误诊为脑性瘫痪的罕见病例分析

Rare cases of misdiagnosed as cerebral palsy

目的:分析临床上其他罕见神经系统疾病误诊为脑瘫的原因。方法:对3例曾误诊为脑瘫后,确诊为其他神经系统疾病患儿的临床资料进行分析。结果:所有患儿均有婴儿期运动发育落后起病,均一定程度上符合脑性瘫痪表现,其中Leigh综合征1例、佩梅病1例、多巴反应性肌张力不全1例。结论:许多罕见神经系统疾病在儿童康复科并不少见,极易导致误诊,临床医生应提高自身水平,尽可能减少误诊。

Objective:To analyze the causes of misdiagnosis as cerebral palsy in patients with other rare neurological diseases.Methods:The clinical data of3cases were analyzed.Results:All patients’clinical symptoms were consistent with the performance of cerebral palsy.There were1case of Leigh syndrome,1case of pigeon disease and1case of dopa-reactive dystonia.Conclusion:Many rare neurological diseases are rare in children’s rehabilitation,easily lead to misdiagnosis.Clinicians should improve their level,as much as possible to reduce misdiagnosis.