Abstract:
:We have carried out an overall analysis of the diagnostic approach to generalized epileptic crises in children. It is emphasized that the clinical history is an essential factor in reaching the correct diagnosis. This is inevitably followed by a general and then a specifically neurological physical examination. Four parameters are considered in order to reach an initial diagnosis: a) The probability of the various types of crises in view of the timing of the clinical features. b) Knowledge of the clinical characteristics of the types of epileptic crises which may occur. c) The interrelation of these two parameters, seeking a specific syndrome which would fit the facts. d) Consideration of the most usual etiological factors of the tentative diagnosis. Subsequently the necessary complementary tests are carried out, but these are always based on rational clinical grounds. The commonest clinical and electroencephalic characteristics of generalized epileptic crises (except for myoclonic crises) are discussed. These are neonatal crises, 'absence', generalized tonic-clonic crisis, generalized crises with predisposing activation mechanisms, West's syndrome and the Lennox-Gastaut syndrome. The diagnostic value of other complementary tests in such crises is considered.
journal_name
Rev Neuroljournal_title
Revista de neurologiaauthors
Casas-Fernández Csubject
Has Abstractpub_date
1998-02-01 00:00:00pages
311-21issue
150eissn
0210-0010issn
1576-6578journal_volume
26pub_type
杂志文章,评审abstract:OBJECTIVES:To review current literature on population, cytogenetic and molecular studies of specific language disorders (SLD) and pervasive developmental disorders (PDD). DEVELOPMENT:Clinical concordance studies in twins and in vertical familial groups suggest polygenic multifactorial modes of inheritance, but in some...
journal_title:Revista de neurologia
pub_type: 杂志文章,评审
doi:
更新日期:2002-07-01 00:00:00
abstract:INTRODUCTION:This work summarizes current research focused on explaining orientation selectivity of primary visual cortex (V1), and describes the electrophysiological and imaging techniques than are being used. DEVELOPMENT:The study of orientation selectivity in V1 is key to understanding the cortical mechanisms impli...
journal_title:Revista de neurologia
pub_type: 杂志文章,评审
doi:
更新日期:2003-05-16 00:00:00
abstract:INTRODUCTION:Performing amniocentesis between the fourth and sixth months of gestation is a widespread practice. However, it can entail serious consequences, apart from the loss of the foetus, such as injuries to the developing central nervous system. CASE REPORTS:Over the past few years we have dealt with four patien...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:To present the current concepts of the clinical phenomenology and natural history of Gilles de la Tourette syndrome (GTS), differential diagnosis with other involuntary movements, its pathogenesis and current management. DEVELOPMENT:GTS is a disorder characterized by a spectrum of both motor and sonic tics, ...
journal_title:Revista de neurologia
pub_type: 杂志文章,评审
doi:
更新日期:2003-04-01 00:00:00
abstract:INTRODUCTION:At the present time it is perfectly clear that schizencephaly is an anomaly of neuronal migration and porencephaly is the result of destruction of the cerebral cortex. Schizencephaly is the final result of a variety of lesions which occur during a critical period of the development of the brain. Imaging st...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2000-11-16 00:00:00
abstract:INTRODUCTION:Epilepsy and the epileptic syndromes are common neurological diseases and represent an important public health problem that has given rise to marked social and healthcare concerns. AIM:To analyse the changes in the consumption of antiepileptic drugs in the Basque Country Autonomous Community over a 13 yea...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2008-04-16 00:00:00
abstract:OBJECTIVE:Theories about consciousness are in an initial state of development. In the recent past, diverse theories have been proposed to explain the phenomenon of the consciousness using the Quantum Mechanics (QM) as a fundamental tool. Here, we criticize some of these theories in the light of the current knowledge in...
journal_title:Revista de neurologia
pub_type: 杂志文章,评审
doi:
更新日期:2002-07-01 00:00:00
abstract:INTRODUCTION:The value of the P300 cognitive event-related potential in the diagnosis of Alzheimer subtype neurocognitive disorders is still incipient. Recent studies suggest that combining it with neuropsychological tests by cognitive domains would allow an objective and early characterisation of the cognitive impairm...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:10.33588/rn.7101.2019341
更新日期:2020-07-01 00:00:00
abstract:INTRODUCTION:The term 'frontotemporal lobar dementia' (FTLD) covers a group of neurodegenerative diseases that are very heterogeneous in their clinical expression, genetic component and histopathological features, and this has traditionally made it difficult to study and classify them. Patients usually present a progre...
journal_title:Revista de neurologia
pub_type: 历史文章,杂志文章,评审
doi:
更新日期:2008-12-01 00:00:00
abstract::Two patients aged 52 and 31 respectively, treated for male infertility with gonadotrophins (LCG/LMG), showed marked improvement of their migraine crises associated with a typical aura which had been present since puberty. Changes in the number, motility and morphology of the spermatozoids were seen in the seminogram. ...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:1996-08-01 00:00:00
abstract::In this paper I review the results of the treatments directed to modify the mRNA of dystrophin with the goal of converting the severe Duchenne type to the milder Becker muscular dystrophy. Antisense oligomers potential to modify Duchenne muscular dystrophy (DMD) gene expression and therapeutic strategies to induce rib...
journal_title:Revista de neurologia
pub_type: 杂志文章,评审
doi:
更新日期:2012-05-21 00:00:00
abstract:INTRODUCTION AND OBJECTIVES:There are few epidemiological studies specifically directed towards finding the features of the adult epileptic population requiring hospital admission. We proposed to analyze these features in a consecutive series of patients admitted to our department with epilepsy and find the prevalence ...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2001-06-01 00:00:00
abstract::The presence of oligoclonal bands (OCB) of immunoglobulin G (IgG) is in our days the most useful finding in the study of the CSF for the diagnosis of multiple sclerosis (MS). The most sensitive method for the detection of OCB is the isoelectric focusing followed by immunoblotting. The prevalence of OCB changes in diff...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2001-06-16 00:00:00
abstract::The evidence base from empirical studies is one of the elements, along with patients' preference and consideration of particular clinical state and circumstances, that should be taken into account in the process of clinical decision making. This paper provides an overview of the current evidence base for the treatment...
journal_title:Revista de neurologia
pub_type:
doi:
更新日期:2017-02-24 00:00:00
abstract:INTRODUCTION:Status epilepticus (SE) is a condition in which epileptic discharges are sufficiently prolonged or repeated so as to cause persistent changes in neurological function. DEVELOPMENT:At the present time the classification of SE seems to be incomplete and therefore provisional. However the broad subdivision i...
journal_title:Revista de neurologia
pub_type: 杂志文章,评审
doi:
更新日期:1997-08-01 00:00:00
abstract:INTRODUCTION:A spinal cord injury implies the loss of or alteration to the gait pattern. Stimulating the pattern generating centres in the sublesional spinal cord determines the appearance of flexion and extension automatisms that are useful for gait training in patients with spinal cord injuries. These centres can be ...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
abstract:INTRODUCTION:The epidemiology of multiple sclerosis (ME) in the Alcoi area has been studied by our groups for many years. When studying the factors linked to ME in this area initially we observed that migration, contact with dogs and the textile industry were associated with the disorder. A later study, in which the mi...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract:INTRODUCTION:There is wide evidence about dopaminergic and noradrenergic mechanisms in fronto-striatal circuits which are thought to be related with attention deficit hyperactivity disorder (ADHD) neurobiology. That dysfunction may explain core symptoms and part of executive deficits in cognitive functioning. Methylphe...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2008-05-16 00:00:00
abstract:INTRODUCTION:Many studies have shown that smoking is lower in patients with Parkinson s disease. However, in other investigations this was not observed. The various studies involved showed wide variation with regard to methodology, criteria for diagnosis and periods of observation and hence it is difficult to compare t...
journal_title:Revista de neurologia
pub_type: 杂志文章,评审
doi:
更新日期:2002-04-01 00:00:00
abstract:INTRODUCTION:Acute disseminated encephalomyelitis (ADEM) is a demyelinating disease that essentially affects the white matter of the central nervous system. The diagnosis is based on clinical-imaging and developmental findings. Magnetic resonance imaging of the brain is the most useful diagnostic tool. The disease cour...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2013-10-01 00:00:00
abstract:INTRODUCTION:It is necessary to know the degree of concordance of preoperative studies in temporal lobe epilepsy (TLE). AIM. To analyze the relative importance of different preoperative tests (vEEG, EEG, SPECT and MRI), the degree of agreement between them, and to develop a Bayesian probability model for diagnosis. PA...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:To analyze the available scientific evidence regarding treatment with thrombolytic agents in patients with cerebrovascular disease and present this in the context of daily practice. DEVELOPMENT:Publication of the NINDS study of treatment with t-PA for acute cerebral ischemia led to approval of this treatment...
journal_title:Revista de neurologia
pub_type: 杂志文章,评审
doi:
更新日期:1999-12-16 00:00:00
abstract:INTRODUCTION:Opsoclonus myoclonus is a rare neurological syndrome affecting children and adults, and which is characterised by a sudden onset of chaotic eye movements and myoclonias. In children it generally appears before the age of three as a parainfectious or paraneoplasic process; the type of tumour most frequently...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2002-08-16 00:00:00
abstract:INTRODUCTION:Many neuropsychological tests used in Spain have been normed on Spanish-speaking persons in the USA and South America. In addition, the normative samples often span limited age or educational ranges, potentially decreasing their representativeness of the population, the interpretation of test results, and ...
journal_title:Revista de neurologia
pub_type: 杂志文章,多中心研究
doi:
更新日期:2015-07-16 00:00:00
abstract:INTRODUCTION:Although carbamazepine (CBZ) has strong enzyme-inducing properties, oxcarbazepine (OXC) and eslicarbazepine acetate (ESL) are thought to have a milder effect. These drugs are known to have effects on lipid metabolism and may cause hyponatremia and changes in blood cell counts and liver function tests. AIM...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:10.33588/rn.7102.2019207
更新日期:2020-07-16 00:00:00
abstract::At the present time corpus callosotomy is a valuable option in the management of some patients with drug-resistant epilepsy who are not candidates for resective procedures. The records of six patients who underwent callosotomy at 'Hospital Virgen de las Nieves' (Granada, Spain) in the past four years were retrospectiv...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:1996-05-01 00:00:00
abstract:INTRODUCTION:Congenital malformations of the brain often are complex disorders which display a wide spectrum of neurological manifestations. The presence of this diversity makes it difficult to correlate clinical findings with neuropathological abnormalities or through neuroimaging studies. DEVELOPMENT:Furthermore, th...
journal_title:Revista de neurologia
pub_type: 杂志文章,评审
doi:
更新日期:1999-01-16 00:00:00
abstract:AIM:To assess the budget impact of the treatment for relapsing remitting multiple sclerosis (RRMS), interferons, and glatiramer acetate, from the National Health System perspective in Spain. PATIENTS AND METHODS:A budget impact model was designed to compare the cost of RRMS treatment in different settings, using a fiv...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2011-08-01 00:00:00
abstract:INTRODUCTION:Unilateral or bilateral agenesis of the internal carotid artery has not often been described in children since it is usually asymptomatic. CLINICAL CASE:We describe a case of isolated unilateral agenesis of the internal carotid artery in a child of 20 months old who presented with two episodes of status c...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:1997-08-01 00:00:00
abstract:BACKGROUND:The ischemic stroke represents a very important cause of death in the hospitals. The clinic changes of this disease and the frequent morphological evidence in necropses motived the study of the clinicopathological concordance taking as reference two institutions of the secondary attention. The two medical ce...
journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2003-11-16 00:00:00