Medrano V, Mallada-Frechin J, Delibes C, Fernandez-Izquierdo S, Piqueras-Rodriguez L
Servicio de Neurología, Hospital General Virgen de la Salud, Elda, Alicante, Espana.
Rev Neurol. 2007;45(6):328-30.
Some of the users attended in a Neurology service consist of the inmate population in a prison. The aim of this study is to analyse all the proposals referred from the Alicante II Prison Centre to a Neurology service.
We analyse and describe the clinical characteristics of patients referred from the Alicante II Prison Centre to the Neurology service at the Centro Sanitario Integrado in Villena between the years 2003 and 2006. This analysis involved the following variables: age, sex, personal history, reason for visiting and diagnosis.
A total of 88 proposals were recorded. The mean age of the patients was 35 years (84 males/4 females). A total of 15 patients did not attend their appointment (17%). Positive serology for the human immunodeficiency virus was found in 18% of patients. The most frequent reason for visiting was headache (32%), followed by seizures (25%) and, thirdly, vascular pathologies (13%). In a group of 16 patients (18%) the main diagnosis was established as being some kind of psychiatric disorder (anxiety, depression, simulation).
No studies have been published in the literature that analyse the clinical characteristics of patients from prisons referred to a Neurology service. The high percentage of patients who do not attend their appointment and the high percentage of psychiatric disorders that are diagnosed within this group of patients are especially noteworthy. However, and as can be observed in the general population, headache is still the most common reason for visiting. Nevertheless, the group of neurological diagnoses that are most frequently attended is epilepsy.
在神经病学服务机构就诊的部分患者是监狱中的囚犯群体。本研究的目的是分析从阿利坎特二号监狱中心转至神经病学服务机构的所有病例。
我们分析并描述了2003年至2006年间从阿利坎特二号监狱中心转至维列纳综合卫生中心神经病学服务机构的患者的临床特征。该分析涉及以下变量：年龄、性别、个人病史、就诊原因及诊断结果。
共记录了88例病例。患者的平均年龄为35岁（84名男性/4名女性）。共有15名患者未赴约就诊（17%）。18%的患者人类免疫缺陷病毒血清学检测呈阳性。最常见的就诊原因是头痛（32%），其次是癫痫发作（25%），第三是血管病变（13%）。在16名患者（18%）中，主要诊断为某种精神障碍（焦虑、抑郁、伪装）。
文献中尚未发表分析转至神经病学服务机构的监狱患者临床特征的研究。未赴约就诊患者的高比例以及该组患者中被诊断出的精神障碍的高比例尤其值得注意。然而，正如在普通人群中所观察到的那样，头痛仍然是最常见的就诊原因。尽管如此，就诊最频繁的神经学诊断类别是癫痫。
