Diagnostic approach to paediatric movement disorders

Autor: Rick, Brandsma, Martje E, van Egmond, Marina A J, Tijssen, R, Zutt
Přispěvatelé: Movement Disorder (MD)
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Developmental Medicine and Child Neurology, 63(3), 252-258. Blackwell Publishing Ltd
Developmental Medicine and Child Neurology
ISSN: 1469-8749
0012-1622
Popis: Paediatric movement disorders (PMDs) comprise a large group of disorders (tics, myoclonus, tremor, dystonia, chorea, Parkinsonism, ataxia), often with mixed phenotypes. Determination of the underlying aetiology can be difficult given the broad differential diagnosis and the complexity of the genotype–phenotype relationships. This can make the diagnostic process time‐consuming and difficult. In this overview, we present a diagnostic approach for PMDs, with emphasis on genetic causes. This approach can serve as a framework to lead the clinician through the diagnostic process in eight consecutive steps, including recognition of the different movement disorders, identification of a clinical syndrome, consideration of acquired causes, genetic testing including next‐generation sequencing, post‐sequencing phenotyping, and interpretation of test results. The aim of this approach is to increase the recognition and diagnostic yield in PMDs. What this paper adds An up‐to‐date description and diagnostic framework for testing of paediatric movement disorders is presented.The framework helps to determine which patients will benefit from next‐generation sequencing.
What this paper adds An up‐to‐date description and diagnostic framework for testing of paediatric movement disorders is presented.The framework helps to determine which patients will benefit from next‐generation sequencing.
Databáze: OpenAIRE