17 Najea_i neuroloaki problemi u dejem uzrastu Doc dr Dragana ...
Transcript of 17 Najea_i neuroloaki problemi u dejem uzrastu Doc dr Dragana ...
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NAJČEŠĆI NEUROLOŠKI PROBLEMI U DEČJEM UZRASTU
Dragana M. Bogićević
Univerzitetska dečja klinika,BeogradMedicinski fakultet u Beogradu
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TOK BOLESTI
AKUTNI (moždani udar, meningitis, encefalitis) HRONIČNI - progresivni (tumori, mišićne distrofije) - neprogresivni (cerebralna paraliza) - sa egzacerbacijama i remisijama (MS)
EPIZODIČNI (epilepsija, migrena)
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TEGOBE Konvulzije Glavobolja
Poremećaj svesti Zaostajanje u psihomotornom razvoju Problemi sa vidom, sluhom, govorom
Vrtoglavica Poremećaj hoda i ravnoteže
Slabost ekstremiteta Nevoljni pokreti
Bolovi, trnjenje, mravinjanje, bockanje Poremećaj funkcije sfinktera
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KONVULZIJE = KRIZE SVESTI = NAPADI
U febrilnom stanju
Bez povišene temperature
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FEBRILNE KONVULZIJE(FK) 3-5 % DECE
Uzrast + povišena t + nasledje
30- 40 % ima recidiv !
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FK – DIFERENCIJALNA DIJAGNOZA
Febrilna drhtavica Febrilni delirijum
Metabolički poremećaji
Meningitis (konvulzije 30 %) Encefalitis (konvulzije 67 %)
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AFEBRILNI NAPAD
= akutni poremećaj funkcije neurona
* Povreda glave* Bolesti drugih organskih sistema* Nema očiglednog uzroka
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EPILEPSIJA 0.5 % DECE
= hronični poremećaj funkcije neurona
Idiopatska 30 % Simptomatska 20 %
Kriptogena 50 %
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EPILEPSIJA
GENERALIZOVANA = gubitak svesti ! - toničko-klonički napadi (GTK)
- absansi
PARCIJALNA - Sa jednostavnom simptomatologijom - Sa kompleksnom simptomatologijom
EPILEPTIČKI SINDROMI (Sy West)
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PAROKSIZMALNI NEEPILEPTIČKI POREMEĆAJI10 - 60 % DECE
Sinkopa Zacenjivanje
Pseudoepileptički napadi Tikovi
Napadi besa Napadi panike
Noćni strah, somnambulizam, mioklonus Infantilna onanija
Motorne stereotipije
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GLAVOBOLJA
7 godina : 31 % dece
15 godina : 70 % dece
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GLAVOBOLJA Prema uzroku
- primarna - sekundarna (simptomatska)
Prema vremenskom profilu - akutna
- hronična - rekurentna(epizodična)
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NAJČEŠĆA GLAVOBOLJA
Akutna, difuzna, kratkotrajna - prehlada, grip
- infekcija gornjih respiratornih puteva - sinuzitis
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Moždani tumor Hidrocefalus
Intrakranijalno krvarenje Moždani infarkt
Meningitis Encefalitis
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MIGRENA 5 - 15 godina : 3 – 5 % 15 – 19 godina : 10 – 20 %
Provokativni faktori : Nutritivni Poremećaj spavanja Stres
AURA !
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SINDROM “ALISA U ZEMLJI ČUDA”
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KOMPLIKOVANA MIGRENA
Bazilarna Oftalmoplegična
Hemiplegična Konfuziona Retinalna
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MIGRENSKI EKVIVALENTI
Ciklično povraćanje (malo i pretškolsko dete)
Abdominalna migrena (školsko dete)
Benigni paroksizmalni vertigo Benigni paroksizmalni tortikolis (do 3
godine)
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TENZIONA GLAVOBOLJA Mladji od 12 godina : 7 %
Adolescenti : 12 %
Provokativni faktor : STRES
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MLITAVO ODOJČE
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MLITAVO ODOJČE
Akutna encefalopatija - perinatalna - neonatalna Hronična encefalopatija - kongenitalna infekcija / malformacije - hromozomopatija / dismorfični
sindromi
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MLITAVO ODOJČE
Trauma Malformacije
Ishemija/hipoksija Infekcija
Spinalna mišićna atrofija
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MLITAVO ODOJČE
Polineuropatija
Sindrom Guillain-Barre
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MLITAVO ODOJČE
Myasthenia gravis Infantilni botulizam
Kongenitalne miopatije Metabolički poremećaji
Zapaljenje
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AKUTNA MLITAVA ODUZETOST
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SINDROM GUILLAIN-BARRE 1-2 /100 000
akutni postinfektivni poliradikuloneuritis
Akutna mišićna slabost Bol, parestezije
Paralize kranijalnih nerava Autonomna disfunkcija ( 30 %)
Poremećaj sfinktera ( 20 %)
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CEREBRALNA PARALIZA 2-3/1000 Poremećaj motorne funkcije
Oštećenje nezrelog mozga
Nije progresivna Nije izlečiva !
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CEREBRALNA PARALIZA - HOSPITALIZACIJA
Epilepsija Infekcije Anemija
Aspiraciona pneumonija Dehidracija
Malnutricija (NG sonda, PEG)
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TUMOR MOZGA
Godišnje : 1 – 5 / 100 000 dece