Ozan KOCAK, Kürşat Bora CARMAN, Çoşkun YARAR

Çocuklarda Ayna Hayali Hareketler; Tek Merkez Deneyimi

Ayna hayali hareketler(MMs), kontralateral homolog kaslarda istemli aktiviteye eşlik eden istemsiz hareketlerdir. Ayna hayali hareketleri, bir dizi patolojik durumla ilişkilendirilmiştir, ayrıca çocuklukta fizyolojik olarak, on yaşından önce ortaya çıkabilir. Bu çalışmada, ayna hayali hareket saptanan 27 hastanın etiyolojik ve klinik özelliklerini retrospektif olarak değerlendirdik.Hastaların klinik, demografik ve laboratuvar verileri retrospektif olarak değerlendirildi. Ayna hayali hareketlerin değerlendirmesi için Rasmussen ölçeği kullanıldı.İki hasta fizyolojik MMs olarak değerlendirildi. On bir hasta unilateral spastik serebral palsi ve 14 hasta ise hemiplejik olmayan çocuklardı.Bu çalışma, çocuklarda en büyük MMs vaka serilerinden biridir. Bu çalışmada ayna hayali hareketler ile birlikteliği ilk defa gösterilen hastalıklar da tanımlanmıştır. En azından risk gruplarında, ayna hayali hareketlerin saptanması için yapılacak bir değerlendirmenin, nörolojik muayenenin bir parçası olabileceğine inanıyoruz.

Anahtar Kelimeler:

Çocuk, ayna hayali hareketler

Mirror Movement in Children; A Single Center Experience

Mirror movements (MMs) are involuntary movements accompanying voluntary activity in contralateral homologous muscle. Mirror movements have been associated with a number of pathologic conditions, also it might occur physiologically in childhood and subside before the age of ten. In this study, we retrospectively evaluate etiologic and clinical features of the 27 patients with MMs.Clinical, demographic and laboratory data of the patients were obtained by evaluating medical records retrospectively. The Rasmussen scale was used to measure the severity of the MMs. Two children were diagnosed as physiologic MMs. Eleven children were unilateral spastic cerebral palsy and 14 patients were non-hemiplegic children. This study is one of the largest case series of MMs in children. We identified new disorders with MMs by using the Rasmussen scale. We suggest that an evaluation for MMs may be a part of neurologic examinations, at least in risk groups

Keywords:

children, mirror movement,

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