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Differenzialdiagnose kindlicher paroxysmaler Bewegungsstörungen

Differential diagnosis of infantile paroxysmal movements

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Zusammenfassung

Epileptische Anfälle beginnen sehr häufig im Kindesalter; ihre Zeichen können gerade in dieser Altersklasse sehr variabel sein. Die ebenso oft auftretenden altersabhängigen nichtepileptischen paroxysmalen Bewegungsstörungen werden mitunter mit epileptischen Anfällen verwechselt. In dieser Übersicht wird das gesamte Spektrum der nichtepileptischen altersabhängigen Bewegungsstörungen beschrieben. Diese zu erkennen ist wichtig, da die Therapie vollkommen anders gestaltet wird. Antiepileptische Medikamente sind hier, mit Ausnahme bei der kinesiogenen Choreoathetose, kontraindiziert.

Abstract

Epileptic seizures very often begin in childhood, and particularly in this age group their expressions may be quite variable. They are frequently confused with age-related, non-epileptic paroxysmal movements, which are just as common. The complete spectrum of non-epileptic movements in children is described in this article. It is important to distinguish these from epileptic seizures, because therapeutic measures are completely different for non-epileptic paroxysmal movements. Antiepileptic drugs are not necessary except for kinesiogenic choreoathetosis.

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  1. Bereich Neuropädiatrie, Universitäts-Kinderklink Münster, Albert-Schweitzer-Str. 33, 48149, Münster, Deutschland

    G. Kurlemann & B. Fiedler

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  1. G. Kurlemann
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  2. B. Fiedler
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Correspondence to G. Kurlemann.

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Kurlemann, G., Fiedler, B. Differenzialdiagnose kindlicher paroxysmaler Bewegungsstörungen. Z. Epileptol. 22, 126–134 (2009). https://doi.org/10.1007/s10309-009-0041-1

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  • DOI: https://doi.org/10.1007/s10309-009-0041-1

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