Normal Neurological Outcome after Congenital Thyrotoxicosis: Prognostic Value of Observation of General Movements
Gaboli M, Aguilera S, Azcona C, Alzina V, Narbona J.
Paediatric Neurology Unit, Department of Paediatrics, University of Navarra Medical School, Pamplona, Spain.
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.
CITA DEL ARTÍCULO Neuropediatrics. 2008 Dec;39(6):351-3