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Relato Familiar da Motricidade Grossa: Refinamento e avaliação das propriedades psicométricas. 粗大运动技能家庭报告:心理测量特性的完善与评估》(Family Report of Gross Motor Skills: Refinement and evaluation of psychometric properties)。
Pub Date : 2024-09-12 DOI: 10.1111/dmcn.16056
Elton D D Magalhães,Peter Rosenbaum,Marilyn Wright,F Virginia Wright,Lesley Pritchard,Kennea M A Ayupe,Ana Carolina de de Campos,Rosane S Morais,Hércules R Leite,Paula S C Chagas
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引用次数: 0
Programa domiciliar individualizado via telessaúde para crianças com paralisia cerebral durante a pandemia de COVID-19. 在 COVID-19 大流行期间,通过远程保健为脑瘫儿童提供个性化家庭方案。
Pub Date : 2024-09-11 DOI: 10.1111/dmcn.16082
Rachel H S Oliveira,Marisa C Mancini,Priscilla R P Figueiredo,Leonardo C Abrahão,Edna A Reis,Andrew M Gordon,Marina B Brandão
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引用次数: 0
Parental magnetic resonance imaging for the evaluation of fetuses with brain anomalies. 用于评估脑部异常胎儿的父母磁共振成像。
Pub Date : 2024-09-11 DOI: 10.1111/dmcn.16071
Stephanie Libzon,Michal Gafner,Dorit Lev,Nilly Waiserberg,Liat Gindes,Zvi Leibovitz,Liat Ben-Sira,Tally Lerman-Sagie
AIMTo evaluate the role of parental magnetic resonance imaging (MRI) in assessing fetuses with suspected brain anomalies and its use in prenatal counselling.METHODA retrospective, multicentre chart review was conducted on fetuses who underwent brain MRI because of suspected brain abnormalities between January 2008 and December 2022, with one or both parents who underwent brain MRI (MRI-Trio) as part of prenatal counselling. Clinical and demographic data were collected, including fetal and parental MRI findings, prenatal counselling outcomes, genetic testing results, family and previous pregnancy history, neurological examinations of the born children up to 24 months of age, and autopsy reports of fetuses from terminated pregnancies. MRI-Trio concordance was defined as at least one abnormal brain feature identified with similarity in the fetus and the parents. The live-born children were assessed postnatally through either neurodevelopmental evaluations or telephone interviews.RESULTSSixty pregnancies were included (41.7% with concordant and 58.3% with discordant MRI-Trio). Forty-two children were born (70%) and 17 pregnancies were terminated (28.3%). One case of in utero fetal death (1.7%) was reported. The most common brain findings were multiple anomalies (n = 26, 43.3%), isolated disorders of the corpus callosum (n = 17, 28.3%), atypical periventricular pseudocysts (n = 6, 10%), and anomalies of the anterior complex (n = 4, 6.7%). MRI-Trio enabled better prognostication. When MRI-Trio was concordant, counselling was more favourable (n = 22, 36.6%) and the majority of live-born children exhibited typical development (p < 0.001).INTERPRETATIONMRI-Trio is a valuable tool for identifying dominantly inherited brain anomalies that may not hold developmental significance or are associated with favourable outcomes, acknowledging the potential for variable penetrance, which may result in more severe presentations. Concordant MRI-Trio findings can enhance the accuracy of prenatal counselling, potentially reducing the incidence of termination of pregnancy.
目的评估父母磁共振成像(MRI)在评估疑似脑异常胎儿中的作用及其在产前咨询中的应用。方法对 2008 年 1 月至 2022 年 12 月间因疑似脑异常而接受脑磁共振成像的胎儿,以及作为产前咨询一部分接受脑磁共振成像(MRI-Trio)的父母一方或双方进行了回顾性多中心病历审查。研究人员收集了临床和人口统计学数据,包括胎儿和父母的核磁共振成像结果、产前咨询结果、基因检测结果、家族史和既往妊娠史、出生后 24 个月内的神经系统检查结果,以及终止妊娠胎儿的尸检报告。核磁共振成像-三者一致性的定义是,在胎儿和父母中至少发现一个相似的异常脑特征。通过神经发育评估或电话访谈对活产儿进行了产后评估。结果共纳入了 60 例妊娠(41.7% 的妊娠与 MRI-Trio 一致,58.3% 的妊娠与 MRI-Trio 不一致)。42名婴儿出生(70%),17名孕妇终止妊娠(28.3%)。报告了一例宫内胎儿死亡病例(1.7%)。最常见的脑部发现是多发畸形(26 例,43.3%)、孤立的胼胝体紊乱(17 例,28.3%)、非典型脑室周围假囊肿(6 例,10%)和前复合体异常(4 例,6.7%)。核磁共振成像-三重成像能更好地预测预后。当磁共振成像-三重成像一致时,咨询效果更佳(n = 22,36.6%),且大多数活产患儿表现出典型的发育(p < 0.001)。一致的磁共振成像-三重成像结果可提高产前咨询的准确性,从而降低终止妊娠的发生率。
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引用次数: 0
Transferability of an executive function intervention in children with cerebral palsy: A randomized controlled trial. 脑瘫儿童执行功能干预的可转移性:随机对照试验
Pub Date : 2024-09-11 DOI: 10.1111/dmcn.16057
Montse Blasco,María García-Galant,Júlia Ballester-Plané,Olga Laporta-Hoyos,Xavier Caldú,David Leiva,Roslyn N Boyd,Els Ortibus,Roser Pueyo,
AIMTo evaluate the transfer effects of a home-based computerized executive function intervention on non-targeted cognitive functions (visual perception and memory), quality of life (QoL), and participation in children with cerebral palsy (CP), and to determine whether any improvements were maintained 9 months after the intervention.METHODSixty children with CP (aged 8-12 years) were randomly allocated to the intervention (15 females/15 males, mean age 10 years 4 months [SD = 1 years 8 months], age range 8-12 years) or waitlist (control) (15 females/15 males, mean age 10 years [SD = 1 years 9 months], age range 8-12 years) group. The intervention group underwent a home-based executive function intervention programme for 30 minutes per day, 5 days a week, for 12 weeks. All participants were assessed before the intervention, immediately after and 9 months after the intervention was completed.RESULTSAfter the intervention was completed, performance in immediate verbal memory, verbal learning, and visual perception (object and picture recognition) was significantly better in the intervention group than in the waitlist (control) group. No improvements were found in visual memory, visuospatial perception, QoL, or participation after the intervention. Scores at the follow-up showed that any beneficial effects were not maintained 9 months after the intervention was completed.INTERPRETATIONA home-based computerized executive function intervention produced transfer effects on memory and visual perception immediately after the intervention in children with CP, although any beneficial effects were not sustained at the 9-month follow-up.
目的 评估基于家庭的计算机化执行功能干预对非目标认知功能(视觉感知和记忆)、生活质量(QoL)和脑瘫(CP)儿童参与的转移效应,并确定干预 9 个月后这些改善是否得以保持。方法将60名患有CP的儿童(8-12岁)随机分配到干预组(15名女性/15名男性,平均年龄10岁4个月[SD=1岁8个月],年龄范围8-12岁)或候补名单(对照组)(15名女性/15名男性,平均年龄10岁[SD=1岁9个月],年龄范围8-12岁)。干预组接受以家庭为基础的执行功能干预计划,每周 5 天,每天 30 分钟,为期 12 周。结果干预结束后,干预组在即时言语记忆、言语学习和视觉感知(物体和图片识别)方面的表现明显优于等待组(对照组)。干预后,视觉记忆、视觉空间感知、生活质量和参与度均无改善。干预结束 9 个月后的随访得分显示,任何有益的效果都没有得到维持。释义 一项基于家庭的计算机化执行功能干预措施在干预后立即对脊髓灰质炎儿童的记忆和视觉感知产生了转移效应,但任何有益的效果都没有在 9 个月的随访中得到维持。
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引用次数: 0
A global picture of outcomes after preterm birth: Is there a discrepancy? 早产后的全球结局:是否存在差异?
Pub Date : 2024-09-10 DOI: 10.1111/dmcn.16092
Andrei S Morgan
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引用次数: 0
Acquired motor speech disorders in childhood epilepsy. 儿童癫痫的后天运动言语障碍。
Pub Date : 2024-09-10 DOI: 10.1111/dmcn.16091
Michael Eyre,Steve Rose,Rachel Gwynn,Ronit M Pressler,Maria Clark
AIMTo evaluate a group of children with epilepsy and motor speech regression, with the aim of characterizing their speech disorders, electrographic features, and outcomes.METHODChildren referred to a tertiary developmental epilepsy clinic with epilepsy and motor speech regression were identified retrospectively. A clinical history was taken, and longitudinal speech and cognitive data were recorded. Speech samples were scored for severity and speech features. Seizure frequency and epileptiform discharges in the interictal electroencephalogram were analysed.RESULTSEighteen children (10 female) were evaluated, including seven with Landau-Kleffner syndrome and six with Rasmussen syndrome. Speech regression occurred at a mean age of 5 years (SD = 2 years 6 months), which was concurrent with seizure onset or peak seizure burden in eight children. Speech features included dysarthria (n = 13), phonological errors (n = 7), and dyspraxia (n = 6). Electrographic abnormalities occurred most frequently in the left centrotemporal and right frontal regions. Among children who were followed up, intelligibility of speech was affected in 13 at baseline and seven at follow-up (p = 0.03). Expressive language standardized scores increased from a mean (SD) of 50.0 (11.3) to 91.4 (27.8) in children with Landau-Kleffner syndrome (mean change = 41.4, 95% confidence interval [CI] 0.04-82.8, p = 0.0498) and decreased from 75.2 (15.3) to 59.0 (9.8) in children with Rasmussen syndrome (mean change -16.2, 95% CI -9.0 to -23.4, p = 0.002) over the follow-up.INTERPRETATIONMotor speech disorders in epilepsy were severe, multifarious, and often fluctuated with seizure burden. Symptoms typically improved, especially in children with Landau-Kleffner syndrome, but rarely fully resolved.
目的对一组患有癫痫和运动性言语退步的儿童进行评估,以了解他们的言语障碍、电图特征和治疗结果。方法对转诊到三级发育性癫痫诊所的患有癫痫和运动性言语退步的儿童进行回顾性鉴别。采集临床病史,记录纵向言语和认知数据。对言语样本的严重程度和言语特征进行评分。对发作频率和发作间期脑电图中的痫样放电进行了分析。结果共评估了 18 名儿童(10 名女性),其中 7 名患有兰道-克莱夫纳综合征,6 名患有拉斯穆森综合征。言语障碍发生在平均 5 岁(SD = 2 岁 6 个月)时,其中 8 名儿童的言语障碍与癫痫发作开始或发作高峰期同时出现。言语特征包括构音障碍(13 例)、语音错误(7 例)和发音障碍(6 例)。电图异常最常发生在左侧颞中部和右侧额叶区域。在接受随访的儿童中,13 名儿童的语言清晰度在基线时受到影响,7 名儿童在随访时受到影响(P = 0.03)。兰道-克莱夫纳综合症患儿的语言表达能力标准化评分从平均值(标清)50.0(11.3)增至91.4(27.8)(平均变化=41.4,95%置信区间[CI] 0.04-82.8,P=0.0498),而语言表达能力标准化评分则从75.2(15.在随访期间,Rasmussen 综合征患儿的运动言语障碍从 75.2(15.3)降至 59.0(9.8)(平均变化为 -16.2,95% 置信区间 [CI] -9.0 至 -23.4,p = 0.002)。症状通常会有所改善,尤其是在患有兰道-克莱夫纳综合征的儿童中,但很少能完全缓解。
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引用次数: 0
Long-term outcomes in children with riboflavin transporter deficiency and surveillance recommendations. 核黄素转运体缺乏症儿童的长期疗效及监测建议。
Pub Date : 2024-09-09 DOI: 10.1111/dmcn.16083
Jack R Fennessy,Kayla M D Cornett,Gabrielle A Donlevy,Marnee J Mckay,Joshua Burns,Manoj P Menezes
The aim of this longitudinal case series was to describe long-term functional outcome in a group of individuals with riboflavin transporter deficiency (RTD) treated with high-dose oral riboflavin. Data were collected between 2012 to 2022. Eleven individuals with RTD were assessed at 12-month intervals for monitoring of disease progression. Patients had commenced high-dose oral riboflavin from the time of genetic diagnosis. Individuals for whom riboflavin supplementation was initiated early after disease onset had better outcomes compared to those in whom diagnosis was delayed. Despite ongoing riboflavin supplementation, the Charcot-Marie-Tooth disease Pediatric Scale (CMTPedS) total score and the subitems of balance and the 6-Minute Walk Test distance as well as respiratory function worsened, while grip strength improved. There was evidence of improvement in hearing loss and optic atrophy limited to the first 12 months of treatment. While treatment with riboflavin slowed disease progression, patients were left with residual disability. To track disease progression and response to riboflavin supplementation over time, we recommend using the RTD Pediatric Scale and provide a list of clinical measures for regular surveillance of children with RTD.
本纵向病例系列旨在描述一组核黄素转运体缺乏症(RTD)患者接受大剂量口服核黄素治疗后的长期功能结果。数据收集时间为 2012 年至 2022 年。11名核黄素转运体缺乏症患者每隔12个月接受一次评估,以监测疾病进展。患者从基因诊断时就开始口服大剂量核黄素。与延迟诊断的患者相比,发病后早期开始补充核黄素的患者的预后更好。尽管一直在补充核黄素,但夏科-玛丽-牙病儿科量表(CMTPedS)的总分、平衡和6分钟步行测试距离的分项以及呼吸功能都有所恶化,而握力则有所改善。有证据表明,听力损失和视神经萎缩的改善仅限于治疗的前 12 个月。虽然核黄素治疗减缓了疾病的进展,但患者仍有残余残疾。为了跟踪疾病的进展情况和对核黄素补充剂的反应,我们建议使用RTD儿科量表,并提供了一份定期监测RTD患儿的临床措施清单。
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引用次数: 0
Comorbidities 并发症
Pub Date : 2003-11-01 DOI: 10.1016/b978-0-323-56800-5.00012-6
Martin Bax
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引用次数: 29
International outreach for pediatric surgical subspecialists 儿科外科专科医生的国际推广
Pub Date : 2002-08-01 DOI: 10.1017/S0012162201002468
M. Sussman
{"title":"International outreach for pediatric surgical subspecialists","authors":"M. Sussman","doi":"10.1017/S0012162201002468","DOIUrl":"https://doi.org/10.1017/S0012162201002468","url":null,"abstract":"","PeriodicalId":11161,"journal":{"name":"Developmental Medicine & Child Neurology","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89324522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
European Academy of Childhood Disability at Göteborg. 欧洲儿童残疾学会网址:Göteborg。
Pub Date : 2001-09-01 DOI: 10.1017/S0012162201001062
M. Bax
{"title":"European Academy of Childhood Disability at Göteborg.","authors":"M. Bax","doi":"10.1017/S0012162201001062","DOIUrl":"https://doi.org/10.1017/S0012162201001062","url":null,"abstract":"","PeriodicalId":11161,"journal":{"name":"Developmental Medicine & Child Neurology","volume":"55 1","pages":"579-579"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84343275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
期刊
Developmental Medicine & Child Neurology
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