ДИФФЕРЕНЦИАЛЬНЫЙ ДИАГНОЗ ПРИ СИНДРОМЕ ВЯЛОГО РЕБЕНКА

Abstract

The article presents data on the etiology, pathogenesis, characteristic features of clinical manifestations and diagnostics of conditions leading to the appearance of the floppy infant symptom complex. This pathological condition does not have a single nosological form and is characterized by severe muscle hypotonia. Depending on the severity of muscle hypotension and muscle weakness, a central or peripheral mechanism for the development of hypotension can be assumed. Considering that more than 100 diseases can hide behind the mask of a floppy infant syndrome, a clear algorithm for the differential diagnosis of muscle hypotension is required. The article presents literature data on the possible diagnosis of various conditions accompanied by muscular hypotension during neonatal period, and highlights the necessary range of examinations for various types of central and peripheral hypotension. Early verification of the diagnosis can help not only avoid death, but also significantly improve the quality of life of the child. A clinical observation of the Prader–Willi syndrome is presented, demonstrating the possibilities of differential diagnosis of the floppy infant syndrome in the conditions of the perinatal center.