[Non epileptic paroxysmal movements disorders in infant]
1Servizio Cantonale di Neuropediatria, Ospedale Regionale Bellinzona e Valli, Bellinzona. gianpaolo.ramelli@eoc.ch
Insights
Paroxysmal non-epileptic disorders in infants can mimic epileptic seizures but are often benign. Careful observation and history are key for diagnosis, with most cases requiring no treatment and having a good prognosis.
Area of Science:
- Pediatric Neurology
- Movement Disorders
- Epileptology
Context:
- Paroxysmal non-epileptic disorders present episodic symptoms mimicking epileptic seizures.
- These paroxysmal movement disorders are frequent in infants but often under-recognized.
- They involve intermittent disturbances of movement requiring careful differential diagnosis.
Purpose:
- To review paroxysmal movement disorders in infants.
- To highlight their differential diagnosis from epileptic seizures.
- To inform about their typically benign nature and prognosis.
Summary:
- Paroxysmal non-epileptic disorders in infants can mimic epileptic seizures.
- Diagnosis relies on clinical experience, detailed history, and video observation.
- The majority of these movement disorders are benign, requiring no treatment and having a favorable prognosis.
Impact:
- Improves recognition of benign paroxysmal movement disorders in infants.
- Aids clinicians in differentiating these from epileptic conditions.
- Reduces unnecessary investigations and treatments by informing about the good prognosis.
Abstract:
Paroxysmal non-epileptic disorders may cause episodic and paroxysmal symptoms that mimic true epileptic seizures and they must be considered in the differential diagnosis. Paroxysmal movement disorders are not uncommon in infants, but are probably under-recognised. These phenomena represent various clinical situations, characterised by intermitted and episodic disturbances of movement. Clinical experience and a detailed history and careful observation with video recording are often helpful to establish the correct diagnosis. In the large majority of the cases, paroxysmal movement disorders are benign situation. Most of the time, no treatment will be required, and the families will be informed of the good prognosis. These disorders in infants are discussed in the present review.
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