关于脑诊断的不确定性:澄清共识定义的机会
Bhooma R Aravamuthan1, Darcy L Fehlings1, Iona Novak1
1Division of Pediatric Neurology (BRA, NA), Department of Neurology, Washington University School of Medicine; Holland Bloorview Kids Rehabilitation Hospital (DLF), Department of Paediatrics, University of Toronto; Faculty of Medicine and Health (IN), and Cerebral Palsy Alliance Research Institute, Discipline of Child and Adolescent Health, The University of Sydney, Australia; The Cerebral Palsy Research Network (PG) Louisiana Health Science Center New Orleans (AHT), Children's Hospital of New Orleans; Departments of Pediatrics and Neurology/Neurosurgery and Montreal Children's Hospital (MIS), McGill University; Department of Paediatrics (MCF), Monash University; and Barrow Neurological Institute (MCK), Phoenix Children's, AZ; Departments of Cellular & Molecular Medicine, Child Health, Neurology and Program in Genetics, University of Arizona College of Medicine.
儿童神经科医生经常误诊脑 (CP) 由于定义的不确定性. 澄清2006年CP关于年龄和进展的定义可以减少诊断变异性.
科学领域:
- 神经学 神经学
- 发育儿科 发育儿科
- 临床诊断 临床诊断 临床诊断
背景情况:
- 包括神经病学家在内的医生在使用2006年定义诊断脑 (CP) 时表现出差异性.
- 儿童神经病学家和神经发育学家认为,由于他们的培训,他们最适合诊断CP.
研究的目的:
- 确定儿童神经学家和神经发育学家在应用2006年CP定义时存在的不确定性.
- 为了减少脑诊断的变化.
主要方法:
- 在2022年儿童神经学会年会上,在儿童神经学家和神经发育学家中进行了一项横截面调查.
- 参与者回顾了2006年CP定义,并使用假设的临床细节讨论了不确定性.
主要成果:
- 88%的调查受访者表示不确定是否适用2006年CP定义.
- 关键的不确定性包括发病年龄 (41%) 和解释"非进展性" (29%).
- 96%的受访者主张修订2006年共识的CP定义.
结论:
- 2006年CP定义的拟议澄清包括:到2岁时运动症状,早期诊断,到5岁时非进展性表型,如果到5岁时进展或缺失,重新评估.
- 这些澄清旨在解决发现的不确定性,并减少脑的诊断变异性.
相关概念视频
Parkinson's Disease: Overview
Role of Cerebellum and Prefrontal Cortex in Memory
Seizures: Classification
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:


