患有西德纳姆胆固醇和精神疾病的儿童的长期结果是可变的,需要多学科管理
Nadine Mushet1,2, Michael Morton2, Helen Minnis2
1Children and Young People's Services, Cumbria, Northumberland, Tyne & Wear NHS Trust, Newcastle, UK.
儿童的赛登汉姆胆固醇 (SC) 往往导致严重的神经精神问题,需要长期的多学科护理. 许多患者经历了复发,并需要对相关疾病的持续支持.
科学领域:
- 儿科神经学 儿科神经学
- 儿童精神病学 儿童精神病学
- 传染性疾病 传染性疾病
背景情况:
- 赛德纳姆胆固醇 (SC) 是儿童的一种显著的链球菌后神经精神疾病,尽管在西欧不太常见.
- 这项研究侧重于神经精神病的表现和长期结果的SC在儿科患者.
研究的目的:
- 为了研究儿童的赛登汉姆胆病的长期神经精神病学特征和结果.
- 识别相关的精神病理,并发症和管理需求.
主要方法:
- 对12名儿童进行的回顾性单中心研究,这些儿童被转移到儿科神经病学部门.
- 通过对SC过程的采访,病史/家族病史和半结构化精神病学采访收集的数据.
主要成果:
- 大多数参与者在SC诊断中出现了显著的延迟,并经历了使人虚弱的身体症状.
- 焦虑和ADHD是常见的精神病并发症,11名儿童有多种精神病诊断.
- 九名儿童出现了复发,突出显示了SC神经精神病的慢性和复发性.
结论:
- 患有赛德纳姆胆固醇和精神疾病的儿童长期表现出不同的长期结果.
- 有效的管理需要多学科的方法,涉及各种专家和持续的支持.
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