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Symptomatic asymmetry in the first six months of life: differential diagnosis

Asymmetry in infancy is a clinical condition with a wide variation in appearances (shape, posture, and movement), etiology, localization, and severity. The prevalence of an asymmetric positional preference is 12% of all newborns during the first six months of life. The asymmetry is either idiopathic...

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Detalles Bibliográficos
Autores principales: Nuysink, Jacqueline, van Haastert, Ingrid C., Takken, Tim, Helders, Paul J. M.
Formato: Texto
Lenguaje:English
Publicado: Springer-Verlag 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2292481/
https://www.ncbi.nlm.nih.gov/pubmed/18317801
http://dx.doi.org/10.1007/s00431-008-0686-1
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author Nuysink, Jacqueline
van Haastert, Ingrid C.
Takken, Tim
Helders, Paul J. M.
author_facet Nuysink, Jacqueline
van Haastert, Ingrid C.
Takken, Tim
Helders, Paul J. M.
author_sort Nuysink, Jacqueline
collection PubMed
description Asymmetry in infancy is a clinical condition with a wide variation in appearances (shape, posture, and movement), etiology, localization, and severity. The prevalence of an asymmetric positional preference is 12% of all newborns during the first six months of life. The asymmetry is either idiopathic or symptomatic. Pediatricians and physiotherapists have to distinguish symptomatic asymmetry (SA) from idiopathic asymmetry (IA) when examining young infants with a positional preference to determine the prognosis and the intervention strategy. The majority of cases will be idiopathic, but the initial presentation of a positional preference might be a symptom of a more serious underlying disorder. The purpose of this review is to synthesize the current information on the incidence of SA, as well as the possible causes and the accompanying signs that differentiate SA from IA. This review presents an overview of the nine most prevalent disorders in infants in their first six months of life leading to SA. We have discovered that the literature does not provide a comprehensive analysis of the incidence, characteristics, signs, and symptoms of SA. Knowledge of the presented clues is important in the clinical decision making with regard to young infants with asymmetry. We recommend to design a valid and useful screening instrument.
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spelling pubmed-22924812008-04-11 Symptomatic asymmetry in the first six months of life: differential diagnosis Nuysink, Jacqueline van Haastert, Ingrid C. Takken, Tim Helders, Paul J. M. Eur J Pediatr Review Asymmetry in infancy is a clinical condition with a wide variation in appearances (shape, posture, and movement), etiology, localization, and severity. The prevalence of an asymmetric positional preference is 12% of all newborns during the first six months of life. The asymmetry is either idiopathic or symptomatic. Pediatricians and physiotherapists have to distinguish symptomatic asymmetry (SA) from idiopathic asymmetry (IA) when examining young infants with a positional preference to determine the prognosis and the intervention strategy. The majority of cases will be idiopathic, but the initial presentation of a positional preference might be a symptom of a more serious underlying disorder. The purpose of this review is to synthesize the current information on the incidence of SA, as well as the possible causes and the accompanying signs that differentiate SA from IA. This review presents an overview of the nine most prevalent disorders in infants in their first six months of life leading to SA. We have discovered that the literature does not provide a comprehensive analysis of the incidence, characteristics, signs, and symptoms of SA. Knowledge of the presented clues is important in the clinical decision making with regard to young infants with asymmetry. We recommend to design a valid and useful screening instrument. Springer-Verlag 2008-03-04 2008-06 /pmc/articles/PMC2292481/ /pubmed/18317801 http://dx.doi.org/10.1007/s00431-008-0686-1 Text en © The Author(s) 2008
spellingShingle Review
Nuysink, Jacqueline
van Haastert, Ingrid C.
Takken, Tim
Helders, Paul J. M.
Symptomatic asymmetry in the first six months of life: differential diagnosis
title Symptomatic asymmetry in the first six months of life: differential diagnosis
title_full Symptomatic asymmetry in the first six months of life: differential diagnosis
title_fullStr Symptomatic asymmetry in the first six months of life: differential diagnosis
title_full_unstemmed Symptomatic asymmetry in the first six months of life: differential diagnosis
title_short Symptomatic asymmetry in the first six months of life: differential diagnosis
title_sort symptomatic asymmetry in the first six months of life: differential diagnosis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2292481/
https://www.ncbi.nlm.nih.gov/pubmed/18317801
http://dx.doi.org/10.1007/s00431-008-0686-1
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