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Transient benign paroxysmal movement disorders in infancy.

Emilio Fernández-Alvarez1

  • 1Neuropediatric Department, Hospital Sant Joan de Déu, Barcelona, Spain.

European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society
|January 26, 2018
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Summary

This review covers benign paroxysmal movement disorders in infancy, focusing on recognition and management. These conditions have favorable outcomes and can mimic epileptic disorders.

Keywords:
Benign myoclonusNondisease conditionNonepileptic attacksNonepileptic paroxysmal disorderShuddering

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Area of Science:

  • Pediatric Neurology
  • Developmental Pediatrics
  • Movement Disorders

Background:

  • Benign paroxysmal movement disorders in infancy are a diverse group of conditions.
  • These disorders are characterized by their generally favorable prognosis.
  • Accurate diagnosis is crucial as symptoms can resemble epileptic seizures.

Purpose of the Study:

  • To review the current literature on benign paroxysmal movement disorders in infancy.
  • To provide guidance for practitioners on recognizing and managing these conditions.
  • To differentiate these disorders from more serious neurological conditions.

Main Methods:

  • Literature review of empirical and clinical studies.
  • Focus on conditions relevant to clinical practice.
  • Synthesis of information on diagnosis and management strategies.

Main Results:

  • Identified key benign paroxysmal movement disorders including neonatal jitteriness, benign neonatal sleep myoclonus, benign paroxysmal tonic upgaze, paroxysmal tonic downgaze, benign paroxysmal torticollis, and benign polymorphous movement disorder of infancy.
  • Highlighted the importance of recognizing characteristic features to distinguish these from epileptic disorders.
  • Emphasized the generally positive outcomes associated with these conditions.

Conclusions:

  • Practitioners should be aware of the spectrum of benign paroxysmal movement disorders in infancy.
  • Early and accurate diagnosis is essential for appropriate management and reassurance.
  • Understanding these disorders aids in avoiding misdiagnosis of epilepsy.