Diagnostic profile of neonatal hypotonia: an 11-year study

Richer, Lawrence; Shevell, Michael; Miller, Steven P.

doi:10.1016/s0887-8994(01)00277-6

Cited by 87 publications

(62 citation statements)

References 14 publications

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“…Several studies have addressed the relative frequency of the various causes of neonatal/infantile hypotonia (11,12). Cerebral causes predominate and one series (12) suggested that this group of disorders might explain up to 88% of cases.…”

Section: Discussionmentioning

confidence: 99%

A schematic approach to hypotonia in infancy

Leyenaar

Camfield

2005

Paediatrics &Amp; Child Health

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J Leyenaar, P Camfield, C Camfield. A schematic approach to hypotonia in infancy. Paediatr Child Health 2005; 10(7):397-400.Hypotonia may be the presenting sign for many systemic diseases and diseases of the nervous system. The present paper discusses a rational, simple and accurate diagnostic approach to hypotonia in infancy, illustrated by the case of a five-month-old infant girl recently referred to the IWK Health Centre in Halifax, Nova Scotia. Key points in the history and physical examination are outlined to allow a tailored investigation both for the patient and for other hypotonic infants. A discussion of an important neuromuscular disease, diagnosed in the present patient, concludes the paper.Key Words: Hypotonia; Infant; Spinal muscular atrophy Une démarche schématique envers l'hypotonie pendant la première enfance L'hypotonie peut être le signe révélateur de nombreuses maladies systémiques ou du système nerveux. Le présent article traite d'une démarche diagnostique rationnelle, simple et précise envers l'hypotonie pendant la première enfance, illustrée par le cas d'une fillette de cinq mois récemment aiguillée vers le IWK Health Centre de Halifax, en NouvelleÉcosse. Les principaux points de l'anamnèse et de l'examen physique sont exposés afin de permettre une exploration personnalisée de la patiente et des autres nourrissons hypotoniques. Un exposé sur une importante maladie neuromusculaire, diagnostiquée chez la patiente, conclut l'article.

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Section: Discussionmentioning

confidence: 99%

A schematic approach to hypotonia in infancy

Leyenaar

Camfield

2005

Paediatrics &Amp; Child Health

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“…Amongst series of hypotonic infants the rate of those with CDM ranges from 12-16% [39,40]. Although the incidence of CDM has been estimated at one in every 3500 to 16000 births [Wesstrom ref 41, ref 42, 43], however these have not used population based methods.…”

Section: Epidemiologymentioning

confidence: 99%

Congenital Myotonic Dystrophy

Campbell¹

2012

J Neurol Neurophysiol

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“…A maioria dos casos mais graves pode ser reconhecida nos primeiros anos de vida. O retardo mental deve fazer parte do diagnóstico diferencial da síndrome da criança hipotônica 31 das com atraso no desenvolvimento de linguagem 11 , nas com reações aos estímulos ambientais alteradas (apatia ou hiperatividade), daquelas com dificuldades no relacionamento interpessoal, e as que têm dificuldades para aprender as regras sociais básicas. Crianças com malformação congênita têm maior risco para deficiência mental 32 .…”

Section: Diagnósticounclassified

Management of learning disorders and attention deficit in children

Araújo

2002

J Pediatr (Rio J)

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ResumoObjetivo: esta revisão tem como objetivo oferecer aos pediatras noções atualizadas das principais causas encontradas em crianças com dificuldade escolar, com enfoque mais detalhado na avaliação e na conduta dos casos associados ao transtorno de déficit de atenção.Fontes dos dados: este artigo baseou-se em uma revisão sistemática da literatura médica a partir de levantamento de artigos indexados no Medline, através da busca pelo PubMed, nos últimos cinco anos, com as palavras chave de transtorno do aprendizado, déficit de atenção, dislexia (transtorno de leitura) e discalculia (transtorno de matemática). Foram incluídos os artigos com enfoque na avaliação e conduta. Incluem-se dados estatísticos do Datasus sobre alfabetização e escolaridade, e dados do sistema de avaliação do ensino básico do MEC.Síntese dos dados: observa-se uma escassez de dados estatísti-cos sobre causas médicas de baixo desempenho escolar no Brasil. A deficiência auditiva, visual e mental, além do transtorno de déficit de atenção (TDAH) e dos transtornos específicos do aprendizado, devem fazer parte do diagnóstico diferencial nestes casos. A importância do acompanhamento do desenvolvimento até a idade escolar em crianças com fatores de risco para o baixo desempenho escolar é fundamental. Conclusões:O tratamento medicamentoso com estimulantes, antidepressivos ou clonidina, associado ao acompanhamento multidisciplinar, concorre para o melhor desempenho das crianças com TDAH na escola. J Pediatr (Rio J) 2002; 78 (Supl.1): S104-S110: TDAH, dificuldade de desenvolvimento da leitura, aprendizado, diagnóstico, tratamento. AbstractObjective: this review aims at providing pediatricians with an update on the main causes involved in low school achievement. A more detailed approach is given for the management and treatment of attention deficit hyperactive disorder.Sources: data was obtained by a systematic review of published literature in Medline, through a search on Pubmed in the last five years. The key words used were learning disability, attention deficit, dyslexia (reading disorder) and dyscalculia (mathematical disorder). Studies focusing evaluation and management were retrieved. Governmental population educational data on literacy was also included.Summary of the findings: statistical medical Brazilian data on the subject is scarce. Hearing, visual and mental deficiency, together with attention deficit hyperactive disorder and specific learning disorders should be part of the differential diagnosis of children with poor school achievement. Development should be carefully followed until school entrance particularly in children at risk.Conclusions: therapy with stimulants, anti-depressive drugs or cloninidine with multimodal treatment improves school achievement in children with attention deficit hyperactive disorder.J Pediatr (Rio J) 2002; 78 (Supl.1): S104-S110: attention deficit disorder with hyperactivity, dyslexia, learning disorders, diagnosis, treatment.

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Diagnostic profile of neonatal hypotonia: an 11-year study

Cited by 87 publications

References 14 publications

A schematic approach to hypotonia in infancy

A schematic approach to hypotonia in infancy

Congenital Myotonic Dystrophy

Management of learning disorders and attention deficit in children

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