RT Book, Section
A1 Walker, Harrison C.
A1 Dure IV, Leon S
A1 Watts, Ray L.
A2 Carney, Paul R.
A2 Geyer, James D.
SR Print(0)
ID 6651429
T1 Chapter 13. Movement and Balance Disorders
T2 Pediatric Practice: Neurology
YR 2010
FD 2010
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-148925-6
LK accesspediatrics.mhmedical.com/content.aspx?aid=6651429
RD 2024/04/18
AB Although  large-scale  epidemiologic  studies  are  lacking,  pediatric  movement  disorders  are  relatively  common.  Many  movements  that  are  brought  to  clinical  attention  are  transient  and  may  be  associated  with  normal  development.  Additionally,  the  natural  history  of  specific  disorders  varies  and  must  be  interpreted  in  the  context  of  a  child's  developmental  stage.  A  careful  history,  physical  examination,  and  direct  observation  of  the  movements  in  question  are  critical  for  diagnosis  and  management  of  pediatric  movement  disorders  (Table  13-1).  Factors  that  should  prompt  consideration  of  more  significant  underlying  neurological  disorder  include  the  progression  of  symptoms,  a  family  history  of  a  heritable  neurological  disease,  complications  during  childbirth,  a  failure  of  the  child  to  reach  developmental  milestones,  and  significant  functional  impairment.  Serological  tests,  electroencephalography,  and  imaging  studies  may  contribute  in  unusual  cases,  but  in  the  majority  of  cases  it  is  the  clinical  impression  of  the  treating  physician  that  drives  both  diagnosis  and  treatment  of  pediatric  movement  disorders.