Neonatal Movement Disorders

摘要: After completing this article, readers should be able to: 1. Delineate the characteristics that differentiate hyperkinetic neonatal movement disorders from seizures. 2. Describe primary of and treatment for hyperekplexia. 3. Explain relationship between gastroesophageal reflux in neonates. 4. ocular neonates. Neonates often exhibit paroxysmal behaviors are nonepileptic nature, such as oral-buccal-lingual movements, pedaling, stepping, rotatory arm movements. The electroencephalogram (EEG) is particular value distinguishing these subtle seizures. EEG video-EEG studies do not seizure discharges during events. This distinction important because events require with anticonvulsants. Although absence surface ictal activity does exclude entirely possibility seizures arising deeper structures, it generally accepted epileptic. For purposes review, we include common (episodic) movements occur birth to early infancy (onset 3 months age). Many may persist or childhood. We discuss more persistent motor problems, spasticity, hypotonia, myotonia. Also, after age included. We have classified into two major categories: 1) 2) dystonic extrapyramidal type Because pathophysiologic mechanisms underlying unknown, they categorized on basis phenomenology, rather than presumed cause. Some overlapping symptomatology. A third category encompasses “ocular disorders.” ### Jitteriness Newborn Jitteriness due many factors, including metabolic disturbance, hypoxic-ischemic encephalopathy, drug withdrawal, hypoglycemia, hypocalcemia. jitteriness mistaken seizures, a feature …