Floppy Infant Syndrome



Floppy Infant Syndrome





Decreased muscle tone throughout body. Limply hanging limbs when infant held suspended in prone position.



  • Most common causes (75% of cases): perinatal insult to brain or spinal cord, infantile spinal muscular atrophy, dysgenetic syndromes.


Clues to Diagnosis









Table 76.1 Floppy Infant Syndromes




























  Neuromuscular disorders (weakness prominent) Central disorders with abnormal neurologic signs or peripheral disorders (little or no weakness)
Neonate Infantile spinal muscular atrophy
Congenital myotonic dystrophy
Neonatal myasthenia gravis
Congenital myopathiesa,b
Metabolic myopathiesc
Congenital muscular dystrophies
Perinatal asphyxia
Cerebral hemorrhage
Sepsis
Intoxication
Spinal cord injury or malformation
Failure-to-thrive syndromes
Congenital hypothyroidism
Neurotransmitter disorders
Down syndrome
Prader-Willi syndrome
Other dysgenetic syndromes
Age 1–6 months (or later) Infantile spinal muscular atrophy
Infantile Guillain-Barré syndrome or other neuropathies
Congenital myasthenic syndromesd
Botulism
Metabolic cerebral degenerationse
Connective tissue disordersf
Metabolic and endocrine diseasesg
Hypotonic cerebral palsy
Benign congenital hypotonia
a Spinal muscular atrophy and congenital myopathies are more likely to become symptomatic after the neonatal period.
b Congenital myopathies include those characterized by specific histochemical abnormality (nemaline, central cores, myotubules and other structures).
c Metabolic myopathies include infantile acid maltase deficiency (Pompe disease), mitochondrial DNA depletion syndrome and benign and fatal infantile cytochrome C oxidase deficiency.
d Congenital myasthenic syndromes do not usually cause symptoms, in infants, other than ophthalmoplegia.
e Leukodystrophies, lipid storage diseases, peroxisomal diseases, mucopolysaccharidosis, aminoacidurias, Leigh syndrome.
f Congenital laxity of ligaments, Ehler-Danlos syndrome, Marfan syndrome.
g Organic acidemia, hypocalcemia, hypercalcemia, hypothyroidism, renal tubular acidosis.

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Jul 27, 2016 | Posted by in NEUROLOGY | Comments Off on Floppy Infant Syndrome

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