journal
https://read.qxmd.com/read/37731326/differentiating-genetic-forms-of-pontocerebellar-hypoplasia-from-acquired-lesions-resembling-pontocerebellar-hypoplasia-clinical-neurodevelopmental-and-imaging-insight-from-19-extremely-premature-patients
#1
JOURNAL ARTICLE
Audrey Riquet, François Quesque, Marie-Laure Charkaluk, Laure Desnoulez, Dorothée Neut, Sylvie Joriot, Odile Goze, Gustavo Soto Ares, Wael Yacoub
It is well established that extreme prematurity can be associated with cerebellar lesions potentially affecting the neurologic prognosis. One of the commonly observed lesions in these cases is pontocerebellar hypoplasia resulting from prematurity, which can pose challenges in distinguishing it from genetically caused pontocerebellar hypoplasia. This confusion leads to unacceptable and prolonged diagnostic ambiguity for families as well as difficulties in genetic counseling. Therefore, it is crucial to identify the clinical and neuroradiologic features allowing to differentiate between acquired and genetic forms of pontocerebellar hypoplasia in order to guide clinical practices and improve patient care...
September 20, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37728088/methodology-of-a-natural-history-study-of-a-rare-neurodevelopmental-disorder-alternating-hemiplegia-of-childhood-as-a-prototype-disease
#2
JOURNAL ARTICLE
Shital H Patel, Eleni Panagiotakaki, Maria T Papadopoulou, Carmen Fons, Elisa De Grandis, Aikaterini Vezyroglou, Simona Balestrini, Hwanhee Hong, Beiyu Liu, Lyndsey Prange, Alexis Arzimanoglou, Rosaria Vavassori, Mohamad A Mikati
Here, we describe the process of development of the methodology for an international multicenter natural history study of alternating hemiplegia of childhood as a prototype disease for rare neurodevelopmental disorders. We describe a systematic multistep approach in which we first identified the relevant questions about alternating hemiplegia of childhood natural history and expected challenges. Then, based on our experience with alternating hemiplegia of childhood and on pragmatic literature searches, we identified solutions to determine appropriate methods to address these questions...
September 20, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37700631/diagnostic-performance-of-3d-nerve-as-an-adjunct-to-electromyography-for-the-assessment-of-brachial-plexus-injury-in-infants
#3
JOURNAL ARTICLE
Leilei Zhao, Jianshe Zhao, Changyou Ma, Yi Lu, Chunhua Dong
Objective: This study aimed to explore diagnostic performance of 3D-NERVE as an adjunct to electromyography for the assessment of brachial plexus injury in infants. Methods: Imaging of infants with brachial plexus injury using 3D-NERVE and/or 3D-STIR from 2019 to 2022 were reviewed. Images were evaluated between the 2 sequences for nerve-to-fat ratio, nerve-to-muscle ratio, muscle-to-fat ratio, fat suppression homogeneity, and display rate of brachial plexus branches. Results: This study included 37 infants who were referred for a clinical diagnosis of brachial plexus injury...
September 12, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37691316/a-case-series-of-transgender-and-gender-nonconforming-patients-in-a-pediatric-functional-neurologic-disorder-clinic
#4
JOURNAL ARTICLE
Alison Wilkinson-Smith, Mackenzie P Lerario, Kelsey N Klindt, Jeff L Waugh
Youth who identify as transgender and gender nonconforming (TGNC) are at increased risk of anxiety, depression, bullying, and loss of social and family support. These factors may increase the risk of developing functional neurologic disorder (FND). If the risk of FND is increased in TGNC youth, then identifying which youth are at increased risk, and the particular times when risk is increased, may allow for earlier diagnosis and treatment of FND. Better awareness of functional symptoms among clinicians who care for TGNC youth may prevent disruption of gender-affirming care if FND symptoms emerge...
September 10, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37691308/secondary-intracranial-hypertension-in-pediatric-lyme-meningitis
#5
JOURNAL ARTICLE
James D Rogers, Catherine O Jordan, Hilliary E Inger, Shawn C Aylward
Lyme disease is the most common vector-borne disease in the United States and has been associated with secondary intracranial hypertension. We reviewed 11 pediatric patients with Lyme-associated secondary intracranial hypertension. All patients presented with headache, ten had papilledema, 7 with a rash, and 5 with a cranial nerve palsy. All patients were treated with acetazolamide, and 3 received combination therapy with furosemide. Three patients were considered to have fulminant intracranial hypertension because of the severity in their presenting courses...
September 10, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37624690/challenges-in-the-management-of-children-and-adolescents-with-epilepsy-in-china-during-the-covid-19-pandemic-an-online-survey-based-study
#6
JOURNAL ARTICLE
Qian Lu, Shuo Dun, Qiu-Hong Wang, Yang-Yang Wang, Hui-Min Chen, Qi Zhang, Li-Ping Zou
INTRODUCTION: To investigate the challenges in the management of children and adolescents with epilepsy in China during the coronavirus disease (COVID-19) pandemic. METHODS: We conducted a cross-sectional survey among 845 patients with epilepsy using an online-based questionnaire. The questionnaire focused on sociodemographic characteristics, epilepsy-related conditions, health care access, COVID-19 vaccination, and the mental health of caregivers. Depression was assessed using Patient Health Questionnaire-9...
August 25, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37624689/continuous-electroencephalography-eeg-protocol-improves-seizure-detection-in-children-on-extracorporeal-membrane-oxygenation
#7
JOURNAL ARTICLE
Danielle deCampo, Khalil S Husari, Melania M Bembea, Christa W Habela, Eva K Ritzl
BACKGROUND / OBJECTIVE: Seizures are a complication for pediatric patients requiring extracorporeal membrane oxygenation (ECMO). There are no standardized guidelines regarding continuous electroencephalography (EEG) monitoring to detect seizures in these patients, and the impact of protocolized monitoring has not been evaluated. Here we examined the effects of continuous EEG protocol implementation in our pediatric ECMO population. METHODS: Retrospective chart reviews were conducted on 57 patients who underwent extracorporeal membrane oxygenation and concurrent continuous EEG out of 165 patients supported on extracorporeal membrane oxygenation...
August 25, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37499181/exploration-of-gross-motor-function-in-aicardi-gouti%C3%A3-res-syndrome
#8
JOURNAL ARTICLE
Francesco Gavazzi, Allan M Glanzman, Sarah Woidill, Brielle Formanowski, Agrani Dixit, David Isaacs, Tracy Kornafel, Elizabeth Ballance, Samuel R Pierce, Nicholson Modesti, Isabella Barcelos, Stacy V Cusack, Amanda K Jan, Zaida Flores, Omar Sherbini, Ariel Vincent, Russell D'Aiello, Scott A Lorch, Sara B DeMauro, Abbas Jawad, Adeline Vanderver, Laura Adang
Background: Aicardi-Goutières syndrome (AGS) is a rare genetic disorder characterized by a spectrum of motor abilities. While the Aicardi-Goutières syndrome severity score favors severely impacted individuals, there is an unmet need to define tools measuring function across the Aicardi-Goutières syndrome spectrum as potential outcome assessments for future clinical trials. Methods: Gross Motor Function Measure-88 (GMFM-88) and AGS Severity Scale were administered in individuals affected by Aicardi-Goutières syndrome (n = 71)...
July 27, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37499178/autism-spectrum-disorder-in-children-with-perinatal-ischemic-stroke-varies-by-stroke-type
#9
JOURNAL ARTICLE
Clara M Wu, Bo Zhang, Cameron C Trenor, Michael J Rivkin, Amy Danehy, Laura L Lehman
Background and Objectives: Perinatal stroke leads to significant morbidity over a child's lifetime, including diagnosis of various neurodevelopmental disorders. Specific studies examining the prevalence of autism spectrum disorder in children with perinatal stroke are scarce. Following the clinical observation of autism spectrum disorder in a pediatric referral stroke center, we evaluated the rate of autism spectrum disorder diagnosis after perinatal ischemic stroke, including analysis by subtypes of perinatal ischemic stroke...
July 27, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37499176/temporal-evolution-of-signal-alterations-in-the-deep-gray-nuclei-in-term-neonates-with-hypoxic-ischemic-brain-injury-a-comprehensive-review
#10
REVIEW
Ebinesh Arulnathan, Alpana Manchanda, Rashmi Dixit, Ajay Kumar
The deep gray nuclei are paired interconnected gray nuclei comprising the basal ganglia and thalami. Injury to the deep gray nuclei secondary to hypoxic-ischemic injury is associated with poor short- and long-term clinical outcomes. The signal changes following hypoxic-ischemic injury are dynamic and evolve over a period of time from injury to resolution. Radiologically relevant events following hypoxic-ischemic injury include the onset of anaerobic metabolism immediately following hypoxic-ischemic injury, increase in cytotoxic edema followed by its resolution, and the onset and progression of neuronal necrosis and gliosis...
July 27, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37464767/acute-diffusion-weighted-imaging-signaling-severe-periventricular-leukomalacia-in-preterm-infants-case-report-and-review-of-literature
#11
JOURNAL ARTICLE
Aisling A Garvey, Mohamed El-Dib, P Ellen Grant, Simon M Manning, Joseph J Volpe, Terrie E Inder
INTRODUCTION: Periventricular leukomalacia occurs in up to 25% of very preterm infants resulting in adverse neurodevelopmental outcomes. In its acute phase, periventricular leukomalacia is clinically silent. Although ultrasonography is widely available, its sensitivity in the early detection of periventricular leukomalacia is low. CASE REPORT AND PUBLISHED LITERATURE: We identified a preterm infant with early diffusion-weighted imaging changes that later evolved to periventricular leukomalacia...
July 18, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37461321/outcome-of-absence-epilepsy-with-onset-at-8-11-years-of-age-watershed-ages-when-syndromes-overlap
#12
JOURNAL ARTICLE
Anita N Datta, Jacqueline Crawford, Laura Wallbank, Peter K H Wong
Introduction: Absence seizures occur in various epilepsy syndromes, including childhood and juvenile absence epilepsy and juvenile myoclonic epilepsy. When children present with absence seizures at ages when syndromes overlap, initial syndrome designation is not always possible, making early prognostication challenging. For these children, the study objective is to determine clinical and initial electroencephalograph (EEG) findings to predict the development of generalized tonic-clonic seizures, which is a factor that affects outcome...
July 17, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37461315/gross-motor-function-in-pediatric-onset-tubb4a-related-leukodystrophy-gmfm-88-performance-and-validation-of-gmfc-mld-in-tubb4a
#13
JOURNAL ARTICLE
Francesco Gavazzi, Virali Patel, Brittany Charsar, Allan Glanzman, Jacqueline Erler, Anjana Sevagamoorthy, Emma McKenzie, Tracy Kornafel, Elizabeth Ballance, Samuel R Pierce, Michelle Teng, Brielle Formanowski, Sarah Woidill, Justine Shults, Evangeline Wassmer, Davide Tonduti, Francesca Magrinelli, Geneviève Bernard, Marjo Van Der Knaap, Nicole Wolf, Laura Adang, Adeline Vanderver
TUBB4A pathogenic variants are associated with a spectrum of neurologic impairments including movement disorders and leukodystrophy. With the development of targeted therapies, there is an urgent unmet need for validated tools to measure mobility impairment. Our aim is to explore gross motor function in a pediatric-onset TUBB4A -related leukodystrophy cohort with existing gross motor outcome tools. Gross Motor Function Measure-88 (GMFM-88), Gross Motor Function Classification System (GMFCS-ER), and Gross Motor Function Classification-Metachromatic Leukodystrophy (GMFC-MLD) were selected through face validity...
July 17, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37455404/safety-of-diazepam-nasal-spray-in-pediatric-patients-with-developmental-epileptic-encephalopathies-results-from-a-long-term-phase-3-safety-study
#14
JOURNAL ARTICLE
Daniel Tarquinio, James W Wheless, Eric B Segal, Sunita N Misra, Adrian L Rabinowicz, Enrique Carrazana
Pediatric developmental epileptic encephalopathies are often refractory to treatment despite stable antiseizure therapy. The safety profile of diazepam nasal spray (Valtoco) as rescue therapy for seizure clusters was described in a long-term safety study. This post hoc analysis assessed safety and effectiveness within a subpopulation of patients with developmental epileptic encephalopathies. Of 163 treated patients, 64 were diagnosed with ≥1 pediatric developmental epileptic encephalopathy. Among the most common developmental epileptic encephalopathies were Rett syndrome (n = 16), Lennox-Gastaut syndrome (n = 9), and Dravet syndrome (n = 7)...
July 16, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37455403/use-of-complementary-and-alternative-medicine-in-children-with-neuromuscular-disorders-followed-at-penn-state-health-pediatric-muscular-dystrophy-association-care-center-clinic
#15
JOURNAL ARTICLE
Rea Mittal, Caroline Maltese, Elizabeth Bolt, Dustin Paul, Gayatra Mainali, Sunil Naik, Sita Paudel, Erik Lehman, Ashutosh Kumar
The exact prevalence of complementary and alternative medicine (CAM) use is not known in pediatric patients with neuromuscular diseases followed by any of the 150 Muscular Dystrophy Association (MDA) Care Center Clinics nationwide. This study describes the prevalence and variety of CAM usage in this population, while also assessing the prevalence of caregiver disclosure of CAM use and caregiver perception of provider support for CAM. Fifty-two caregivers of pediatric patients seen at Penn State Health's Pediatric MDA Care Center Clinic completed our online survey...
July 16, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37455396/caregivers-perspectives-on-the-impact-of-cannabidiol-cbd-treatment-for-dravet-and-lennox-gastaut-syndromes-a-multinational-qualitative-study
#16
JOURNAL ARTICLE
Jade Marshall, Hanna Skrobanski, Lisa Moore-Ramdin, Klaudia Kornalska, Paul Swinburn, Sally Bowditch
OBJECTIVE: To increase understanding of the impact of cannabidiol (CBD) on outcomes beyond seizure control among individuals with Dravet syndrome or Lennox-Gastaut syndrome. METHODS: Qualitative interviews were conducted with caregivers of individuals with Dravet syndrome or Lennox-Gastaut syndrome treated with plant-derived, highly purified CBD medicine (Epidiolex in the USA; Epidyolex in Europe; 100 mg/mL oral solution). Symptoms and impacts of Dravet syndrome and Lennox-Gastaut syndrome on individuals were explored, as were the effects of CBD...
July 16, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37448333/corticomuscular-coherence-in-children-with-unilateral-cerebral-palsy-a-feasibility-and-preliminary-protocol-study
#17
JOURNAL ARTICLE
Rachana R Gangwani, Jasper I Mark, Rachel M Vaughn, Holly Holland, Deborah E Thorpe, Joshua J Alexander, Swati M Surkar, Jessica M Cassidy
Objective This study assessed the feasibility of corticomuscular coherence measurement during a goal-directed task in children with unilateral cerebral palsy while establishing optimal experimental parameters. Methods Participants (Manual Ability Classification System levels I-III) completed a submaximal isometric goal-directed grip task during simultaneous electroencephalography and electromyography (EMG) acquisition. Results All participants (n = 11, 6 females, mean age 11.3 ±2.4 years) completed corticomuscular coherence procedures...
July 14, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37431191/safety-and-efficacy-of-botulinum-toxin-type-a-in-children-with-spastic-cerebral-palsy-aged-2-years-a-systematic-review
#18
REVIEW
Hongyi Yang, Shiwei Chen, Jiaqi Shen, Yijing Chen, Minlin Lai, Linfei Chen, Suzhen Fang
In this study, we reviewed the safety and efficacy of botulinum toxin type A (BoNT-A) injection with respect to motor development in children with spastic cerebral palsy aged <2 years. Randomized controlled trials of BoNT-A published between July 1993 and May 2021 were searched in PubMed, WANFANG, CNKI (Chinese National Knowledge Infrastructure), and Cochrane Library Central Register of Controlled Trials using keywords "Botulinum Toxin," "cerebral palsy," "nao xing tan huan," "nao tan," and "rou du du su...
July 10, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37427422/high-prevalence-of-collagenopathies-in-preterm-and-term-born-children-with-periventricular-venous-hemorrhagic-infarction
#19
JOURNAL ARTICLE
Norman Ilves, Sander Pajusalu, Tiina Kahre, Rael Laugesaar, Ustina Šamarina, Dagmar Loorits, Pille Kool, Pilvi Ilves
INTRODUCTION: The aim of this study was to evaluate genetic risk factors in term-born children with antenatal periventricular hemorrhagic infarction (PVHI), presumed antenatal periventricular venous infarction and periventricular hemorrhagic infarction in preterm neonates. METHODS: Genetic analysis and magnetic resonance imaging were performed in 85 children: term-born children (≥36 gestational weeks) with antenatal periventricular hemorrhagic infarction (n = 6) or presumed antenatal (n = 40) periventricular venous infarction and preterm children (<36 gestational weeks) with periventricular hemorrhagic infarction (n = 39)...
July 10, 2023: Journal of Child Neurology
https://read.qxmd.com/read/37365810/clinical-profile-follow-up-and-role-of-neuroimaging-in-pediatric-guillain-barr%C3%A3-syndrome-in-the-covid-era-an-ambispective-study
#20
JOURNAL ARTICLE
Lokesh Saini, Deepthi Krishna, Pradeep Kumar Gunasekaran, Sarbesh Tiwari, Prawin Kumar, Jagdish Prasad Goyal, Daisy Khera, Bharat Choudhary, Siyaram Didel, Ravi Gaur, Veena Laxmi, Samhita Panda, Kuldeep Singh
Background: To define the varied presentations of Guillain-Barré syndrome in children in the COVID era and 6 months' follow-up outcome. Methods: Ambispective study of 15 months' duration involving children with Guillain-Barré syndrome aged 1 month to 18 years at a tertiary care pediatric hospital. They were categorized into groups A and B based on COVID-19 serology testing. Hughes Disability Scale was used for disability assessment. Modified Rankin scale was used for improvement assessment in follow-up...
June 26, 2023: Journal of Child Neurology
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