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Autism Spectrum Disorder01:19

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Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
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ACR Appropriateness Criteria® Ataxia-Child.

, Rupa Radhakrishnan1, Lindsey A G Shea2

  • 1Associate Division Chief, Neuroradiology, Indiana University Health, Indianapolis, Indiana.

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|November 27, 2022
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Summary
This summary is machine-generated.

Childhood ataxia has many causes, including infections, toxins, and genetic disorders. Imaging guidelines help determine the cause of ataxia in children based on presentation, aiding diagnosis and treatment.

Keywords:
AUCAppropriate Use CriteriaAppropriateness CriteriaAtaxiaCerebellum

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Area of Science:

  • Pediatric Neurology
  • Neuroimaging
  • Clinical Guidelines

Background:

  • Childhood ataxia presents with diverse etiologies, ranging from acute infectious or traumatic causes to chronic progressive inherited conditions.
  • Understanding the underlying cause is crucial for effective management of movement and balance coordination impairments in children.
  • Clinical presentation dictates the diagnostic approach, with imaging playing a pivotal role.

Framework:

  • The ACR Appropriateness Criteria provide evidence-based guidelines for imaging in pediatric ataxia.
  • Methodologies like GRADE and the RAND/UCLA Appropriateness Method inform guideline development.
  • Guidelines address acute, recurrent, chronic progressive, and chronic nonprogressive ataxia presentations.

Implementation:

  • Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) are key neuroimaging modalities for evaluating children with ataxia.
  • Imaging selection is guided by the specific clinical presentation, including history of trauma and neurological examination findings.
  • Guidelines offer a systematic approach to imaging based on clinical scenarios.

Implications:

  • These guidelines facilitate appropriate and timely neuroimaging, improving diagnostic accuracy for childhood ataxia.
  • Standardized imaging protocols can lead to earlier identification of underlying causes, optimizing treatment strategies.
  • The evidence-based framework supports informed decision-making for clinicians managing pediatric ataxia.