Kinder- und Jugendmedizin 2012; 12(06): 347-355
DOI: 10.1055/s-0038-1629307
Neuropädiatrie
Schattauer GmbH

Bewegungsstörungen im Kindes-alter und ihre Differenzialdiagnose zur Epilepsie/zum epileptischen Anfall

Movement disorders in childhood and their differential diagnosis to epilepsy/epileptic seizures
G. Kurlemann
1   Klinik für Kinder- und Jugendmedizin, Universitäts-Kinderklink Münster
,
B. Fiedler
1   Klinik für Kinder- und Jugendmedizin, Universitäts-Kinderklink Münster
› Institutsangaben
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Publikationsverlauf

Eingereicht am:03. Mai 2012

angenommen am:15. Mai 2012

Publikationsdatum:
31. Januar 2018 (online)

Zusammenfassung

Epileptische Anfälle beginnen sehr häufig im Kindesalter, ihre Semiologie kann gerade in dieser Altersklasse sehr variable sein. Die ebenso oft auftretenden altersabhängigen nicht epileptischen paroxysmalen Bewegungsstörungen werden häufig verwechselt. Wir beschreiben in dieser Übersicht das Spektrum der nicht epileptischen altersabhängigen Bewegungsstörungen. Diese zu erkennen ist wichtig, da die Therapie komplett anders gestaltet wird, antiepileptische Medikamente sind kontraindiziert, mit Ausnahme der kinesiogenen Choreoathetose.

Summary

Epileptic seizures very often begin in childhood; their semiology may be quite variable, particularly in this age group. They are frequently confused with age-related, non-epileptic paroxysmal movements, which are just as common. We describe the spectrum of non-epileptic movements in children which it is important to distinguish from epileptic seizures.

Therapeutic measures are completely different for non-epileptic paroxysmal movements, antiepileptic drugs are not necessary except for kinesiogen choreoathetosis.

 
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