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不要忘记测量头部:脑水症可以表型模仿发育协调障碍

Martinica Garofalo^1,2, Jelte Helfferich¹, Reina W Kloet³

¹Department of Pediatric Neurology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Journal of child neurology

|January 9, 2025

概括

发育协调障碍 (DCD) 可以模仿其他神经系统疾病. 这一案例突出了作为DCD呈现的获得性水头,强调了需要仔细诊断和监测儿童头周长的需要.

科学领域:

神经科学是一个神经科学.
儿科儿科儿科
发育儿科发育儿科

背景情况:

发育协调障碍 (DCD) 的特点是儿童的运动技能和协调能力受损.
诊断DCD需要排除其他具有类似表现的神经疾病,例如结构性大脑异常.
像水头这样的疾病可以模仿DCD,使差异诊断复杂化.

研究的目的:

报告一个初始的DCD诊断在确定获得的水头后被修改的病例.
强调在诊断DCD之前考虑可治疗病因的重要性.
要突出纵向头部周长度测量的实用性,以识别模仿DCD的神经疾病.

主要方法:

病例报告详细介绍了最初被诊断患有DCD的患者.
鉴定获得的水脑作为潜在原因.
监测患者的头周长,注意次要的大脑.

主要成果:

患者的DCD诊断在发现获得的水头后被撤回.
在6年的时间里观察到显著的二次大脑.
这一案例强调了水脑可能出现DDD类症状的可能性.

结论:

患有DCD标准的儿童应该被评估是否有潜在的可治疗的神经疾病.
获得的水头可以模仿DCD,需要彻底的差异诊断.
纵向监测头周长是一个有价值的工具,用于检测结构性大脑异常,如水头症在儿童明显的DCD.

关键词:

甲状腺囊甲状腺囊发育协调障碍 (DCD) 是一种发展协调障碍.头部周长头部周长头部液体 (Hydrocephalus) 是一种脑水性.

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