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Diagnosing rhythmic movement disorder with video-polysomnography.
- Source :
-
Pediatric neurology [Pediatr Neurol] 1997 Jan; Vol. 16 (1), pp. 37-41. - Publication Year :
- 1997
-
Abstract
- We evaluated the utility of accurate clinical and electrophysiologic characterization in the diagnosis of the rhythmic movement disorder. Seven children with an age range of 1-12 years, referred for evaluation of relatively violent nocturnal behaviors, were clinically assessed during split-screen, video-polysomnographic monitoring sessions, as they experienced unusual nocturnus movements. Differential diagnoses included self-injurious waking behaviors, seizures, and parasomnias such as somnambulism (sleepwalking), pavor nocturnus (night terrors), and the rhythmic movement disorder (headbanging, bodyrocking, and legbanging). The character of movements, level of responsiveness, and electrophysiologic stage of sleep was determined during typical spells. In all the subjects experienced 37 periods of headbanging, bodyrocking, and legbanging that were strongly associated with stage 2 non-rapid eye movement sleep and K-complexes. The patients were unresponsive during and amnestic for the events. Because the differential for the rhythmic movement disorder includes a large number of disorders associated with abnormal and at times violent nocturnal movements, diagnosis can be greatly enhanced by documenting suspected nocturnal behaviors with thorough clinical assessment during split-screen, video-polysomnographic analysis.
- Subjects :
- Attention Deficit Disorder with Hyperactivity diagnosis
Attention Deficit Disorder with Hyperactivity physiopathology
Cerebral Cortex physiopathology
Child
Child, Preschool
Diagnosis, Differential
Evoked Potentials physiology
Female
Humans
Infant
Intellectual Disability diagnosis
Intellectual Disability physiopathology
Male
Movement Disorders physiopathology
Seizures diagnosis
Seizures physiopathology
Signal Processing, Computer-Assisted instrumentation
Sleep, REM physiology
Stereotyped Behavior physiology
Movement Disorders diagnosis
Polysomnography instrumentation
Video Recording instrumentation
Subjects
Details
- Language :
- English
- ISSN :
- 0887-8994
- Volume :
- 16
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Pediatric neurology
- Publication Type :
- Academic Journal
- Accession number :
- 9044399
- Full Text :
- https://doi.org/10.1016/s0887-8994(96)00259-7