[Movement disorders in children]

Domitille Gras1

  • 1Service de neurologie et maladies métaboliques, hôpital Robert- Debré, Paris, France.

La Revue Du Praticien
|October 15, 2020
PubMed

Insights

Pediatric movement disorders encompass a broad range of conditions, differing from adult presentations. Early diagnosis and management are crucial for effective treatment of these neurodevelopmental motor disorders.

Area of Science:

  • Neurology
  • Pediatrics
  • Movement Disorders

Background:

  • Pediatric movement disorders present a wide phenomenological spectrum with diverse etiologies.
  • Neurodevelopmental motor disorders like tics, stereotypies, and dystonia are more common in children than parkinsonism.

Purpose of the Study:

  • To provide practical guidance for the diagnosis and treatment of movement disorders in children.
  • To emphasize the importance of detailed clinical evaluation and functional assessment.

Main Methods:

  • Review of the clinical characteristics and differential diagnosis of pediatric movement disorders.
  • Emphasis on clinical history, associated features, psychomotor development, and symptom course.
  • Focus on identifying treatable conditions and guiding clinical care based on functional impairment.

Main Results:

  • The relative frequencies of movement disorders in children differ significantly from those in adults.
  • Proper characterization of movement disorders is the cornerstone of accurate diagnosis.
  • Functional impairment evaluation is critical for tailoring clinical management.

Conclusions:

  • A systematic approach to diagnosis, focusing on clinical details and functional impact, is essential for managing pediatric movement disorders.
  • Early identification and management of potentially treatable pediatric movement disorders improve patient outcomes.

Keywords:
Dyskinesias

Related Concept Videos

Disorders of the Nervous Tissue01:28

Disorders of the Nervous Tissue

Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
2.3K
Disorders of the Skeletal Muscle01:28

Disorders of the Skeletal Muscle

The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
1.5K
Gastrointestinal Motility Disorders01:20

Gastrointestinal Motility Disorders

Gastrointestinal or GI motility disorders are characterized by irregular gastrointestinal tract movements, disrupting food transit from the mouth to the anus. They are caused by damage or dysfunction in gut muscles or nerves. These disorders can cause symptoms such as severe constipation, diarrhea, abdominal pain, and swallowing difficulties. Disorders can affect any segment of the GI tract and range widely in severity, from common conditions like GERD to life-threatening conditions like...
892
Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
594
Parkinson's Disease: Overview01:15

Parkinson's Disease: Overview

Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
1.5K
Positive Symptoms of Schizophrenia: Hallucinations and Delusions01:30

Positive Symptoms of Schizophrenia: Hallucinations and Delusions

Schizophrenia is a complex mental health disorder that can manifest with various positive symptoms, including thought, movement, and behavior disorders. These symptoms significantly disrupt cognitive and motor functions, leading to profound effects on an individual's ability to engage with the world.
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
368