Süt Çocuğunda Nörolojik Muayene
Özet
Çocukluk çağında nörolojik muayene, bilişsel fonksiyonların değerlendirilmesiyle başlayıp kraniyal sinirler, motor sistem ve reflekslerin sistematik incelenmesiyle devam eden kapsamlı bir süreçtir. Muayene sırasında çocuğun güvenini kazanmak ve yaşına uygun gelişim basamaklarını gözlemlemek, doğru tanı koymak ve hastalıkların progresyonunu takip etmek açısından kritik önem taşır. Süreç; derin tendon refleksleri, duyusal algı ve serebellar koordinasyon testleriyle tamamlanarak merkezi veya periferik sinir sistemindeki olası patolojilerin nöroanatomik lokalizasyonunu belirlemeyi amaçlar.
The pediatric neurological examination is a systematic process that begins with the assessment of cognitive functions and continues with the detailed evaluation of cranial nerves, the motor system, and reflexes. Establishing the child's trust and observing age-appropriate developmental milestones are crucial for accurate diagnosis and monitoring disease progression. The examination is finalized through deep tendon reflexes, sensory perception, and cerebellar coordination tests to identify the neuroanatomical localization of potential pathologies within the central or peripheral nervous system.
Referanslar
Swaiman KF. Neurologic Examination after the Newborn Period until 2 Years of Age. In: Swaiman KF AS, Ferriero DM, Schor NF (Editors). editor. Swaiman’s Pediatric Neurology. Fifth. China: Elsevier Inc; 2012. p. 23-177.
Swaiman KF. General Aspects of the Patient’s Neurologic History. In: Swaiman KF AS, Ferriero DM, Schor NF (Editors). editor. Swaiman’s Pediatric Neurology China: Elsevier Inc; 2012. p. 1-123.
Scharf RJ, Scharf GJ, Stroustrup A. Developmental Milestones. Pediatr Rev. 2016;37(1):25-37; quiz 8, 47.
Malik F, Marwaha R. Developmental Stages of Social Emotional Development In Children. 2021 Jun 10. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan–. PMID: 30521240.
Nass R TD. Developmental Language Disorder. In: Swaiman KF AS, Ferriero DM, Schor NF (Editors). editor. Swaiman’s Pediatric Neurology. Fifth Edition ed. China: Elsevier Inc; 2012. p. 604-12.
Noritz GH, Murphy NA, Neuromotor Screening Expert P. Motor Delays: Early Identification and Evaluation. Pediatrics. 2013;131(6): e2016.
Zwaigenbaum L, Bauman ML, Fein D, Pierce K, Buie T, Davis PA, et al. Early Screening of Autism Spectrum Disorder: Recommendations for Practice and Research. Pediatrics. 2015;136 Suppl 1:S41-59.
Lehman RK, Schor NF.Neurologic Evaluation.Nelson Texbook of Pediatrics. 20 th Edition. Kliegman RM, Stanton BF, St Geme III JW, Schor NF, Behrman RE (Editors). Philadelphia. 2016 byElsevier, Inc.. p.2791-2802.e1.
Yapıcı Z. Çocuğun Nörolojik Gelişimi ve Muayenesi. In: Öge E BB, editor. Nöroloji. 2 ed. İstanbul: Nobetl Kitap Evileri; 2011. p. 127-33.
Yapıcı Z. Çocukta Nörolojik Gelişim ve Muayeneye Genel Bakış. In: Öge E BB, editor. Nöroloji. 2.Baskı. İstanbul: Nobel Kitap Evleri; 2011. p. 117-25.
Sanger TD, Mink JW. Movement Disorders. Swaiman KF, Ashwal S, Ferriero DM, Schor NF (Editors). Swaiman’s Pediatric Neurology. Fifth Edition. Printed in China: Elsevier Inc; 2012.p.965-998.
Salandy S, Rai R, Gutierrez S, Ishak B, Tubbs RS. Neurological examination of the infant: A Comprehensive Review. Clin Anat. 2019;32(6):770-7.
Apak S, Özmen M, Korkmazlar Ü. Bölüm IV; Süt Çocuğunun Gelişim Nörolojisi. Apak S (Editör). Gelişim Nörolojisi. Genişletilmiş 2.inci Baskı. İstanbul: Bayrak Mabaacılık; 1989. p. 165-279.
Haslam RH. Clinical neurological examination of infants and children. Handbook of clinical neurology. 2013;111:17-25.
Apak S. Bölüm: II; Nörolojik Gelişme. Apak S (Editör). Gelişim Nörolojisi. Genişletilmiş 2.inci Baskı. İstanbul: Bayrak Mabaacılık; 1989. p. 35-91.
Adolph KE, Franchak JM. The development of motor behavior. Wiley Interdiscip Rev Cogn Sci. 2017;8(1-2).
Ghassabian A, Sundaram R, Bell E, Bello SC, Kus C, Yeung E. Gross Motor Milestones and Subsequent Development. Pediatrics. 2016;138(1).
Harb A, Kishner S. Modified Ashworth Scale. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2021, StatPearls Publishing LLC.; 2021.
Hadders-Algra M. The neuromotor examination of the preschool child and its prognostic significance. Ment Retard Dev Disabil Res Rev. 2005;11(3):180-8.
Campbell WW, DeJong RN. DeJong's the neurologic examination: Lippincott Williams & Wilkins; 2005.
Katz K, Rosenthal A, Yosipovitch Z. Normal ranges of popliteal angle in children. J Pediatr Orthop. 1992;12(2):229-31.
Rw B, Smith M. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys ther. 1987;67(2):206-7.
Dubowitz L, Ricciw D, Mercuri E. The Dubowitz neurological examination of the full‐term newborn. Mental retardation and developmental disabilities research reviews. 2005;11(1):52-60.
Sindou M, Joud A, Georgoulis G. Neurophysiological mechanisms of hypertonia and hypotonia in children with spastic cerebral palsy: surgical implications. Childs Nerv Syst. 2020;36(9):1919-24.
Swaiman KF, Brown LW. NeurologicExaminationaftertheNewbornPerioduntil 2 Years of Age. Swaiman KF, Ashwal S, Ferriero DM, Schor NF (Editors). Swaiman’sPediatricNeurology. Fifth Edition. Printed in China: ElsevierInc; 2012.p.e33-e42.
Sables-Baus S, Robinson MV. Pediatric neurologic exam. International emergency nursing. 2011;19(4):199-205.
Shargorodsky J, Lin HW, Gopen Q. Facial nerve palsy in the pediatric population. Clinical pediatrics. 2010;49(5):411-7.
Swaiman KF. Neurologic Examination of the Term and Preterm Infant. Swaiman KF, Ashwal S, Ferriero DM, Schor NF (Editors). Swaiman’sPediatricNeurology. Fifth Edition. Printed in China: ElsevierInc; 2012.p.e43-e59.
Schott J, Rossor M. The grasp and other primitive reflexes. Journal of Neurology, Neurosurgery & Psychiatry. 2003;74(5):558-60.
Kotagal S. Detailed neurologic assessment of infants and children.Section Editor: Douglas R Nordli, Jr. Aug 2021.
Saka, N. in Gelişim Nörolojisi. Genişletilmiş Baskı. (Editör: S. Apak) 3-31 (Bayrak Matbaacılık, 1989).
Shargorodsky, J., Lin, H. W. & Gopen, Q. Facial nerve palsy in the pediatric population. Clinical pediatrics 49, 411-417 (2010).
Caramant L, Diadori P. The neurologic examination. In: Current Management in Child Neurology, 2nd, Maria BL (Ed), BC Dekker, Inc, 2002. p.28.
Glascoe FP, Marks KP. Screening for developmental and behavioral problems. In: Neurodevelopmental Disabilities: Clinical and Scientific Foundations, Shevell M (Ed), MacKeith Press for the International Child Neurology Association, London 2009. p.85.
Hız S. Nörolojik gelişme geriliği riski olan sütçocuklarının erken belirlenmesinin önemi ve klinisyenin rolü. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi, 2007:21(3);195-205.
Pina-Garza JE. Psychomotor Retardation and Regresion. Fenichels’s Clinical Pediatric Neurology. Seventh Edition. Elsevier Saunders; 2013 p. 113-146.