Thirty-two children experiencing recurrent migraine, aged 8-17, were compared to 32 non-headache peer controls matched for age, sex, and social class. Each child completed an extensive battery of psychological tests, which consisted of (1) the Children's Depression Inventory (for children aged 8-13) or the Beck Depression Inventory (for children 14 and above), (2) the State-Trait Anxiety Inventory for Children (ages 8-12) or the State-Trait Anxiety Inventory, Form X (ages 13 and above), (3) the Children's Depression Rating Scale, (4) the Personality Inventory for Children, (5) the Child Behavior Checklist, (6) the Psychosomatic Symptom Checklist, SUNYA Revision, (7) the Children's Social Readjustment Rating Questionnaire, (8) the Wide Range Achievement Test for Reading, and (9) the Peabody Picture Vocabulary Test, Form L. Children with migraine revealed higher scores on all scales measuring depression and somatic complaints; adolescent headache sufferers also revealed increased levels of trait anxiety. Older male headache sufferers revealed the poorest overall level of adjustment as reflected by scores on the Adjustment scale of the Personality Inventory for Children. It was argued that the psychological differences were most likely a consequence of the migraineurs having to live with frequent, unpredictable attacks of intense pain. However, the correlational nature of this study does not make it possible to rule out alternative explanations.

SYNOPSIS While headache represents one of the most common medical complaints of children, very little is known about its phenomenology. In the two studies currently reported, children's headache complaints were assessed in several ways. In Study 1, 53 children and their parents provided estimates of 3 parameters of headache during separate interviews and then engaged in 4 continuous weeks of daily record keeping, all of which occurred prior to participating in a behavioral treatment program. In Study 2, 37 of the children who had completed treatment and their parents participated in the same type of assessment to determine correspondence between various ways to gauge improvement. Additional estimates of improvement were collected by administering visual analog scales to children, parents, and a pediatric neurologist (upon completion of his independent interview). Although child and parent estimates of headache activity obtained at the initial interview were highly consistent, these estimates greatly overstated the values recorded by the children in their daily diaries. Interview estimates overstated diary values by from 56% to 112%. The interview estimation biases were greatly reduced by treatment's end, however, and were no longer significant for all but 1 measure. Parent and child diaries revealed high levels of agreement for headache intensity both prior to and following treatment. Signficant disagreement occurred prior to treatment for headache frequency, but this did not continue following completion of treatment. Visual analog estimates of improvement were not statistically different from improvement measured by diary report, although children, parents, and neurologist underestimated actual improvement by 5%, 10%, and 20%, respectively.

Tourette's syndrome is a lifelong disorder characterized by multiple motor and verbal tics. The present study examined relaxation training and desensitization training as a method of reducing the frequency and intensity of tics and the distress they caused in a young adult diagnosed with Tourette's syndrome. After a period of symptom monitoring the subject underwent 3 weeks of intensive training in relaxation skills and 5 weeks of desensitization training with situational cues previously identified as eliciting Tourette's symptoms. According to self-report monitoring, the experience of symptoms was decreased across 3 global dimensions: distress (48%), frequency (48%), and intensity (50%), and an hourly symptom count (50%). Collateral parental symptom report agreed with an observed decreased across distress (40%), frequency (41%), and intensity (40%). Inspection of data suggests that both components of stress management added to total treatment efficacy.

Introduction-In 2001, in response to an overwhelming increase in patient visits for various pediatric abscesses, burns, and other wounds, an ambulatory burn and procedural sedation program (PAWS) was developed to minimize Operating Room utilization. The purpose of this study is to report our initial seven year experience with the PAWS program

SUMMARY An 11‐month‐old girl presented with seizures, papilledema and a left hemiparesis. Radiographic examination revealed a saccular right middle cerebral‐artery aneurysm. Clipping was performed 16 days after admission. At follow‐up a year later there was no residual neurological deficit. Aneurysms occurring in infants are relatively large and more peripheral in location compared with adults, and frequently are accompanied by seizures. Infants' aneurysms also tend to occupy the anterior circulation distribution, and their peripheral location may make them more amenable to surgical intervention. RÉSUMÉ Caractéristiques des anévrysmes intracraniens du nourrisson: rapport d'un cas Une fillette de 11 mois présentait des crises, un oedème papillaire et une hémiparésie gauche. Un examen radiographique révéla un anévrysme sacculaire de l'artère sylvienne droite. Une ligature fut réalisée 16 jours après l'admission. Au suivi de l'observation, une année plus tard, il n'y avait pas de déficit neurologique résiduel. Les anévrysmes du nourrisson sont relativement larges et de localisation plus périphérique comparés à ceux de l'adulte; ils sont fréquemment accompagnés des crises. Les anévrysmes du nourrisson tendent également à occuper la distribution circulatoire antérieure et leur localisation péiphérique peut les rendre plus accessibles à l'intervention chirurgicale. ZUSAMMENFASSUNG Symptome intracranieller Aneurysmen bei Säuglingen: ein Fallbericht Der Fall eines 11 Monate alten Mädchens mit Anfallen, Papilknödem und einer linksseitigen Hemiparese wird geschildert. Röntgenologisch wurde ein sackförmiges Aneurysma der A. cerebri media nachgewiesen. 16 Tage nach Aufnahme des Kindes wurde das Clipping durchgeführt. Bei der Kontrolle nach einem Jahr fanden sich keine neurologischen Ausfälle. Aneurysmen bei Kindern sind relativ groß und im Vergleich zu Erwachsenen mehr peripher gelegen und sie sind häufig mit einer Ançällen verbunden. Aneurysmen bei Säuglingen neigen dazu, sich im Berich der vorderen Hirnzirkulation auszubreiten und ihre periphere Lokalisation macht den chirurgischen Eingriff einfacher. RESUMEN Características de los aneurismas iniracraneales en lactanies: aportacioń de un caso Se trata de una niña de 11 meses de edad con convulsiones, edema de papila y hemiparesia izquierda. El examen radiográfico reveló un aneurisma sacular de la arteria cerebral media izquierda. Se colocó un clip a los 16 dias de su ingreso. Vista un año más tarde no había rastro de déficit neurológico. Los aneurismas en el lactante son relativamente grandes y de localización más periferica que en el adulto y se acompañan con frecuencia de convulsiones. Tienden a ocupar la distribución de la circulación anterior y su localización perifé rica los puede hacer más asequibles al tratamiento quirúgico.