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Neurologische Symptome

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Pädiatrische Palliativversorgung – Schmerzbehandlung und Symptomkontrolle

Zusammenfassung

Die Behandlung und Begleitung von Kindern mit komplexen neurologischen Erkrankungen ist eine besondere Herausforderung in der pädiatrischen Palliativmedizin. Neuropädiatrische Erkrankungen werden im ersten Lebensjahr häufig durch Krampfanfälle oder motorische Störungen auffällig. Im Verlauf kann es zu Störungen der Wahrnehmung, der Sprache und zu einer geistigen Beeinträchtigung kommen, die durch gezielte Untersuchung erfasst werden müssen. Neben den neurologischen Symptomen sind häufig Unruhezuständen und Schlafstörungen für die Patient*innen und ihre Eltern sehr belastend. Eigene Unterkapitel gibt es für „Zerebrale Krampfanfälle“ und „Schlafstörungen bei Kindern mit und ohne kognitive Einschränkungen“. Viele Tabellen zur medikamentösen Therapie, Checklisten und praxiserprobte Tipps runden das Kapitel ab.

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Authors and Affiliations

  1. Ärztlicher Direktor, Klinikum Stuttgart, Olgaspital, Stuttgart, Deutschland

    Markus Blankenburg

  2. Chefarzt, Universitätsklinikum Augsburg, I. Klinik für Kinder und Jugendliche, Schwäbisches Kinderkrebszentrum, Augsburg, Deutschland

    Michael C. Frühwald

  3. Universitätsklinikum Augsburg, I. Klinik für Kinder und Jugendliche, Schwäbisches Kinderkrebszentrum, Augsburg, Deutschland

    Johannes Holzapfel

  4. PedScience, Vestische Forschungs gGmbH, Datteln, Deutschland

    Larissa Dreier

  5. Deutsches Kinderschmerzzentrum, Kinderpalliativzentrum, Vestische Kinder- und Jugendklinik - Universität Witten/Herdecke, Datteln, Deutschland

    Kathrin Stening

  6. Vestische Kinder- und Jugendklinik, Datteln, Universität Witten/Herdecke Kinderpalliativzentrum Deutsches Kinderschmerzzentrum, Datteln, Deutschland

    Boris Zernikow

  7. Deutsches Kinderschmerzzentrum, Kinderpalliativzentrum, Vestische Kinder- und Jugendklinik - Universität Witten/Herdecke, Datteln, Deutschland

    Mandira Reuther

  8. Oberärztin, Kinderpalliativzentrum , Vestische Kinder- und Jugendklinik - Universität Witten/Herdecke, Datteln, Deutschland

    Carola Hasan

  9. Kinderpalliativzentrum, Vestische Kinder- und Jugendklinik - Universität Witten/Herdecke, Datteln, Deutschland

    Andrea Beissenhirtz

  10. Promotionsstudentin, Universität Witten/Herdecke, Witten, Deutschland

    Nina Angenendt

  11. Deutsches Kinderschmerzzentrum Kinderpalliativzentrum, Vestische Kinder- und Jugendklinik - Universität Witten/Herdecke, Datteln, Deutschland

    Michael Printz

  12. Kinderspital Zürich – Eleonorenstiftung, Leitende Ärztin Kinderonkologie; Leitung Pädiatrische Palliative Care, Zürich, Schweiz

    Eva Bergsträsser

  13. Pädiatrisches Palliative Care Team am Kinderspital beider Basel, Universitäts-Kinderspital beider Basel, Basel, Schweiz

    Michèle Widler

  14. Leitender Arzt; Lehrstuhlinhaber UWH, Gemeinschaftskrankenhaus Herdecke, Abteilung für Psychiatrie, Psychotherapie und Neurologie des Kindes- und Jugendalters, Herdecke, Deutschland

    Oliver Fricke

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  1. Vestische Kinder- und Jugendklinik, Datteln, Universität Witten/Herdecke, Kinderpalliativzentrum Deutsches Kinderschmerzzentrum, Datteln, Deutschland

    Boris Zernikow

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Blankenburg, M. et al. (2022). Neurologische Symptome. In: Zernikow, B. (eds) Pädiatrische Palliativversorgung – Schmerzbehandlung und Symptomkontrolle . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63148-5_4

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