Dystonia in children and adolescents : A systematic review and a new diagnostic algorithm
(2015) In Journal of Neurology, Neurosurgery and Psychiatry 86(7). p.774-781- Abstract
Early aetiological diagnosis is of paramount importance for childhood dystonia because some of the possible underlying conditions are treatable. Numerous genetic and non-genetic causes have been reported, and diagnostic workup is often challenging, time consuming and costly. Recently, a paradigm shift has occurred in molecular genetic diagnostics, with next-generation sequencing techniques now allowing us to analyse hundreds of genes simultaneously. To ensure that patients benefit from these new techniques, adaptation of current diagnostic strategies is needed. On the basis of a systematic literature review of dystonia with onset in childhood or adolescence, we propose a novel diagnostic strategy with the aim of helping clinicians... (More)
Early aetiological diagnosis is of paramount importance for childhood dystonia because some of the possible underlying conditions are treatable. Numerous genetic and non-genetic causes have been reported, and diagnostic workup is often challenging, time consuming and costly. Recently, a paradigm shift has occurred in molecular genetic diagnostics, with next-generation sequencing techniques now allowing us to analyse hundreds of genes simultaneously. To ensure that patients benefit from these new techniques, adaptation of current diagnostic strategies is needed. On the basis of a systematic literature review of dystonia with onset in childhood or adolescence, we propose a novel diagnostic strategy with the aim of helping clinicians determine which patients may benefit by applying these new genetic techniques and which patients first require other investigations. We also provide an up-to-date list of candidate genes for a dystonia gene panel, based on a detailed literature search up to 20 October 2014. While new genetic techniques are certainly not a panacea, possible advantages of our proposed strategy include earlier diagnosis and avoidance of unnecessary investigations. It will therefore shorten the time of uncertainty for patients and their families awaiting a definite diagnosis.
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- author
- Van Egmond, Martje E. ; Kuiper, Anouk ; Eggink, Hendriekje ; Sinke, Richard J. ; Brouwer, Oebele F. ; Verschuuren-Bemelmans, Corien C. ; Sival, Deborah A. ; Tijssen, Marina A.J. and De Koning, Tom J. LU
- publishing date
- 2015-07-01
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Neurology, Neurosurgery and Psychiatry
- volume
- 86
- issue
- 7
- pages
- 8 pages
- publisher
- BMJ Publishing Group
- external identifiers
-
- scopus:84939238828
- pmid:25395479
- ISSN
- 0022-3050
- DOI
- 10.1136/jnnp-2014-309106
- language
- English
- LU publication?
- no
- id
- 1a27f574-799d-40a6-a252-ec9276248ef0
- date added to LUP
- 2020-02-26 10:04:14
- date last changed
- 2024-04-03 02:12:15
@article{1a27f574-799d-40a6-a252-ec9276248ef0,
abstract = {{<p>Early aetiological diagnosis is of paramount importance for childhood dystonia because some of the possible underlying conditions are treatable. Numerous genetic and non-genetic causes have been reported, and diagnostic workup is often challenging, time consuming and costly. Recently, a paradigm shift has occurred in molecular genetic diagnostics, with next-generation sequencing techniques now allowing us to analyse hundreds of genes simultaneously. To ensure that patients benefit from these new techniques, adaptation of current diagnostic strategies is needed. On the basis of a systematic literature review of dystonia with onset in childhood or adolescence, we propose a novel diagnostic strategy with the aim of helping clinicians determine which patients may benefit by applying these new genetic techniques and which patients first require other investigations. We also provide an up-to-date list of candidate genes for a dystonia gene panel, based on a detailed literature search up to 20 October 2014. While new genetic techniques are certainly not a panacea, possible advantages of our proposed strategy include earlier diagnosis and avoidance of unnecessary investigations. It will therefore shorten the time of uncertainty for patients and their families awaiting a definite diagnosis.</p>}},
author = {{Van Egmond, Martje E. and Kuiper, Anouk and Eggink, Hendriekje and Sinke, Richard J. and Brouwer, Oebele F. and Verschuuren-Bemelmans, Corien C. and Sival, Deborah A. and Tijssen, Marina A.J. and De Koning, Tom J.}},
issn = {{0022-3050}},
language = {{eng}},
month = {{07}},
number = {{7}},
pages = {{774--781}},
publisher = {{BMJ Publishing Group}},
series = {{Journal of Neurology, Neurosurgery and Psychiatry}},
title = {{Dystonia in children and adolescents : A systematic review and a new diagnostic algorithm}},
url = {{http://dx.doi.org/10.1136/jnnp-2014-309106}},
doi = {{10.1136/jnnp-2014-309106}},
volume = {{86}},
year = {{2015}},
}