Parents are not consanguineous and family history is negative for similar conditions. The diagnosis of type II tyrosinaemia was based upon an increase of blood tyrosine (14-16mg/100 ml), tyrosinuria and absence of liver and kidney abnormalities. The treatment with a low tyrosine phenylalanine diet has resulted in a disappearence of the ocular manifestations while the cutaneous lesions are much improved.

Adult↗

Progressive cerebral calcifications, epilepsy, and celiac disease.

A case with progressive cerebral calcifications, white matter involvement, and drug-resistant epilepsy in a 9-year-old boy is described. The final diagnosis was celiac disease (CD). The relationship of CD with epileptogenic lesions is considered, and the possible significance of this association is discussed.

Brain Diseases↗

Clinical findings in children with occipital paroxysmal discharges.

Occipital paroxysmal discharges (OPDs) have been related to a variety of clinical problems. To evaluate associated symptoms and patient outcome, we studied 293 children with OPDs. Follow-up of more than 6 months was available in 141 children. Mental retardation, neurological symptoms, behavior problems, ocular symptoms, and convulsions of various types were present. Eight patients had ictal visual phenomena consistent with the diagnosis of benign epilepsy with occipital spike and wave (BEOSW). In the 141 children with at least 6 months follow-up, 58 had other types of convulsions. Clinical and EEG normalization was observed in 25 and clinical normalization only in 17. The use of antiepileptic drugs did not seem to influence the outcome although seizure control was obtained in 26 patients. In all the cases where follow-up was 9 or more years, clinical normalization was observed. Clinical symptoms in these patients were quite heterogeneous and frequently not ictal. The disappearance of OPDs with increasing age points to their being "not lesional" in origin.

Adolescent↗