Mild head traumas, as a rule, remain a-or paucisymptomatic. In a few cases ho wever, spectacular manifestations develop despite absence of intracerebral lesio n. Population, methods. -We have studied restrospectively ...Mild head traumas, as a rule, remain a-or paucisymptomatic. In a few cases ho wever, spectacular manifestations develop despite absence of intracerebral lesio n. Population, methods. -We have studied restrospectively 51 such children and contacted their family in order to clarify the follow-up. Results. -The domina nt symptoms allowed to categorize the following situations: syncope-like loss of consciousness (11 cases), seizures (6), severe headaches with neurologic signs (15), confusion (8), visual disorders (6), amnesic ictus (5). Recurrences were possible but benign: in 8/11 children in the group “syncopes”, in 1/6 in the g roup “seizures ”, in 5/21 in the 4 other groups. In the latter 4 groups, 11/21 children developped common migraine. Except for the only case who developed epi lepsy later on, scholarship was normal in the 25 cases with sufficient follow-u p. Discussion. -Beside syncopes and seizures, the long-lasting episodes sugges ted amigrainous pathogeny,perhaps at a maturative stage where the trigger of migrainous mechanism is at a low level in the brain. Conclusion. -The mildness of the knock, the normality of CT scan including when the symptoms are present and the normality of both consciousness and examination once the symptoms have disap peared allow to avoid further investigations.展开更多
文摘Mild head traumas, as a rule, remain a-or paucisymptomatic. In a few cases ho wever, spectacular manifestations develop despite absence of intracerebral lesio n. Population, methods. -We have studied restrospectively 51 such children and contacted their family in order to clarify the follow-up. Results. -The domina nt symptoms allowed to categorize the following situations: syncope-like loss of consciousness (11 cases), seizures (6), severe headaches with neurologic signs (15), confusion (8), visual disorders (6), amnesic ictus (5). Recurrences were possible but benign: in 8/11 children in the group “syncopes”, in 1/6 in the g roup “seizures ”, in 5/21 in the 4 other groups. In the latter 4 groups, 11/21 children developped common migraine. Except for the only case who developed epi lepsy later on, scholarship was normal in the 25 cases with sufficient follow-u p. Discussion. -Beside syncopes and seizures, the long-lasting episodes sugges ted amigrainous pathogeny,perhaps at a maturative stage where the trigger of migrainous mechanism is at a low level in the brain. Conclusion. -The mildness of the knock, the normality of CT scan including when the symptoms are present and the normality of both consciousness and examination once the symptoms have disap peared allow to avoid further investigations.
