Developmental medicine and child neurology
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Dev Med Child Neurol · Apr 2016
Evaluation of intrathecal baclofen delivery system malfunction by computed tomography scan.
To describe the computed tomography (CT) findings encountered when catheter patency is questionable. The role of CT in directing treatment is evaluated. ⋯ CT contrast study is safe and effective for locating defects in intrathecal baclofen delivery system. When catheter patency is questionable, CT plays an important role in directing the next step of management.
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Dev Med Child Neurol · Feb 2016
Clinical patterns of dystonia and choreoathetosis in participants with dyskinetic cerebral palsy.
The aim of the study was to map clinical patterns of dystonia and choreoathetosis and to assess the relation between functional classifications and basal ganglia and thalamus lesions in participants with dyskinetic cerebral palsy (CP). ⋯ Dystonia and choreoathetosis increase during activity. However, dystonia predominates and seems to have a larger impact on functional abilities. Our findings further suggest that choreoathetosis seems to be more linked to pure thalamus and basal ganglia lesions than dystonia.
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Dev Med Child Neurol · Jan 2016
ReviewNeuropsychiatric manifestations of Sydenham's chorea: a systematic review.
Sydenham's chorea is a post-streptococcal, autoimmune, neuropsychiatric movement disorder. Sydenham's chorea is a major criterion for diagnosis of acute rheumatic fever with the implication of potential long-term sequelae including cardiac complications. It is well established that there is psychiatric comorbidity in Sydenham's chorea, but there are variations in the literature regarding the nature and prevalence of psychiatric diagnoses associated with Sydenham's chorea. The aim of this review was to systematically evaluate the evidence for psychiatric symptoms presenting with Sydenham's chorea. Knowledge of comorbid psychiatric symptomatology will support early diagnosis and treatment, leading to improved long-term outcomes for children with Sydenham's chorea. ⋯ There is good evidence of neuropsychiatric comorbidities in Sydenham's chorea. In countries with a high prevalence of rheumatic fever, the early recognition of salient cognitive and psychiatric symptoms may aid in the management of Sydenham's chorea.
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Dev Med Child Neurol · Nov 2015
ReviewPaediatric terminology in the Australian health and health-education context: a systematic review.
This study aimed to identify paediatric terminology used in the Australian health and health-education context, propose a standardized framework for Australian use, and compare it with a US-based framework. ⋯ This is a starting point for standardizing Australian paediatric terminology, and a method for exploring paediatric terminology in other countries.