Differential diagnosis in progressive infantile spastic tetraparesis.

Abstract:

:Progressive infantile spastic tetraparesis spans a wide spectrum of partially rare differential diagnoses. Based on a clinical example the differential diagnostic thoughts are discussed in detail. Though juvenile motor neuron disease is a rare entity, it has to be kept in mind for differential diagnostics in cases of slowly progressive spastic tetraparesis, especially when a pseudobulbar palsy or distal amyotrophies add to the clinical picture. Electromyography can be helpful for early detection of lower motor neuron involvement. The glutamate antagonist riluzole slows the disease progression, but a causal treatment is not available, yet. Therefore symptomatic treatment of disturbing symptoms like muscle cramps, spasticity, pseudobulbar affect, dyspnea or dysphagia are of major interest.

journal_name

Eur J Med Res

authors

Kühnlein P,Sperfeld AD,Gdynia HJ

subject

Has Abstract

pub_date

2008-10-27 00:00:00

pages

447-50

issue

10

eissn

0949-2321

issn

2047-783X

journal_volume

13

pub_type

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