[Peripheral facial palsy in a paediatric patient with no risk factors within the context of infection by SARS-CoV-2]. / Parálisis facial periférica en un paciente pediátrico sin factores de riesgo en el contexto de infección por SARS-CoV-2.

TITLE: Parálisis facial periférica en un paciente pediátrico sin factores de riesgo en el contexto de infección por SARS-CoV-2.

[Cluster headache in pediatric population: four case reports and review of the literature]. / Cefalea en racimos en edad pediatrica: descripcion de cuatro casos y revision de la bibliografia.

INTRODUCTION: Cluster headache is a rare cause of primary headache in children. We report four cases with a mean age of onset of 8.6, ranged from 2 to 13 years. CASE REPORTS: Three males and one female with onset at 2, 7, 13, and 12 years-old, respectively, were included. The symptoms of all patients fulfill the criteria for the diagnosis of cluster headache according to the International Society of Headache. CONCLUSIONS: Despite being rare during childhood, cluster headache should be part of the differential diagnosis of headache in childhood. This report highlights the variable features of this disorder in children, often misdiagnosed. It can be useful in making a quick diagnosis and starting the appropriate treatment early. Verapamil was more effective than flunarizine in terminating the headache in our patients. Oxygen treatment and triptans resulted the treatments with the best response in acute cluster headache.

TITLE: Cefalea en racimos en edad pediatrica: descripcion de cuatro casos y revision de la bibliografia.Introduccion. La cefalea en racimos es una cefalea primaria de origen trigeminoautonomico cuyo inicio en la infancia es infrecuente. Se presentan cuatro casos en los que el inicio de la sintomatologia se produjo entre los 2 y los 13 años. Casos clinicos. Se incluyen tres varones y una niña con inicio a los 2, 7, 13 y 12 años, respectivamente. Los cuatro pacientes cumplen los criterios propuestos por la tercera edicion de la Clasificacion Internacional de las Cefaleas ICHD-III (beta). Conclusiones. A pesar de ser poco frecuente durante la edad pediatrica, la cefalea en racimos debe formar parte del diagnostico diferencial de un niño que consulta por cefalea. Subrayamos la importancia de conocer sus criterios diagnosticos para evitar el retraso diagnostico que se ha descrito con frecuencia. En nuestros pacientes, el tratamiento con verapamilo resulto mas eficaz que el tratamiento con flunaricina. Los tratamientos con mejor respuesta en fase aguda fueron la oxigenoterapia y los triptanes.

[Alice in Wonderland syndrome as persistent aura of migraine and migraine disease starting]. / Sindrome de Alicia en el Pais de las Maravillas como aura persistente de migrana e inicio de enfermedad migranosa.

INTRODUCTION: Migraine with aura in children is often described, but communications of typical aura without headache are rare, and persistent aura and Alice in Wonderland syndrome are exceptional. CASE REPORT: A 8 years-old girl who experiences during a month one to three brief episodes a day during which she relates: 'I saw things as little and remote, sometimes they moved; one day I saw my sister's books turning bigger, and another day my father getting little as a doll; sometimes my doll's leg swinged, or the blind in the window got up and down'. Later these attacks spaced out to one each to days for another two weeks. With no previous episodes of headache, these start two days after the visual distortions disappeared, with clinical features of migraine without aura. There were antecedents of migraine in maternal line, and no previous trauma, epilepsy, drug ingestion or psychiatric disorders. Clinical examination, cranial RMI, and EEG were normal. CONCLUSION: Although Alice in Wonderland syndrome was described as a migraine aura, it is usually brief, and it is exceptional that it lasts longer than a week. We think this is the first description in a pediatric patient.