Subject(s)
Humans , Pneumonia, Viral/prevention & control , Coronavirus Infections/prevention & control , Education, Professional/methods , Education, Professional/organization & administration , Health Occupations/education , Pneumonia, Viral/epidemiology , Chile/epidemiology , Coronavirus Infections/epidemiology , PandemicsABSTRACT
Los Trastornos Paroxísticos No Epilépticos (TPNE), son diagnóstico diferencial de crisis epilépticas. En Chile no existen reportes de frecuencia. OBJETIVO: Determinar frecuencia de TPNE en pacientes derivados por sospecha de epilepsia a Unidad de Electroencefalografía, Hospital Roberto del Río. METODOLOGÍA: Estudio observacional, transversal. Se revisó registros clínicos de pacientes derivados por sospecha de epilepsia(2012- 2014). Inclusión: paciente con TPNE, >1 mes, sin epilepsia previa. Caracterización: sexo, edad, tipo/subtipo TPNE, comorbilidades, electroencefalograma (EEG), uso fármaco antiepiléptico (FAE). Aprobado por comité de ética. RESULTADOS: Derivados 913 pacientes por sospecha de epilepsia. 36% TPNE (2,3% con epilepsia concomitante), 22% epilepsia aislada. TPNE más frecuente: escolares (31%), adolescentes (29%), femenino (52%). 30,1% hipoxia cerebral (síncope, Espasmo Sollozo); 22,4% trastornos del comportamiento (Descontrol Episódico, Crisis Psicógena no Epiléptica). 32,8% con comorbilidades no epilépticas (Trastornos psiquiátricos/neurodesarrollo). 4,3 % recibieron FAE. CONCLUSIONES: La frecuencia de TPNE en niños/adolescentes supera a la de epilepsia. Es fundamental evaluación multidisciplinaria.
Paroxysmal non-epileptic events (PNE) are differential diagnosis of epileptic seizures. In Chile, there are no reports on its frequency. OBJECTIVE: To determine the frequency of PNE in patients referred for suspicion of epilepsy to the Electroencephalography Unit of Roberto del Río Hospital. METHODOLOGY: Observational, cross-sectional study. Clinical records of patients referred for suspicion of epilepsy (2012-2014) were reviewed. Inclusion: Patient with PNE, >1 month, without previous epilepsy. Characterization: gender, age, PNE type/subtype, comorbidities, electroencephalogram, use of antiepileptic drug (AED). Approved by the ethics committee. RESULTS: 913 patients were referred for suspected epilepsy: 36% PNE (2,3% with concomitant epilepsy), 22% isolated epilepsy. PNE were more frequent in children (31%) adolescents (29%), and in females (52%). 30.1% Cerebral hypoxia (syncope, breathholding-spells); 22,4% Behavioral disorders (Episodic loss of control, Non-Epileptic Psychogenic Seizures). 32.8% non-epileptic comorbidities (Psychiatric/ neurodevelopmental disorders). 4.3% received AEDs. CONCLUSIONS: The frequency of PNE in children and adolescents exceeds that of epilepsy. A multidisciplinary medical evaluation is of the outmost importance. Keywords: Paroxysmal Non-Epileptic Disorder, Non-epileptic episodes, Epilepsy.
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Epilepsy/diagnosis , Epilepsy/epidemiology , Nervous System Diseases/diagnosis , Nervous System Diseases/epidemiology , Sleep Wake Disorders , Cross-Sectional Studies , Sex Distribution , Migraine without Aura , Diagnosis, Differential , Electroencephalography , Mental Disorders , Movement Disorders/diagnosis , Movement Disorders/epidemiology , Nervous System Diseases/classificationABSTRACT
El presente artículo relata las experiencias de la estadía de un grupo de residentes y post-residentes de Neuropediatría en el Departamento de Neurología Infantil del Hospital de Niños de Boston. A través de estas líneas se intentará sintetizar una experiencia, descrita como inolvidable, para quienes tuvieron la oportunidad de vivenciar durante al menos tres semanas la organización y funcionamiento de una de las unidades de neuropediatría más prestigiosas del mundo, la experiencia con los pacientes, la asistencia al curso de neurología "Michael Bresnan" y el acogimiento que recibieron por parte del equipo del Departamento de Neuropediatría, encabezado por el Dr. David Urion. Finalmente se destaca lo inmejorable de esta experiencia en términos de convivencia y fortalecimiento de lazos de amistad entre los becados de los distintos centros de formadores.
This a report of the experiences of a group of Chilean fellows in Pediatric Neurology and young neuropediatricians who had the opportunity to attend the Michael Bresnan Neurology Course, as well as being visiting doctors in the Department of Neurology of the Children's Hospital in Boston. This is one of the most prestigious neuropediatric units in the world, headed by Dr. David Urion. To learn about the organization and functioning of this Center, and the way they deal with patients was very important to enrich our own function. Another very relevant issue that we want to point out is the sincere friendship we gained with our colleagues from different training centers. These were three unforgettable weeks for all us.
