Clinical approach to neurodegenerative disorders in childhood: an updated overview

Acta Neurol Belg. 2019 Dec;119(4):511-521. doi: 10.1007/s13760-019-01160-0. Epub 2019 Jun 3.

Abstract

Neurodegenerative disorders include a group of severe diseases that share a core including a gradual loss of previously acquired motor, sensory and cognitive functions. In pediatric age, the main diagnostic issues are the discrimination between the loss of previously acquired competencies and the lack of achievement of specific developmental milestones. An ideal classification of these disorders could be based on the combination of genetic, clinical and neuroimaging features. Diagnostic workup should be organized with a special attention to the few diseases with an available and effective therapeutic treatment. The present paper reports a proposal of classification that is based on the prominently involved structure and summarizes the hallmarks for clinical approach and therapeutic management.

Keywords: Epileptic encephalopathies; Leukoencephalopathies; Lysosomal storage diseases; Neuronal ceroid lipofuscinosis; Ponto-cerebellar hypoplasia; Spinal muscular atrophy.

Publication types

  • Review

MeSH terms

  • Brain / diagnostic imaging*
  • Child
  • Disease Management
  • Humans
  • Neurodegenerative Diseases / diagnostic imaging*
  • Neurodegenerative Diseases / therapy
  • Spinal Cord / diagnostic imaging*
  • White Matter / diagnostic imaging