Child Neurodisability

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Child Neurology".

Deadline for manuscript submissions: closed (17 December 2021) | Viewed by 18855

Special Issue Editors


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Guest Editor
Neonatal Intensive Care Unit [NICU], Neonatal COVID-19 Center, AOU “Policlinico”, PO “San Marco”, University of Catania, Italy
Interests: neurological disease and neuromuscular disease in children and in newborns; epilepsy and encephalopathies

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Guest Editor
Department of Clinical and Experimental Medicine Section of Pediatrics and Child Neuropsychiatry, AUO San Marco-Policlinco, University of Catania, Italy
Interests: neurological disease; neurocutaneuos diseases and neuromuscular disease in children and in newborns; epilepsy and encephalopathies; genetic pathologies
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Guest Editor
Unit of Pediatrics and Pediatric Emergency, AOU "Rodolico-San Marco", PO "San Marco", University of Catania, 95124 Catania, Italy
Interests: neurological disease; neurocutaneous diseases and neuromuscular disease in children and in newborns; epilepsy and encephalopathies; pediatric ultrasound; children pharmacology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Many child-onset chronic health conditions are associated with functional limitations (traditionally referred to as “disabilities”). Some authors use the term neurodisability to refer to “a group of congenital or acquired long-term conditions that are attributed to impairment of the brain and/or neuromuscular system that create functional limitations, including difficulties with movement, cognition, hearing and vision, communication, emotion, and behavior”. 

Historically, this population has been variably referred to as children with neurodevelopmental disorders or with neurodevelopmental disabilities, with these two terms often used interchangeably. However, it is important to differentiate the terms “disability” and “disorder”. Children with neurological pathologies imply a deep knowledge of the disease, related disorders, and possible complications with multidisciplinary management. Furthermore, neurodisability in children negatively impacts the family by lowering their quality of life.

The goal of this Special Issue of Children is to describe the early identification of neurological diseases for a precocious and targeted therapeutic intervention, for adequate management, and, finally, for a better outcome and better life quality in family members. Usually, it is assumed that in the pediatric age, brain plasticity is maximum, resulting in a better prognosis; however, the possibility of reducing the severity of symptomatic expression and functional relapses is not always as strong as expected. Increased knowledge of the biological basis and pathogenetic mechanisms of neurogenetic and neurometabolic diseases has led to an increase in clinical areas in which there are real possibilities to favorably affect early diagnosis, treatment, and sometimes even prevention of neurological disorders: already in some rare and multisystemic diseases, targeted and personalized therapies are able to modify the path of the disease itself and thus prevent severe secondary neurodisabilities. Today, evidence is being issued of the efficacy of targeted interventions in asymptomatic or paucisymptomatic children that appear to prevent or modify the trajectories of potential development of neurodisability.

 

Prof. Raffaele Falsaperla
Prof. Martino Ruggieri
Dr. Silvia Marino
Guest Editors

Manuscript Submission Information

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Keywords

  • Children
  • Newborns
  • Nervous system
  • Neruodisability
  • Neurological involvement
  • Epilepsy
  • Rehabilitation
  • Cerebral palsy
  • Craniostenosis
  • Microcephaly

Published Papers (6 papers)

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Research

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10 pages, 3388 KiB  
Article
Factors Influencing the Progression and Direction of Scoliosis in Children with Neurological Disorders
by Yeun-Jie Yoo, Jung-Geun Park, Leechan Jo, Youngdeok Hwang, Mi-Jeong Yoon, Joon-Sung Kim, Seonghoon Lim and Bo-Young Hong
Children 2022, 9(1), 81; https://doi.org/10.3390/children9010081 - 06 Jan 2022
Cited by 2 | Viewed by 3827
Abstract
(1) Background: scoliosis is highly prevalent in children with neurological disorders, however, studies predicting the progression and affecting the direction of scoliosis have been insufficient. We investigated the factors associated with the progression and direction of scoliosis in children with neurological disorders. (2) [...] Read more.
(1) Background: scoliosis is highly prevalent in children with neurological disorders, however, studies predicting the progression and affecting the direction of scoliosis have been insufficient. We investigated the factors associated with the progression and direction of scoliosis in children with neurological disorders. (2) Method: retrospectively, 518 whole spine radiographs from 116 patients were used for analysis. Factors affecting the progression of scoliosis over time were analyzed using linear mixed-effects model. Factors associated with the apex direction of the scoliosis were analyzed. (3) Results: pelvic obliquity (PO) ≥ 2.5°, gross motor function classification system level V, vertebral rotation, and female sex significantly affect the progression of scoliosis (p = 0.04, <0.001, <0.001, 0.005, respectively). The higher side of PO and the apex side of scoliosis were interrelated (χ² = 14.58, p < 0.001), but the asymmetrical neurological upper extremity involvement was not. (4) Conclusions: severely impaired gross motor function, PO, vertebral rotation, and female sex were significantly related to the progression of scoliosis. The higher side of PO was opposite to the apex side of scoliosis. By identifying the factors that influence the progression of scoliosis, patients at high risk could be more actively intervened to minimize the severe complications. Full article
(This article belongs to the Special Issue Child Neurodisability)
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16 pages, 3185 KiB  
Article
Incidence of Neonatal Abstinence Syndrome (NAS) in Castilla y Leon (Spain)
by Miriam Moreno-Ramos, Mercedes Sánchez-Barba, Rubén García Sánchez, José Antonio Mirón-Canelo and Veronica González-Nuñez
Children 2022, 9(1), 25; https://doi.org/10.3390/children9010025 - 30 Dec 2021
Cited by 1 | Viewed by 1814
Abstract
Introduction: Neonatal Abstinence Syndrome (NAS) is considered a Public Health problem that is defined as a group of symptoms that appear in the newborn due to withdrawal from intrauterine drug exposure. Objective: The aim of this study was to analyze the incidence of [...] Read more.
Introduction: Neonatal Abstinence Syndrome (NAS) is considered a Public Health problem that is defined as a group of symptoms that appear in the newborn due to withdrawal from intrauterine drug exposure. Objective: The aim of this study was to analyze the incidence of NAS in Castilla y León from 2000 to 2019. Methodology: Data of NAS cases in Castilla y León from 2000 to 2019 were obtained. NAS incidence per 1000 births was calculated and the correlation among data from different provinces and years was analyzed. Results: The cumulative incidence of NAS in Castilla y León per 1000 births between 2000-2019 was 0.91‰, with great interprovincial variability. The provinces of Zamora and Palencia stand out, with high incidence rates of NAS despite their low birth rates. The temporal trend points towards a decrease in incidence from 2000 to 2019. Opioids such as methadone, cannabis, benzodiazepines and poly-drug use are the most prevalent drugs causing NAS, and it has also been observed that methadone is being replaced by cannabis as the major cause of NAS cases at the University Hospital in Salamanca in recent years. Conclusions: The incidence of NAS in Castilla y León decreased in 2004 and remained constant until 2019, but it shows great interprovincial variability. It is necessary to implement a national NAS Registry to obtain comprehensive information regarding its incidence. Full article
(This article belongs to the Special Issue Child Neurodisability)
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11 pages, 1277 KiB  
Article
Botulinum Toxin Injections for Treatment of Drooling in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis
by Shang-An Hung, Chung-Lun Liao, Wei-Pin Lin, Jason C. Hsu, Yao-Hong Guo and Yu-Ching Lin
Children 2021, 8(12), 1089; https://doi.org/10.3390/children8121089 - 25 Nov 2021
Cited by 12 | Viewed by 2613
Abstract
Background: We aimed to review and analyse the effectiveness and safety of botulinum toxin type A (BoNT-A) injections for drooling in children with cerebral palsy. Data sources: We searched the EMBASE, MEDLINE, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled [...] Read more.
Background: We aimed to review and analyse the effectiveness and safety of botulinum toxin type A (BoNT-A) injections for drooling in children with cerebral palsy. Data sources: We searched the EMBASE, MEDLINE, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library) databases from inception to January 2020. Methods: We included randomized controlled trials and observational studies which (1) involved children with cerebral palsy, (2) used BoNT-A for control of drooling, and (3) provided quantitative evaluations of drooling before and after intervention with BoNT-A. Results: Twenty-one trials met the inclusion criteria. Most studies showed that BoNT-A injections are safe and efficacious as a treatment for drooling in children with cerebral palsy. Four trials had sufficient data to pool the results for the meta-analysis. Both the drooling quotient (p = 0.002) and drooling Ffrequency and severity scale (p = 0.004) supported this conclusion. Conclusion: BoNT-A injections are a safe, reversible, effective treatment for drooling control in children with cerebral palsy that can offer effectiveness for more than 3 months with few side effects. The dosage of BoNT-A should not exceed 4 units/kg. Further studies are required to determine the optimal dosage and target glands. Full article
(This article belongs to the Special Issue Child Neurodisability)
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10 pages, 261 KiB  
Article
How Does the Cause of Infantile Hemiparesis Influence Other Conditioning Factors? A Preliminary Study in a Spanish Population
by Rocío Palomo-Carrión, Rita Pilar Romero-Galisteo, Helena Romay-Barrero, Inés Martínez-Galán, Cristina Lirio-Romero and Elena Pinero-Pinto
Children 2021, 8(5), 323; https://doi.org/10.3390/children8050323 - 22 Apr 2021
Cited by 2 | Viewed by 2330
Abstract
Infantile hemiparesis may be associated with significant morbidity and may have a profound impact on a child’s physical and social development. Infantile hemiparesis is associated with motor dysfunction as well as additional neurologic impairments, including sensory loss, mental retardation, epilepsy, and vision, hearing, [...] Read more.
Infantile hemiparesis may be associated with significant morbidity and may have a profound impact on a child’s physical and social development. Infantile hemiparesis is associated with motor dysfunction as well as additional neurologic impairments, including sensory loss, mental retardation, epilepsy, and vision, hearing, or speech impairments. The objective of this study was to analyze the association between the cause of infantile hemiparesis and birth (gestational age), age of diagnosis, and associated disorders present in children with infantile hemiparesis aged 0 to 3 years. An observational and cross-sectional study was performed. A simple and anonymous questionnaire was created ad hoc for parents of children diagnosed with infantile hemiparesis aged between 0 and 3 years about the situation regarding the diagnosis of hemiparesis, birth, cause of hemiparesis, and presence of other associated disorders. Perinatal stroke (60.1%) was the most common cause of hemiparesis, and the most typical associated disorder was epilepsy (34.2%), with the second largest percentage in this dimension corresponding to an absence of associated disorders (20.7%). The most frequent birth was “no premature” (74.1%). The mean age of diagnosis of infantile hemiparesis was registered at 8 months (IQR: 0–36). Knowing the possible association between different conditioning factors and the cause of infantile hemiparesis facilitates the prevention of severe sequelae in children and family, implementing an early comprehensive therapeutic approach in children with infantile hemiparesis. Full article
(This article belongs to the Special Issue Child Neurodisability)
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Review

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8 pages, 1360 KiB  
Review
The Evolution of the Role of Imaging in the Diagnosis of Craniosynostosis: A Narrative Review
by Giovanni Cacciaguerra, Monica Palermo, Lidia Marino, Filippo Andrea Salvatore Rapisarda, Piero Pavone, Raffaele Falsaperla, Martino Ruggieri and Silvia Marino
Children 2021, 8(9), 727; https://doi.org/10.3390/children8090727 - 25 Aug 2021
Cited by 7 | Viewed by 2941
Abstract
Craniosynostosis, the premature closure of cranial sutures, is one of the principal causes of pediatric skull deformities. It can cause aesthetic, neurological, acoustic, ophthalmological complications up to real emergencies. Craniosynostosis are primarily diagnosed with accurate physical examination, skull measurement and observation of the [...] Read more.
Craniosynostosis, the premature closure of cranial sutures, is one of the principal causes of pediatric skull deformities. It can cause aesthetic, neurological, acoustic, ophthalmological complications up to real emergencies. Craniosynostosis are primarily diagnosed with accurate physical examination, skull measurement and observation of the deformity, but the radiological support currently plays an increasingly important role in confirming a more precise diagnosis and better planning for therapeutic interventions. The clinician must know how to diagnose in the earliest and least invasive way for the child. In the past, technological limitations reduced the choices; today, however, there are plenty of choices and it is necessary to use the various types of available imaging correctly. In the future, imaging techniques will probably rewrite the common classifications we use today. We provide an updated review of the role of imaging in this condition, through the ages, to outline the correct choice for the clinician for an early and non-invasive diagnosis. Full article
(This article belongs to the Special Issue Child Neurodisability)
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Other

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7 pages, 669 KiB  
Case Report
Decline in Motor Function during the COVID-19 Pandemic Restrictions and Its Recovery in a Child with Cerebral Palsy: A Case Report
by Daiki Asano, Naoko Kikuchi, Toru Yamakawa and Shu Morioka
Children 2021, 8(6), 511; https://doi.org/10.3390/children8060511 - 17 Jun 2021
Cited by 5 | Viewed by 4248
Abstract
Children with cerebral palsy (CP) experience various restrictions owing to their underdeveloped mobility. Home confinement due to the coronavirus disease 2019 pandemic may further increase these restrictions. We report the case of a 7-year-old boy with CP (Gross Motor Function Classification System level [...] Read more.
Children with cerebral palsy (CP) experience various restrictions owing to their underdeveloped mobility. Home confinement due to the coronavirus disease 2019 pandemic may further increase these restrictions. We report the case of a 7-year-old boy with CP (Gross Motor Function Classification System level IV) whose motor function declined during the period when physical therapy was discontinued due to lockdown, approximately four months. At the end of the home confinement, the patient’s ability to maintain a sitting posture and weight-bearing capacity of the lower extremities decreased. His Gross Motor Function Measure total score also decreased from 34.5% to 31.9%. After resuming physical therapy, the patient recovered the function status seen before the discontinuation of physical therapy, but this took almost twice as long as the confinement period. We reaffirm that frequent physical therapy is crucial for maintaining motor function in non-ambulatory children with CP. As a countermeasure for the future, urgent efforts are needed for the development of telerehabilitation. Full article
(This article belongs to the Special Issue Child Neurodisability)
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