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- W2188809344 abstract "The prediagnosis periodof74children withprimarybraintumourswasassessed toexaminetheir presentation andreasons foranydelayindiagnosis. Medicalcase noteswerereviewedandparentswere interviewed and askedto complete psychological questionnaires. Mean (SD) duration ofclinical history was20-0(29.1) weeks.Most common symptomswere vomiting (65%)andheadache (64%). Only 34%ofheadaches werealways associated withvomitingand only28% occurred 'early morning'. Changesinthechild's personality (47%)werealsocommon.The averagenumberofconsultations before diagnosis was4-6.Migraine wasdiagnosed in24% ofchildren anda psychological aetiology in 15%.One quarterofthe children hadaltered levels ofconsciousnessonarrival attheunit.Results indicatethatdelayindiagnosis still occurs, despite strong parental concern. Thenonspecificity ofsymptomsanda highincidenceofpsychological symptomsmay confoundtheclinical picture and are considered alongwithotherpossible contributory factors. (Arch DisChild 1996; 74:148-15 1)" @default.
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- W2188809344 date "1996-01-01" @default.
- W2188809344 modified "2023-09-27" @default.
- W2188809344 title "Why arebrain tumoursstill being missed" @default.
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