{"title":"【儿科运动障碍的诊断与治疗】。","authors":"Alma Huerta Hurtado, Alonso Zea Vera","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Dyskinesias encompass a range of hyperkinetic involuntary movements that may occur in isolation or in combination. In this review, we focus on four key movement types: dystonia, chorea, ballism, and athetosis. We begin by defining each of these phenomenologies. Next, we explore the etiologies of dyskinetic disorders in the pediatric population, which span a broad spectrum and include cerebral palsy, genetic syndromes, acquired brain injuries, and autoimmune conditions. We then provide an overview of dyskinetic disorders, highlighting specific diagnostic pearls. A particular focus is given to status dystonicus, the most severe and life-threatening form of dystonia exacerbation. Though it can occur in any patient with dyskinesia, it is most associated with genetic forms. Finally, we discuss both pharmacologic and surgical treatments -including deep brain stimulation- using a phenomenology-based approach to management.</p>","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 Suppl 4 ","pages":"64-70"},"PeriodicalIF":0.6000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Diagnosis and treatment dyskinesias in pediatrics].\",\"authors\":\"Alma Huerta Hurtado, Alonso Zea Vera\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Dyskinesias encompass a range of hyperkinetic involuntary movements that may occur in isolation or in combination. In this review, we focus on four key movement types: dystonia, chorea, ballism, and athetosis. We begin by defining each of these phenomenologies. Next, we explore the etiologies of dyskinetic disorders in the pediatric population, which span a broad spectrum and include cerebral palsy, genetic syndromes, acquired brain injuries, and autoimmune conditions. We then provide an overview of dyskinetic disorders, highlighting specific diagnostic pearls. A particular focus is given to status dystonicus, the most severe and life-threatening form of dystonia exacerbation. Though it can occur in any patient with dyskinesia, it is most associated with genetic forms. Finally, we discuss both pharmacologic and surgical treatments -including deep brain stimulation- using a phenomenology-based approach to management.</p>\",\"PeriodicalId\":18419,\"journal\":{\"name\":\"Medicina-buenos Aires\",\"volume\":\"85 Suppl 4 \",\"pages\":\"64-70\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medicina-buenos Aires\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicina-buenos Aires","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
[Diagnosis and treatment dyskinesias in pediatrics].
Dyskinesias encompass a range of hyperkinetic involuntary movements that may occur in isolation or in combination. In this review, we focus on four key movement types: dystonia, chorea, ballism, and athetosis. We begin by defining each of these phenomenologies. Next, we explore the etiologies of dyskinetic disorders in the pediatric population, which span a broad spectrum and include cerebral palsy, genetic syndromes, acquired brain injuries, and autoimmune conditions. We then provide an overview of dyskinetic disorders, highlighting specific diagnostic pearls. A particular focus is given to status dystonicus, the most severe and life-threatening form of dystonia exacerbation. Though it can occur in any patient with dyskinesia, it is most associated with genetic forms. Finally, we discuss both pharmacologic and surgical treatments -including deep brain stimulation- using a phenomenology-based approach to management.