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Biomedical subjects

R Erazo

Publications and source records attributed to R Erazo.

10 recordsLinked to original sources

[Munchausen syndrome by proxy, an unusual presentation].

We report a 12 year old girl that first consulted for fever with bilateral knee arthralgias. A neurological workout was started due to a progressive gait disturbance, but all results were incongruent with nerve or nerve root lesions, leading to the diagnosis of a functional paralysis. The patient worsened to the point of prostration. Due to the suspicion that the mother was inducing the symptoms, the patient was admitted to the hospital, where she improved notably. She was discharged walking. The improvement during hospital stay confirmed the diagnosis of a Münchausen by proxy syndrome, mimicking a disabling neurological condition.

Child↗

[Fetal momstruosity].

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Abnormalities, Severe Teratoid↗

[Myasthenia gravis and myasthenic syndromes in children].

Myasthenia gravis is the most frequent abnormality of the neuromuscular junction in adults and children. In its milder forms satisfactory management may be obtained with oral neostigmine, but in more severely affected patients steroid therapy and thymus resection may be necessary. Congenital myasthenic syndrome is rather infrequent but timely recognition an identification are very important because treatment and prognosis vary widely in its different forms. Hypermagnesemia, botulism, organophosphate insecticides, are also highlighted among toxic and metabolic causes of neuromuscular junction abnormality.

Child↗

[Juvenile myoclonic epilepsy. Life difficulties and response to treatment].

Juvenile myoclonic epilepsy (JME) may have different forms of clinical expression and produces different kinds of life difficulties. Both eventualities have not been sufficiently described in the literature. Treatment with valproic acid is useful but requires strict compliance of medical instructions. Thirty two patients with this disease, are presented in order to describe their presenting forms, associated life handicaps and the results of their treatment. The disease may first present as tonic-clonic, complex absence or complex partial seizures, followed months or years later, by typical myoclonic crisis or as JME to which other kinds of epileptic crisis may or not be added after some time. Twenty four (75%) patients had 38 life difficulties, these being, mainly, objects dropped from hand, burns and parental aggression. Eighteen (56.25%) patients had relapses during treatment. In 14 cases (77.77%) relapses were due to noncompliance, 8 (57.19%) patients couldn't afford the cost of valproic acid. Knowledge of the presenting forms of the disease may favor opportune diagnosis and treatment, which would prevent life difficulties. Relapses are mainly due to noncompliance and economic reasons.

Adolescent↗

[Juvenile myoclonic epilepsy: Janz' syndrome].

Thirty two patients with juvenile myoclonic epilepsy are described. The most relevant aspects of the disease are the following: it starts at nearly 12 years of age or before; it is frequently associated with generalized tonic-clonic seizures; myoclonic and tonic-clonic seizures occur at time of awaking or shortly after; no pathological findings occur at the central nervous system; a large number of relatives show generalized seizures and the interictal electroencephalogram is usually disturbed by generalized epileptic activity. Valproic acid, preferably alone, is probably the treatment of choice for these patients.

Adolescent↗