Normal neurological outcome after congenital thyrotoxicosis: prognostic value of observation of general movements.
We followed up a patient born preterm with congenital thyrotoxicosis by observing her general movements (GMs) in accordance with Prechtl's method. Initially a chaotic pattern was observed. Along with the normalization of thyroid hormones, the GM pattern changed to a poor repertoire at four weeks of life, full-blown writhing movements at six weeks and fidgety movements at the age of four months. This is the first report of chaotic GMs in a neonate reflecting transient neurological dysfunction related to congenital thyrotoxicosis, with subsequent normal neurological and cognitive outcome.
Gaboli
M
M
Paediatric Neurology Unit, Department of Paediatrics, University of Navarra Medical School, Pamplona, Spain.
Aguilera
S
S
Azcona
C
C
Alzina
V
V
Narbona
J
J
D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000175:diagnosis*; D009069:Movement Disorders / Q000175:diagnosis*; D009460:Neurologic Examination; D013967:Thyroiditis, Autoimmune / Q000175:diagnosis; D013971:Thyrotoxicosis / Q000151:congenital* / Q000175:diagnosis