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Belcastro V.,Neurology Unit | Caraballo R.H.,Hospital Nacional de Pediatria Prof Dr Juan P Garrahan | Romeo A.,Fatebenefratelli e Oftalmico Hospital | Striano P.,University of Genoa
Epileptic Disorders | Year: 2013

Early-onset absence epilepsy refers to patients with absence seizures beginning before age 4 and comprises a heterogeneous group of epilepsies. Onset of absence seizures in the first year of life is very rare. We report a boy with absence seizures with onset at age 11 months, whose seizures increased in frequency after the introduction of valproic acid (VPA) treatment and substantially improved upon cessation of treatment. The mechanism of seizure worsening did not involve VPA toxicity, encephalopathy, Glut-1 deficiency or overdosage, and the reason for absence seizure aggravation remained unclear. The patient showed complete control of absence seizures with levetiracetam treatment and the course was benign, both in terms of seizure control and neuropsychological aspects. The similar overall electroclinical picture and outcome between children with early-onset absences and those with CAE support the view that these conditions are a continuum within the wide spectrum of IGE.

Dogliotti A.A.,Hospital Nacional de Pediatria Prof Dr Juan P Garrahan
Archivos Argentinos de Pediatria | Year: 2011

The incidence of perinatal brachial palsy is similar to that of other frequent conditions in children's orthopedics. The treatment has been traditionally conservative with pediatric follow-up and consultations with various specialists to deal with its sequelae. Its natural history and treatment are controversial. Sequelaes tend to appear earlier each time, so that it should be attended to in checkups and taken into consideration in therapeutic tactics at the same time as nerve repair. This paper includes an analysis of its clinical classification and nerve recovery parameters, essential to decide whent to start an exploration of the plexus.

Espeche A.L.,Hospital Publico Materno Infantil de Salta | Caraballo R.H.,Hospital Nacional de Pediatria Prof Dr Juan P Garrahan
Epilepsy Research | Year: 2010

We report two patients, the first one had benign infantile seizures (BIS) associated with gastroenteritis (BISG), followed by BIS without gastroenteritis, in the second patient BIS was followed by BISG related to anti-rotavirus vaccine. After 12 and 6 months of follow-up, both patients had normal psychomotor development. BISG may be a situation-related seizure, a coincidental entity associated with BIS. However the case evolutions suggested that both BIS and BISG are related syndromes. © 2010 Elsevier B.V.

The incidence of obstetric brachial palsy is high and their sequelaes are frequent. Physiotherapy, microsurgical nerve reconstruction and secondary corrections are used together to improve the shoulder function. The most common posture is shoulder in internal rotation and adduction, because of the antagonist weakness. The muscle forces imbalance over the osteoarticular system, will result in a progressive glenohumeral joint deformity which can be recognized with a magnetic resonance image. Tendon transfers of the internal rotators towards the external abductor/ rotator muscles, has good results, but has to be combined with antero-inferior soft-tissue releases, if passive range of motion is limited.

Ciocca M.,Hospital Nacional de Pediatria Prof Dr Juan P Garrahan | Alvarez F.,University of Montreal
Archivos Argentinos de Pediatria | Year: 2011

Due to immaturity of mechanisms involved in bile formation, the newborn is more susceptible to develop cholestasis. The causes of neonatal cholestasis are: infection, genetic and metabolic diseases, biliary atresia, and unknown or idiopatic etiologies. Most patients in whom no etiology is found are considered to belong to the group of transient neonatal cholestasis by some authors. Transient neonatal cholestasis is characterized by: early-onset cholestasis, absence of a known cause of neonatal cholestasis, normalization of clinical and biochemical parameters during follow-up, and a history of some neonatal injurious event (asphyxia, sepsis, total parenteral nutrition, etc.). © 2011 Sociedad Argentina de Pediatría.

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