{"title":"Comment on \"Evaluating the Performance of the Modified Mini-Mental State Examination for Children (MMSEc) to Screen for Intellectual Disability in Children With and Without Epilepsy\".","authors":"Gül Yücel","doi":"10.1177/08830738251383181","DOIUrl":"https://doi.org/10.1177/08830738251383181","url":null,"abstract":"","PeriodicalId":15319,"journal":{"name":"Journal of Child Neurology","volume":" ","pages":"8830738251383181"},"PeriodicalIF":1.6,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachael S Mathew, Osvaldo Pangrazio, Francisco Forriol, Christopher Howard, Gustavo Rivas Martinez, Mildred Franco, Alcy R Torres
{"title":"Heading in Soccer Players and Neurologic Outcomes.","authors":"Rachael S Mathew, Osvaldo Pangrazio, Francisco Forriol, Christopher Howard, Gustavo Rivas Martinez, Mildred Franco, Alcy R Torres","doi":"10.1177/08830738251378592","DOIUrl":"https://doi.org/10.1177/08830738251378592","url":null,"abstract":"<p><p>Soccer is the most popular sport worldwide, with participation across all levels of play. Heading the ball raises concerns about subconcussive impacts and their cumulative effects, which remain uncertain. This review aims to synthesize current literature on heading across different levels of play. A narrative review was conducted using the PubMed database to search for articles related to soccer heading and its neurologic outcomes. Articles were categorized by level of play: youth, adolescent, college, adult amateur, and professional. Twenty-seven studies met the inclusion criteria. There was lack of consensus on the neurologic effects of heading across any age group, and only 3 studies followed players through a season. The use of various tools among these studies prevented meaningful comparisons. Overall, the need for longitudinal studies across different levels of play with standardized evaluation tools is crucial for assessing the neurologic outcomes of soccer players.</p>","PeriodicalId":15319,"journal":{"name":"Journal of Child Neurology","volume":" ","pages":"8830738251378592"},"PeriodicalIF":1.6,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bahram Eshraghi, Leila Babaei, Mohammadreza Zolfaghari, Farzad Kheirmand, Ali Aghajani
{"title":"Valproic Acid-Associated von Willebrand Disease and Delayed-Onset Orbital Hematoma.","authors":"Bahram Eshraghi, Leila Babaei, Mohammadreza Zolfaghari, Farzad Kheirmand, Ali Aghajani","doi":"10.1177/08830738251381665","DOIUrl":"https://doi.org/10.1177/08830738251381665","url":null,"abstract":"","PeriodicalId":15319,"journal":{"name":"Journal of Child Neurology","volume":" ","pages":"8830738251381665"},"PeriodicalIF":1.6,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Martyna A Czylok, Milena Prokopiuk, Katarzyna Meller, Marta Zawadzka, Maria Mazurkiewicz-Bełdzińska
{"title":"Unusual Phenotypic Variability in Paroxysmal Dystonia Associated with Rare <i>ATP1A3</i> Mutation: A Case Report and Review.","authors":"Martyna A Czylok, Milena Prokopiuk, Katarzyna Meller, Marta Zawadzka, Maria Mazurkiewicz-Bełdzińska","doi":"10.1177/08830738251327707","DOIUrl":"10.1177/08830738251327707","url":null,"abstract":"<p><p>Paroxysmal dyskinesias, marked by sudden involuntary movements, poses diagnostic challenges because of its heterogeneous nature and overlap with other movement disorders. Genetic factors, especially variants in the <i>ATP1A3</i> gene, have been linked to various neurologic conditions, including paroxysmal dystonia. We report a 5-year-old patient with a rare <i>ATP1A3</i> gene variant (c.2309T>G, p.(Leu770Arg)), previously documented in only 1 other patient. Unlike the earlier report, the patient presented distinct clinical features, with a focus on dystonia rather than hemiplegia and no intellectual impairment. This phenotypic variability highlights the challenges in diagnosis and treatment. We discuss differential diagnoses, including Alternating Hemiplegia of Childhood, and emphasize the need for comprehensive genetic testing and multidisciplinary care. Our study advocates for further research to better understand the spectrum of <i>ATP1A3</i>-related disorders and enhance diagnostic accuracy and patient management in paroxysmal dystonia.</p>","PeriodicalId":15319,"journal":{"name":"Journal of Child Neurology","volume":" ","pages":"794-798"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beyond the Copy Number Differences: The Phenotypic Diversity of Children With 15q11.2 Microdeletions and Microduplications.","authors":"Gunce Basarir, Irmak Erdogan, Berk Ozyilmaz, Pinar Gencpinar, Nihal Olgac Dundar","doi":"10.1177/08830738251366862","DOIUrl":"10.1177/08830738251366862","url":null,"abstract":"<p><p>15q11.2 BP1-BP2 copy number variants involving <i>NIPA1</i>, <i>NIPA2</i>, <i>CYFIP1</i>, and <i>TUBGCP5</i> genes may not warrant a clinical outcome because of the phenotypic variability and low penetrance. The study aims to provide a greater understanding of the phenotypic diversity associated with these copy number variants. We conducted a retrospective analysis of 37 pediatric patients with deletions or duplications in 15q11.2 BP1-BP2 region, and compared the results systemically with the previous literature. Of the 37 patients, 67.6% had microduplications and 32.4% had microdeletions. The mean copy number variant size was 482 ± 157 kb. Patients had a variety of phenotypes including neurodevelopmental delay, hypotonia, speech impairment, intellectual and learning disability, behavioral and psychiatric symptoms, epilepsy and seizures, neuroimaging abnormalities, and dysmorphism. These findings, in combination with previous reports, confirm that copy number variants in this region are linked to phenotypes ranging from normal to severe neurodevelopmental and neuropsychiatric features. Our data also confirm that microcephaly is a particularly prevalent phenotype in patients with microdeletions, rather than in those with microduplications.</p>","PeriodicalId":15319,"journal":{"name":"Journal of Child Neurology","volume":" ","pages":"784-793"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Family-Centered Care for Children with Abusive Head Trauma.","authors":"Celina Cerf, TjaMeika Purnell, Miya R Asato","doi":"10.1177/08830738251364164","DOIUrl":"10.1177/08830738251364164","url":null,"abstract":"<p><p>Family adaptation to severe neurologic impairment often begins in hospital settings, where the medical care team begins to orient caregivers to alterations in the child's neurologic status. For children with abusive head trauma, there are added social dimensions that affect family adaptation throughout the inpatient stay and beyond. Principles of family-centered care are an important cornerstone of pediatric practice, yet family members whose children have severe neurologic impairment may struggle to adapt in outpatient and multidisciplinary settings, where they must assume a more active leadership role in their child's care, often without significant guidance or resources. There are numerous barriers or limitations within health care systems that may perpetuate families' experiences of isolation and difficulties accessing and managing complex care. This topical review includes the identification of family- and provider-specific navigational challenges in outpatient care, a review of available family-focused interventions, opportunities for family engagement, and potential strategies for neurology practice.</p>","PeriodicalId":15319,"journal":{"name":"Journal of Child Neurology","volume":" ","pages":"750-756"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neurodiversity-Affirming Clinical Care: Principles and Pearls.","authors":"Talia Shear, Maya Ayoub, Diana Cejas, Alison Christy, Yolanda Holler-Managan, Uloma Labrie, Hannah King, Young-Min Kim","doi":"10.1177/08830738251340268","DOIUrl":"10.1177/08830738251340268","url":null,"abstract":"<p><p>To provide the best possible care, neurologists must have a thorough understanding of the social and historical context of disability. Knowledge of the biology of neurologic conditions alone is insufficient. Currently, there is a scarcity of explicit education and training on disability beyond the traditional medical lens. Additionally, neurologists may be unfamiliar with the neurodiversity movement and its principles. This lack of awareness may inadvertently perpetuate ableist perspectives and practices, resulting in harm for our patients. In this article, we provide an overview of ableism and language-use considerations. We also discuss the history and current context of the neurodiversity movement and review neurodiversity-affirming core principles and clinical practices. This article offers perspective on an important shift in paradigms of the brain, as well as tools that can be used for a career-long commitment to excellent and equitable neurologic care.</p>","PeriodicalId":15319,"journal":{"name":"Journal of Child Neurology","volume":" ","pages":"799-803"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Linda Bonezzi, Ilaria Accorinti, Francesca Maria Agostina Papoff, Maria Orsi, Giacomo D'Arcangelo, Emanuele Bartolini, Roberta Battini
{"title":"Cerebral Palsy in a Rural Desert Population of Southern Algeria: A Cross-Sectional Study of Epidemiology of Comorbidities and Unmet Needs.","authors":"Linda Bonezzi, Ilaria Accorinti, Francesca Maria Agostina Papoff, Maria Orsi, Giacomo D'Arcangelo, Emanuele Bartolini, Roberta Battini","doi":"10.1177/08830738251336486","DOIUrl":"10.1177/08830738251336486","url":null,"abstract":"<p><p>BackgroundCerebral palsy is a group of nonprogressive motor disorders resulting from early brain development impairment. Its prevalence is higher in low- and middle-income countries, where health care resources are limited. Data on cerebral palsy in refugee settings remain scarce, particularly in regions marked by prolonged displacement.MethodsThis cross-sectional study examined 29 children with cerebral palsy in the Sahrawi refugee camps in Tindouf, Algeria. Detailed demographic, medical history, neurological findings, and comorbidity data were collected during outpatient visits conducted as part of a humanitarian mission.ResultsPerinatal distress was reported in 65.5% of cases. Motor impairments were significant, with only 44.8% able to walk and 20.7% lacking head control. Language delays (65.5%), feeding difficulties (65.5%), and epilepsy (52%) were highly prevalent. Diagnostic evaluations, such as magnetic resonance imaging (MRI) and electroencephalography (EEG), were scarce and inconsistent. Access to rehabilitation services was discontinuous, and pharmacologic treatments for spasticity and pain were unavailable. Environmental factors, such as sandy terrain, further complicated mobility.ConclusionCerebral palsy in the Sahrawi refugee camps reflects patterns seen in low- and middle-income countries but is exacerbated by displacement and resource scarcity. Improved access to early diagnosis, structured rehabilitation, and targeted pharmacologic therapies is urgently needed to address these unmet needs and improve outcomes for affected children.</p>","PeriodicalId":15319,"journal":{"name":"Journal of Child Neurology","volume":" ","pages":"757-766"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pamela Pojomovsky McDonnell, Yessenia Ortiz, Nicholas S Abend, Michael C Kaufman, Julie Xian, Alexander K Gonzalez, Sara Molisani, Ingo Helbig
{"title":"A Simple Intervention Improves Access to Telemedicine for Spanish-Speaking Families in an Outpatient Pediatric Epilepsy Clinic.","authors":"Pamela Pojomovsky McDonnell, Yessenia Ortiz, Nicholas S Abend, Michael C Kaufman, Julie Xian, Alexander K Gonzalez, Sara Molisani, Ingo Helbig","doi":"10.1177/08830738251337981","DOIUrl":"10.1177/08830738251337981","url":null,"abstract":"<p><p>Telemedicine has become an established modality of care in pediatric neurology since the COVID-19 pandemic made it a necessity. However, prominent barriers have persisted for socially vulnerable families, including non-English-speaking families. In a cohort of Spanish-speaking families, we assessed the effect of an educational intervention in improving patient portal activation and use of telemedicine by doing a retrospective observational study. Among the 69 families assessed, 42 did not receive intervention, including 74% who already had patient portals and 26% without portal activation, and none of those 11 families subsequently activated the portal or underwent telemedicine. Among 27 families who received the intervention, 85% activated the portal, including 87% who participated in telemedicine visits. Results did not achieve statistical significance for accessing telemedicine but did for activating the portal. We postulate that a simple, brief educational intervention was effective in increasing access to neurologic telemedicine care in non-English-speaking families.</p>","PeriodicalId":15319,"journal":{"name":"Journal of Child Neurology","volume":" ","pages":"767-771"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dorottya B Kacsoh, Maya C Ayoub, Diana Cejas, Danielle Guez Barber, Yolanda Holler-Managan, Young-Min Kim, Talia Shear, Jennifer Kim, Stacy Kitsis, Elinor Christy, Alison Christy
{"title":"Depictions of Pediatric Neurologic Disability in Graphic Novels.","authors":"Dorottya B Kacsoh, Maya C Ayoub, Diana Cejas, Danielle Guez Barber, Yolanda Holler-Managan, Young-Min Kim, Talia Shear, Jennifer Kim, Stacy Kitsis, Elinor Christy, Alison Christy","doi":"10.1177/08830738251344998","DOIUrl":"10.1177/08830738251344998","url":null,"abstract":"","PeriodicalId":15319,"journal":{"name":"Journal of Child Neurology","volume":" ","pages":"772-773"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}