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April 23, 2002; 58 (8) International Newsletter

International Newsletter

Antonio Culebras
First published April 23, 2002, DOI: https://doi.org/10.1212/WNL.58.8.31A
Antonio Culebras
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International Newsletter
Antonio Culebras
Neurology Apr 2002, 58 (8) 31A-32A; DOI: 10.1212/WNL.58.8.31A

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STRAY CHILDREN

In a recent professional trip to Central America I saw them again. I had noticed stray children before in a relatively affluent country of South America. They were roaming the street and stealing food from plates of startled sidewalk café customers. There was no way you could have stopped them or chased them. This time it was different. I was waiting for a taxicab in front of a luxury hotel when they approached me. They were dirty, unkempt, and barefoot. As they came closer, I could see the scars on their faces, the parted eyebrows, the torn clothes, the dirty feet. There was an eerie image of wildness in their broken teeth, the long, dark nails, and the sores on their hands. Their hair was black, short, and sticking out unevenly. Their eyes were darting from side to side as if expecting danger. They were small and agile, running fast, never in a straight line. By now they had surrounded me, begging with their hands out, but I stood my ground, embarrassed to think that I had to escape from threatening children. Fortunately, a concierge came out, shouted a few words and they stopped, responding with a few unintelligible grunts before changing their pace. Obviously they had approached foreigners before and were familiar with the procedure. The uniformed concierge was an authority figure, not to be upset too much since he was present by the door every day and perhaps fed them a few morsels once in a while. They turned around and vanished as fast as they appeared.

Clearly these are not normal children. But, if abnormal, what is the disorder? A neurologic or a psychiatric alteration? Perhaps neither. My intuition is to define it as a psychosocial disease secondary to a …

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