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January 1971, Vol 121, No. 1 >
Article | January 1971

Neurologic Disease on an Adolescent Service FREE

Gerald S. Golden, MD
[+] Author Affiliations

Received for publication June 1,1970.

Reprint requests to Pediatric Neurology, Montefiore Hospital and Medical Center, 111 E 210th St, Bronx, NY 10467 (Dr. Golden).


Am J Dis Child. 1971;121(1):24-29. doi:10.1001/archpedi.1971.02100120060006.
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Neurologic diseases or neurologic complications of medical diseases accounted for 17% of all admissions to an adolescent service over a 2½-year period. The largest diagnostic categories were trauma, convulsive disorders, infectious and parainfectious illness, and drug ingestion or abuse. Of all the patients admitted, 62% were suffering acute and potentially fully reversible illnesses, 23% suffered from chronically handicapping conditions, and 15% had progressive and potentially or probably fatal diseases. These illnesses account for a significant proportion of the morbidity and mortality of the adolescent years. In addition, many of these conditions superimpose chronic disabilities upon attempts at full adult adjustment. The effect of these illnesses on the patient's life adjustment calls for a multidisciplinary approach to treatment, with the full availability of a wide range of ancillary personnel.

REFERENCES

1 +
Litt IF, Cohen MI:  The drug using adolescent as a pediatric patient . J Pediat 77:195-202,1970;.
2 +
Weinberg S:  Suicidal intent in adolescence: A hypothesis about the role of physical illness . J Pediat 77:579-586,1970;.
3 +
Cohen MI, Schonberg SK, Witover S:  The use of plasmapheresis during exchange transfusion for hepatic encephalopathy . J Pediat 75:431-435, 1969;.
4 +
Drachman DA:  Ophthalmoplegia plus . Arch Neurol 18:654-674, 1968;.
5 +
Cowan TW:  Orbital pseudotumor . Arch Ophthal 46:390-402,1951;.
6 +
Adams RD, Fisher CM, Hakim S, et al:  Symptomatic occult hydrocephalus with "normal" cerebrospinal fluid pressure . New Eng J Med 273:117-126,1965;.
7 +
Gallagher JR:  Mortality, morbidity, and accidents , in Medical Care of the Adolescent , ed 2. New York, Appleton-Century-Crofts, 1966;, pp 458-469.
8 +
Garell DC:  Adolescent medicine . Amer J Dis Child 109:314-317, 1965;.
9 +
Garell DC:  A hotline telephone service for young people in crisis . Children 16:177-180,1969;.
10 +
Bach WG:  Teen-age patients . Hospitals 44:51-53, 1970;.
11 +
Schowalter JE, Lord RD:  Admission to an adolescent ward . Pediatrics 44:1009-1011,1969;.

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References

1 +
Litt IF, Cohen MI:  The drug using adolescent as a pediatric patient . J Pediat 77:195-202,1970;.
2 +
Weinberg S:  Suicidal intent in adolescence: A hypothesis about the role of physical illness . J Pediat 77:579-586,1970;.
3 +
Cohen MI, Schonberg SK, Witover S:  The use of plasmapheresis during exchange transfusion for hepatic encephalopathy . J Pediat 75:431-435, 1969;.
4 +
Drachman DA:  Ophthalmoplegia plus . Arch Neurol 18:654-674, 1968;.
5 +
Cowan TW:  Orbital pseudotumor . Arch Ophthal 46:390-402,1951;.
6 +
Adams RD, Fisher CM, Hakim S, et al:  Symptomatic occult hydrocephalus with "normal" cerebrospinal fluid pressure . New Eng J Med 273:117-126,1965;.
7 +
Gallagher JR:  Mortality, morbidity, and accidents , in Medical Care of the Adolescent , ed 2. New York, Appleton-Century-Crofts, 1966;, pp 458-469.
8 +
Garell DC:  Adolescent medicine . Amer J Dis Child 109:314-317, 1965;.
9 +
Garell DC:  A hotline telephone service for young people in crisis . Children 16:177-180,1969;.
10 +
Bach WG:  Teen-age patients . Hospitals 44:51-53, 1970;.
11 +
Schowalter JE, Lord RD:  Admission to an adolescent ward . Pediatrics 44:1009-1011,1969;.

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