在儿科脑震荡中正统自主调节失调的患病率
Veronik Sicard1, Tenaaz Irani2, Andrée-Anne Ledoux1,3,4
1Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
JAMA network open
|July 22, 2025
概括
自主失调 (AD) 影响大约10%的儿科脑震荡患者,而症状诱发发生在25%. 这些可能是单独的条件,需要不同的干预措施,以使脑震荡儿童的最佳恢复.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 自主神经科学 自主神经科学
背景情况:
- 儿童脑震荡可能会影响自主神经系统,导致自主失调 (AD).
- 了解生理性阿尔茨海默病和症状诱发的患病率和特征对于有效的脑震荡管理和儿童康复至关重要.
研究的目的:
- 为了确定儿童脑震荡患者的AD和症状诱发的患病率.
- 探索阿尔茨海默病和症状诱发之间的重叠.
- 调查人口统计/伤害因素与这些疾病之间的关联.
主要方法:
- 451名儿科脑震荡患者 (5-18岁) 的回顾性队列研究.
- 电子病历审查来自加拿大第三级护理脑震荡诊所的临床数据.
- 在姿势变化 (站立) 时评估AD和症状诱发.
主要成果:
- 在9.98%的患者中发现了自主性失调 (AD),主要是由于心率变化.
- 在23.15%的患者中,发生了正静态症状诱发.
- 在阿尔茨海默病和症状引起之间观察到较低的一致性 (8.96%),每个病例都有不同的临床特征.
结论:
- 大约十分之一的儿科脑震荡患者表现出AD,四分之一的患者经历症状诱发.
- 较低的重叠表明AD和症状诱发可能是儿科脑震荡中不同的现象.
- 需要进行进一步的研究,以确定联合评估是否可以改善对儿科脑震荡恢复的理解和指导干预措施.
相关概念视频
Disorders of the Autonomic Nervous System
826
The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
Raynaud's disease, also known as Raynaud's...
826
Attention-Deficit/Hyperactivity Disorder
294
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....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
294


