Polymyography in the diagnosis of childhood onset movement disorders

C. Canavese, C. Ciano, G. Zorzi, F. Zibordi, C. Costa, N. Nardocci

Research output: Contribution to journalArticle

Abstract

We report on the results of a clinical and polymyographic retrospective study of 61 paediatric patients with tremor, dystonia and/or myoclonus. Aim of the study was to verify the contribution of polymyography in the classification of these movement disorders and in their aetiological definition. Methods: The movement disorders were clinically classified by two experts, based on clinical and videotape recordings evaluation; all patients underwent standardized polymyographic evaluation; aetiological diagnosis was performed according to diagnostic protocols for dystonia, myoclonus, tremor and psychogenic movement disorders. The polymyographic features were summarized in five different patterns (dystonia, subcortical myoclonus, myoclonic dystonia, tremor, normal) and compared with the clinical classification and with aetiological diagnosis. Results: In more than 70% of the patients the polymyographic features were in accordance with the clinical classification; in 31% the polymyographic features allowed to identify a clinically unclassified movement disorder and in 19.6% disclosed a not clinically evident associated movement disorder. The polymyographic study did not contribute to the aetiological diagnosis, but was useful in supporting the clinical diagnosis of psychogenic movement disorder.

Original languageEnglish
Pages (from-to)480-483
Number of pages4
JournalEuropean Journal of Paediatric Neurology
Volume12
Issue number6
DOIs
Publication statusPublished - Nov 2008

Keywords

  • Clinical classification
  • Paediatric movement disorders
  • Polymyography
  • Psychogenic movement disorders

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health

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