Division of Pediatric Neurology, Department of Neurology, Washington University in St. Louis, St. Louis, Missouri.
Semin Neurol. 2020 Apr;40(2):177-191. doi: 10.1055/s-0040-1702938. Epub 2020 Feb 20.
Movement disorders in childhood can be difficult to diagnose early. Disease processes present variably and can mimic each other. It is particularly important to remain vigilant for the subset of these movement disorders that are treatable. These disorders can be managed with (1) treatments specific to the disease that substantially reduce symptoms; (2) treatments that can prevent progression; (3) treatments that can hasten recovery; or (4) surveillance and management of the associated, sometimes life-threatening, comorbidities. Here, we present a practical and phenomenology-oriented framework for diagnosing and managing these treatable movement disorders of infancy and early childhood.
儿童期的运动障碍早期诊断较为困难。疾病的表现多种多样,且可能相互模仿。因此,对于那些可以治疗的运动障碍,保持警惕尤为重要。这些障碍可以通过以下方式进行治疗:(1)针对可显著减轻症状的疾病的特定治疗方法;(2)可以预防进展的治疗方法;(3)可以加速恢复的治疗方法;或 (4)对相关、有时危及生命的共病的监测和管理。在这里,我们提出了一种实用的、以现象学为导向的框架,用于诊断和治疗婴儿和幼儿期的这些可治疗的运动障碍。