paroxysmal choreoathetosis in children
Introduction
Brief introduction to children's paroxysmal dance Paroxysmal dance, hand and foot akinesia, that is, involuntary motor syndrome, paroxysmal dance refers to motion-like movements, also known as exercise-induced epilepsy, paroxysmal dystonia, dance, hand and foot hyperactivity, familial paroxysmal ADHD, Focal motor-borne paroxysmal dance of hand and foot hyperactivity disorder, secondary paroxysmal ADHD, etc., this symptom is a hereditary, paroxysmal disease, which is extremely rare from childhood. basic knowledge The proportion of sickness: 0.004% - 0.005% Susceptible people: children Mode of infection: non-infectious complication:
Cause
Pediatric paroxysmal dance
(1) Causes of the disease
This symptom is an autosomal dominant hereditary disease, the cause of which is unknown, the cause of the attack is often sudden activity, fatigue and concentration are highly concentrated.
(two) pathogenesis
Feng Bin reported that the family has: 1 each patient has a patient; 2 both sexes have an onset; 3 the proband's father, brother, cousin, and the uncle have the same symptoms; 4 the offspring without this symptom are married to normal people The disease is not found in the children, the above points indicate that the disease is an autosomal dominant hereditary disease.
Prevention
Pediatric paroxysmal dance prevention of hand and foot movement
The etiology of this disease is unknown, and there is often a family history. Consultation on genetic diseases should be done well.
Complication
Pediatric paroxysmal dance complications of hand and foot hyperactivity disorder Complication
The patient's work and life are often affected to a certain extent. Except for sudden episodes, people will be ugly in front of people, and there will be accidental dangers. Therefore, patients have heavy troubles, mental and psychological pressure.
Symptom
Pediatric paroxysmal dance, hand and foot axillary symptoms common symptoms, convulsions, short, unilateral and pseudo-hand and foot movements
The clinical features of this symptom are as follows:
1. Childhood onset, family history is more common in childhood, most of the family reported by Feng is 7 to 9 years old, a few start from 13 to 15 years old, have a family history, mostly autosomal Dominant inheritance.
2. There are many induced factors such as sudden activity, fatigue, nervousness, excitement, and high concentration of attention.
3. There are often short-lived sensory auras before the onset of seizures, such as floating sense.
4. The main manifestations of seizures at the time of onset are limbs, body involuntary convulsions, writhing, unstable standing and strange postures.
5. The duration of each episode is less than 10 s, but it can occur multiple times a day.
6. Unconscious loss of unconscious loss, seizure interval is completely normal.
7. There may be incomplete self-control ability after multiple episodes, some patients can find ways to avoid or reduce the onset.
8. There is a tendency to self-remission after entering the elderly.
9. Does not affect the intelligent development Although it starts from childhood, but has no effect on the child's intelligent development. One of Feng's 11 cases has a doctoral student and 3 college students.
10. Anti-epileptic drugs are effective in this disease, but various anti-epileptic drugs often have good curative effect.
Examine
Pediatric paroxysmal dance of hand and foot hyperactivity disorder
Blood biochemistry, liver function, ceruloplasmin and other tests were normal, and the blood stagnant cells were negative.
Electrocardiogram, B-ultrasound, X-ray examination were normal, and there was abnormality in EEG episodes, which was epileptic EEG.
Diagnosis
Diagnosis and differentiation of children with paroxysmal dance
According to the clinical characteristics, intermittent symptoms, muscle tension in the onset, rigidity, dance, hand movements, movement, consciousness, family history, etc., can make a diagnosis.
1. The rickets are often misdiagnosed as rickets before they are poorly aware of the disease. The episodes of the hand-foot-swelling syndrome in children have a special onset, the attack time is short, the family history is obvious, suggesting that the treatment is invalid. Can be distinguished from rickets.
2. Seizures in the onset of hand and foot Xu Mou syndrome can be distinguished from epilepsy and small seizures.
3. Others need to be differentiated from reflex epilepsy, cataplexy, hand and foot snoring, acute and chronic chorea, congenital myotonia and periodic familial palsy.
