Scopus
YÖKSİS Eşleşti
Evaluation of Acute Ataxia in the Pediatric Emergency Department: Etiologies and Red Flags
Pediatric Neurology · Şubat 2023
YÖKSİS Kayıtları
Evaluation of Acute Ataxia in the Pediatric Emergency Department: Etiologies and Red Flags
PEDIATRIC NEUROLOGY · 2023 SCI-Expanded
DOKTOR ÖĞRETİM ÜYESİ FATİH MEHMET AKİF ÖZDEMİR →
Makale Bilgileri
DergiPediatric Neurology
Yayın TarihiŞubat 2023
Cilt / Sayfa139 · 1-6
Scopus ID2-s2.0-85146223226
Özet
Background: We aimed to evaluate patients with acute ataxia and to determine the warning clinical factors in the early prediction of neurological emergencies. Method: Patients with a history of balance and gait coordination disorder and clinically diagnosed as acute ataxia in pediatric emergency department were included in the study. As a result of final diagnosis, the characteristics of patients with and without clinically urgent neurological pathology (CUNP) were compared. CUNP was defined as any nervous system disorder requiring early diagnosis and prompt medical or surgical treatment and/or intensive care unit admission to prevent disabling or life-threatening evolution. Results: Eighty-eight patients with a median age of 5 years were included in the study (37 [42%] patients with CUNP and 51 [58%] without CUNP). In the CUNP group, the median age of patients and symptom duration were significantly higher (P < 0.001 and P = 0.011, respectively). The most common etiologies were acute post/parainfectious cerebellar ataxias (n = 40 [45.4%]), acute cerebellitis (n = 9 [10.2%]), and Guillain-Barré syndrome (n = 8 [9%]). Hyporeflexia/areflexia and dysmetria were associated with a higher risk of CUNP. Headache, loss of consciousness, and visual dysfunction were the findings appearing exclusively in patients with CUNP. Conclusions: The most common etiologies in acute ataxia are benign and transient, whereas life-threatening conditions may occur rarely and may require urgent intervention. Older age; prolonged symptom duration; focal neurological deficits such as hemiparesis, hyporeflexia, and visual impairment; and nonspecific findings such as loss of consciousness and headache are the most striking “red flags” of a potential neurological emergency and should alert clinicians to CUNP.
Yazarlar (11)
1
Raziye Merve Yaradilmiş
ORCID: 0000-0003-1202-8564
2
Ali Güngör
ORCID: 0000-0003-4139-3480
3
İlknur Bodur
ORCID: 0000-0002-4135-5700
4
Muhammed Mustafa Güneylioğlu
ORCID: 0000-0002-9260-6776
5
Betül Öztürk
ORCID: 0000-0002-8000-3599
6
Aytac Göktuğ
7
Orkun Aydin
ORCID: 0000-0002-3155-540X
8
Fatih Mehmet Akif Özdemir
ORCID: 0000-0003-4820-1234
9
Ergin Atasoy
10
Candemir Karacan
11
Nilden Tuygun
Anahtar Kelimeler
Acute ataxia
Emergency
Neuroimaging
Pediatric
Red flags
Kurumlar
Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital
Ankara Turkey
Metrikler
4
Atıf
11
Yazar
5
Anahtar Kelime