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Erschienen in: Child's Nervous System 1/2018

06.11.2017 | Focus Session

Zika virus infection in children: epidemiology and clinical manifestations

verfasst von: Marcos Vinicius da Silva Pone, Sheila Moura Pone, Andrea Araujo Zin, Pedro Henrique Barros Mendes, Mitsue Senra Aibe, Elisa Barroso de Aguiar, Tallita de Oliveira Gomes da Silva

Erschienen in: Child's Nervous System | Ausgabe 1/2018

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Abstract

Purpose

The purpose of this review is to comprehensively review Congenital Zika Syndrome in regard to their epidemiology and clinical manifestations.

Methods

This subject review of congenital Zika syndrome was composed after conducting a thorough review of the available literature on this topic using PubMed and other primary sources.

Results

The first epidemic of Zika virus infection in Brazil was followed by an unexpected sharp increase in the incidence of infants born with microcephaly and the description of a new disease, the congenital Zika syndrome. This review focuses on the epidemiological and clinical aspects of Zika infection in children. We conducted a brief historical account of the virus description in 1947, the rare cases of Zika infection occurring up to 2007, and the first epidemics in the Pacific between 2007 and 2014. We also discussed the isolation of the virus in Brazil in 2015 and its spread in the Americas, the microcephaly outbreak in Brazil and its association with Zika virus, and the current epidemiological panorama. We address the known clinical spectrum of Zika virus infection in the pediatric population, including manifestations of acute infection and congenital Zika syndrome, with emphasis on cranial, ophthalmic, and orthopedic abnormalities.

Conclusion

While much has been learned about congenital Zika syndrome, the full spectrum of this infection is not yet known. This review is based on current, limited data about Zika vírus infection. As more information becomes available, we will have a more accurate picture of this new disease.
Literatur
1.
Zurück zum Zitat Brasil P, Pereira JP, Moreira ME, Nogueira RMR, Damasceno L, Wakimoto M, Rabello RS, Valderramos SG, Halai U-A, Salles TS, Zin AA, Horovitz D, Daltro B, Boechat M, Gabaglia CR, Sequeira PC, Pilotto JH, Medialdea-Carrera R, Cunha DC, Carvalho LMA, Pone M, Siqueira AM, Calvet GA, Baião ERA, Neves ES, Carvalho PRN, Hasue RH, Marschik PB, Einspieler C, Janzen C, Cherry JD, Filippis AMB, Saines-Nielsen K (2016) Zika virus infection in pregnant women in Rio de Janeiro. N Engl J Med 375(24):2321–2334. https://doi.org/10.1056/NEJMoa1602412 CrossRefPubMedPubMedCentral Brasil P, Pereira JP, Moreira ME, Nogueira RMR, Damasceno L, Wakimoto M, Rabello RS, Valderramos SG, Halai U-A, Salles TS, Zin AA, Horovitz D, Daltro B, Boechat M, Gabaglia CR, Sequeira PC, Pilotto JH, Medialdea-Carrera R, Cunha DC, Carvalho LMA, Pone M, Siqueira AM, Calvet GA, Baião ERA, Neves ES, Carvalho PRN, Hasue RH, Marschik PB, Einspieler C, Janzen C, Cherry JD, Filippis AMB, Saines-Nielsen K (2016) Zika virus infection in pregnant women in Rio de Janeiro. N Engl J Med 375(24):2321–2334. https://​doi.​org/​10.​1056/​NEJMoa1602412 CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Dick GW, Kitchen S, Haddow A (1952) Zika virus. (I). Isolations and serological specificity. Trans R Soc Trop Med Hyg 46(5):509–520CrossRefPubMed Dick GW, Kitchen S, Haddow A (1952) Zika virus. (I). Isolations and serological specificity. Trans R Soc Trop Med Hyg 46(5):509–520CrossRefPubMed
11.
Zurück zum Zitat Gonzalez MT, Filipe AR (1977) Antibodies to arboviruses in northwestern Spain. Am J Trop Med Hyg 26(4):792–797CrossRefPubMed Gonzalez MT, Filipe AR (1977) Antibodies to arboviruses in northwestern Spain. Am J Trop Med Hyg 26(4):792–797CrossRefPubMed
12.
Zurück zum Zitat Duffy MR, Chen TH, Hancock WT, Powers AM, Kool JL, Lanciotti RS, Pretrick M, Marfel M, Holzbauer S, Dubray C, Guillaumot L, Griggs A, Bel M, Lambert AJ, Laven J, Kosoy O, Panella A, Biggerstaff BJ, Fischer M, Haves EB (2009) Zika virus outbreak on Yap Island, Federated States of Micronesia. N Engl J Med 360(24):2536–2543. https://doi.org/10.1056/NEJMoa0805715 CrossRefPubMed Duffy MR, Chen TH, Hancock WT, Powers AM, Kool JL, Lanciotti RS, Pretrick M, Marfel M, Holzbauer S, Dubray C, Guillaumot L, Griggs A, Bel M, Lambert AJ, Laven J, Kosoy O, Panella A, Biggerstaff BJ, Fischer M, Haves EB (2009) Zika virus outbreak on Yap Island, Federated States of Micronesia. N Engl J Med 360(24):2536–2543. https://​doi.​org/​10.​1056/​NEJMoa0805715 CrossRefPubMed
16.
Zurück zum Zitat Faria NR, Quick J, Claro IM, Thézé J, de Jesus JG, Giovanetti M, Kraemer MUG, Hill SC, Black A, da Costa AC, Franco LC, Silva SP, Wu CH, Raghwani J, Cauchemez S, du Plessis L, Verotti MP, de Oliveira WK, Carmo EH, Coelho GE, Santelli ACFS, Vinhal LC, Henriques CM, Simpson JT, Loose M, Andersen KG, Grubaugh ND, Somasekar S, Chiu CY, Muñoz-Medina JE, Gonzalez-Bonilla CR, Arias CF, Lewis-Ximenez LL, Baylis SA, Chieppe AO, Aguiar SF, Fernandes CA, Lemos PS, Nascimento BLS, Monteiro HAO, Siqueira IC, de Queiroz MG, de Souza TR, Bezerra JF, Lemos MR, Pereira GF, Loudal D, Moura LC, Dhalia R, França RF, Magalhães T, Marques ET Jr, Jaenisch T, Wallau GL, de Lima MC, Nascimento V, de Cerqueira EM, de Lima MM, Mascarenhas DL, Neto JPM, Levin AS, Tozetto-Mendoza TR, Fonseca SN, Mendes-Correa MC, Milagres FP, Segurado A, Holmes EC, Rambaut A, Bedford T, Nunes MRT, Sabino EC, Alcantara LCJ, Loman NJ, Pybus OG (2017) Establishment and cryptic transmission of Zika virus in Brazil and the Americas. Nature 546(7658):406–410. https://doi.org/10.1038/nature22401 CrossRefPubMedPubMedCentral Faria NR, Quick J, Claro IM, Thézé J, de Jesus JG, Giovanetti M, Kraemer MUG, Hill SC, Black A, da Costa AC, Franco LC, Silva SP, Wu CH, Raghwani J, Cauchemez S, du Plessis L, Verotti MP, de Oliveira WK, Carmo EH, Coelho GE, Santelli ACFS, Vinhal LC, Henriques CM, Simpson JT, Loose M, Andersen KG, Grubaugh ND, Somasekar S, Chiu CY, Muñoz-Medina JE, Gonzalez-Bonilla CR, Arias CF, Lewis-Ximenez LL, Baylis SA, Chieppe AO, Aguiar SF, Fernandes CA, Lemos PS, Nascimento BLS, Monteiro HAO, Siqueira IC, de Queiroz MG, de Souza TR, Bezerra JF, Lemos MR, Pereira GF, Loudal D, Moura LC, Dhalia R, França RF, Magalhães T, Marques ET Jr, Jaenisch T, Wallau GL, de Lima MC, Nascimento V, de Cerqueira EM, de Lima MM, Mascarenhas DL, Neto JPM, Levin AS, Tozetto-Mendoza TR, Fonseca SN, Mendes-Correa MC, Milagres FP, Segurado A, Holmes EC, Rambaut A, Bedford T, Nunes MRT, Sabino EC, Alcantara LCJ, Loman NJ, Pybus OG (2017) Establishment and cryptic transmission of Zika virus in Brazil and the Americas. Nature 546(7658):406–410. https://​doi.​org/​10.​1038/​nature22401 CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Metsky HC, Matranga CB, Wohl S, Schaffner SF, Freije CA, Winnicki SM, West K, Qu J, Baniecki ML, Gladden-Young A, Lin AE, Tomkins-Tinch CH, Ye SH, Park DJ, Luo CY, Barnes KG, Shah RR, Chak B, Barbosa-Lima G, Delatorre E, Vieira YR, Paul LM, Tan AL, Barcellona CM, Porcelli MC, Vasquez C, Cannons AC, Cone MR, Hogan KN, Kopp EW, Anzinger JJ, Garcia KF, Parham LA, Ramírez RMG, Montoya MCM, Rojas DP, Brown CM, Hennigan S, Sabina B, Scotland S, Gangavarapu K, Grubaugh ND, Oliveira G, Robles-Sikisaka R, Rambaut A, Gehrke L, Smole S, Halloran ME, Villar L, Mattar S, Lorenzana I, Cerbino-Neto J, Valim C, Degrave W, Bozza PT, Gnirke A, Andersen KG, Isern S, Michael SF, Bozza FA, Souza TML, Bosch I, Yozwiak NL, MacInnis BL, Sabeti PC (2017) Zika virus evolution and spread in the Americas. Nature 546(7658):411–415. https://doi.org/10.1038/nature22402 CrossRefPubMedPubMedCentral Metsky HC, Matranga CB, Wohl S, Schaffner SF, Freije CA, Winnicki SM, West K, Qu J, Baniecki ML, Gladden-Young A, Lin AE, Tomkins-Tinch CH, Ye SH, Park DJ, Luo CY, Barnes KG, Shah RR, Chak B, Barbosa-Lima G, Delatorre E, Vieira YR, Paul LM, Tan AL, Barcellona CM, Porcelli MC, Vasquez C, Cannons AC, Cone MR, Hogan KN, Kopp EW, Anzinger JJ, Garcia KF, Parham LA, Ramírez RMG, Montoya MCM, Rojas DP, Brown CM, Hennigan S, Sabina B, Scotland S, Gangavarapu K, Grubaugh ND, Oliveira G, Robles-Sikisaka R, Rambaut A, Gehrke L, Smole S, Halloran ME, Villar L, Mattar S, Lorenzana I, Cerbino-Neto J, Valim C, Degrave W, Bozza PT, Gnirke A, Andersen KG, Isern S, Michael SF, Bozza FA, Souza TML, Bosch I, Yozwiak NL, MacInnis BL, Sabeti PC (2017) Zika virus evolution and spread in the Americas. Nature 546(7658):411–415. https://​doi.​org/​10.​1038/​nature22402 CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Schuler-Faccini L, Ribeiro EM, Feitosa IML, Horovitz DDG, Cavalcanti DP, Pessoa A, Doriqui MJR, Neri JI, Neto JMP, Wanderley HYC, Cernach M, El-Husny AS, Pone MVS, Serao CLC, Sanseverino MTV (2015) Possible association between Zika virus infection and microcephaly—Brazil, 2015. MMWR Morb Mort Wkly Rep 65(3):59–62. 10.15585/mmwr.mm6503e2 CrossRef Schuler-Faccini L, Ribeiro EM, Feitosa IML, Horovitz DDG, Cavalcanti DP, Pessoa A, Doriqui MJR, Neri JI, Neto JMP, Wanderley HYC, Cernach M, El-Husny AS, Pone MVS, Serao CLC, Sanseverino MTV (2015) Possible association between Zika virus infection and microcephaly—Brazil, 2015. MMWR Morb Mort Wkly Rep 65(3):59–62. 10.​15585/​mmwr.​mm6503e2 CrossRef
21.
Zurück zum Zitat Besnard M, Eyrolle-Guignot D, Guillemette-Artur P, Lastère S, Bost-Bezeaud F, Marcelis L, Abadie V, Garel C, Moutard M, Jouannic J, Rozenberg F, Leparc-Goffart I, Mallet H (2016) Congenital cerebral malformations and dysfunction in fetuses and newborns following the 2013 to 2014 Zika virus epidemic in French Polynesia. Euro Surveill 21(13). https://doi.org/10.2807/1560-7917.ES.2016.21.13.30181 Besnard M, Eyrolle-Guignot D, Guillemette-Artur P, Lastère S, Bost-Bezeaud F, Marcelis L, Abadie V, Garel C, Moutard M, Jouannic J, Rozenberg F, Leparc-Goffart I, Mallet H (2016) Congenital cerebral malformations and dysfunction in fetuses and newborns following the 2013 to 2014 Zika virus epidemic in French Polynesia. Euro Surveill 21(13). https://​doi.​org/​10.​2807/​1560-7917.​ES.​2016.​21.​13.​30181
24.
Zurück zum Zitat Calvet G, Aguiar RS, Melo ASO, Sampaio SA, Filippis I, Fabri A, Araujo ESM, Sequeira PC, Mendonça MCL, Oliveira L, Tschoeke DA, Schrago CG, Thompson FL, Brasil P, Santos FB, Nogueira RMR, Tanuri A, Filippis AMB (2016) Detection and sequencing of Zika virus from amniotic fluid of fetuses with microcephaly in Brazil: a case study. Lancet Infect Dis 16:653–660. https://doi.org/10.1016/S1473-3099(16)00095-5 CrossRefPubMed Calvet G, Aguiar RS, Melo ASO, Sampaio SA, Filippis I, Fabri A, Araujo ESM, Sequeira PC, Mendonça MCL, Oliveira L, Tschoeke DA, Schrago CG, Thompson FL, Brasil P, Santos FB, Nogueira RMR, Tanuri A, Filippis AMB (2016) Detection and sequencing of Zika virus from amniotic fluid of fetuses with microcephaly in Brazil: a case study. Lancet Infect Dis 16:653–660. https://​doi.​org/​10.​1016/​S1473-3099(16)00095-5 CrossRefPubMed
25.
Zurück zum Zitat Martines RB, Bhatnagar J, Keating MK, Silva-Flannery L, Muehlenbachs A, Gary J, Goldsmith C, Hale G, Ritter J, Rollin D, Shieh W, Luz KG, Ramos AMO, Davi HPF, Oliveira WK, Lanciotti R, Lambert A, Zaki S (2015) Notes from the field: evidence of Zika virus infection in brain and placental tissues from two congenitally infected newborns and two fetal losses—Brazil, 2015. Mmwr Morb Mortal Wkly Rep 65:159–160. 10.15585/mmwr.mm6506e1 CrossRef Martines RB, Bhatnagar J, Keating MK, Silva-Flannery L, Muehlenbachs A, Gary J, Goldsmith C, Hale G, Ritter J, Rollin D, Shieh W, Luz KG, Ramos AMO, Davi HPF, Oliveira WK, Lanciotti R, Lambert A, Zaki S (2015) Notes from the field: evidence of Zika virus infection in brain and placental tissues from two congenitally infected newborns and two fetal losses—Brazil, 2015. Mmwr Morb Mortal Wkly Rep 65:159–160. 10.​15585/​mmwr.​mm6506e1 CrossRef
26.
31.
Zurück zum Zitat Reynolds MR, Jones AM, Petersen EE, Lee HE, Rice ME, Bingham A, Ellington SR, Evert N, Reagan-Steiner S, Oduyebo T, Brown CM, Martin S, Ahmad N, Bhatnagar J, Macdonald J, Gould C, Fine AD, Polen KD, Lake-Burger H, Hillard CL, Hall N, Yazdy MM, Slaughter K, Sommer JN, Adamski A, Raycraft M, Fleck-Derderian S, Gupta J, Newsome K, Baez-Santiago M, Slavinski S, White JL, Moore CA, Shapiro-Mendoza CK, Petersen L, Boyle C, Jamieson DJ, Meaney-Delman D, Honein MA (2017) Vital signs: update on Zika virus-associated birth defects and evaluation of all U.S. infants with congenital Zika virus exposure—U.S. Zika Pregnancy Registry. MMWR Morb Mortal Wkly Rep 66:366–373. 10.15585/mmwr.mm6613e1 CrossRefPubMed Reynolds MR, Jones AM, Petersen EE, Lee HE, Rice ME, Bingham A, Ellington SR, Evert N, Reagan-Steiner S, Oduyebo T, Brown CM, Martin S, Ahmad N, Bhatnagar J, Macdonald J, Gould C, Fine AD, Polen KD, Lake-Burger H, Hillard CL, Hall N, Yazdy MM, Slaughter K, Sommer JN, Adamski A, Raycraft M, Fleck-Derderian S, Gupta J, Newsome K, Baez-Santiago M, Slavinski S, White JL, Moore CA, Shapiro-Mendoza CK, Petersen L, Boyle C, Jamieson DJ, Meaney-Delman D, Honein MA (2017) Vital signs: update on Zika virus-associated birth defects and evaluation of all U.S. infants with congenital Zika virus exposure—U.S. Zika Pregnancy Registry. MMWR Morb Mortal Wkly Rep 66:366–373. 10.​15585/​mmwr.​mm6613e1 CrossRefPubMed
32.
Zurück zum Zitat Hurtado-Villa P, Puerto AK, Victoria S, Gracia G, Guasmayán L, Arce P, Álvarez G, Blandón E, Rengifo N, Holguín JA, Durán A, Zarante I (2017) Raised frequency of central nervous system malformations related to Zika virus infection in two birth defects surveillance systems in Bogotá and Cali, Colombia. Ped Inf Dis J doi. https://doi.org/10.1097/INF.0000000000001670 Hurtado-Villa P, Puerto AK, Victoria S, Gracia G, Guasmayán L, Arce P, Álvarez G, Blandón E, Rengifo N, Holguín JA, Durán A, Zarante I (2017) Raised frequency of central nervous system malformations related to Zika virus infection in two birth defects surveillance systems in Bogotá and Cali, Colombia. Ped Inf Dis J doi. https://​doi.​org/​10.​1097/​INF.​0000000000001670​
38.
Zurück zum Zitat Goodman AB, Dziuban EJ, Powell K, Bitsko RH, Langley G, Lindsey N, Franks JL, Russel K, Dasgupta S, Barfield WD, Odom E, Kahn E, Martin S, Fischer M, Staples E (2016) Characteristics of children aged <18 years with Zika virus disease acquired postnatally—U.S. states, January 2015–July 2016. Mmwr Morb Mortal Wkly Rep 65(39):1082–1085. 10.15585/mmwr.mm6539e2 CrossRefPubMed Goodman AB, Dziuban EJ, Powell K, Bitsko RH, Langley G, Lindsey N, Franks JL, Russel K, Dasgupta S, Barfield WD, Odom E, Kahn E, Martin S, Fischer M, Staples E (2016) Characteristics of children aged <18 years with Zika virus disease acquired postnatally—U.S. states, January 2015–July 2016. Mmwr Morb Mortal Wkly Rep 65(39):1082–1085. 10.​15585/​mmwr.​mm6539e2 CrossRefPubMed
42.
Zurück zum Zitat Russell K, Oliver SE, Lewis L, Barfield WD, Cragan J, Meaney-Delman D, Staples JE, Fischer M, Peacock G, Oduyebo T, Petersen EE, Zaki S, Moore CA, Rasmussen SA (2016) Update: interim guidance for the evaluation and management of infants with possible congenital Zika virus infection—United States, August 2016. MMWR Morb Mortal Wkly Rep 65(33):870–878. 10.15585/mmwr.mm6533e2 CrossRefPubMed Russell K, Oliver SE, Lewis L, Barfield WD, Cragan J, Meaney-Delman D, Staples JE, Fischer M, Peacock G, Oduyebo T, Petersen EE, Zaki S, Moore CA, Rasmussen SA (2016) Update: interim guidance for the evaluation and management of infants with possible congenital Zika virus infection—United States, August 2016. MMWR Morb Mortal Wkly Rep 65(33):870–878. 10.​15585/​mmwr.​mm6533e2 CrossRefPubMed
55.
Zurück zum Zitat Zin AA, Tsui I, Rossetto J, Vasconcelos Z, Adachi K, Valderramos S, Halai UA, Pone MVDS, Pone SM, Silveira Filho JCB, Aibe MS, da Costa ACC, Zin OA, Belfort R Jr, Brasil P, Nielsen-Saines K, Moreira MEL (2017) Screening criteria for ophthalmic manifestations of congenital Zika virus infection. JAMA Pediatr. https://doi.org/10.1001/jamapediatrics.2017.1474 Zin AA, Tsui I, Rossetto J, Vasconcelos Z, Adachi K, Valderramos S, Halai UA, Pone MVDS, Pone SM, Silveira Filho JCB, Aibe MS, da Costa ACC, Zin OA, Belfort R Jr, Brasil P, Nielsen-Saines K, Moreira MEL (2017) Screening criteria for ophthalmic manifestations of congenital Zika virus infection. JAMA Pediatr. https://​doi.​org/​10.​1001/​jamapediatrics.​2017.​1474
58.
Zurück zum Zitat Martines RB, Bhatnagar J, Ramos AMO, Davi HP, Iglezias SD, Kanamura CT, Keating MK, Hale G, Silva-Flannery L, Muehlenbachs A, Ritter J, Gary J, Rollin D, Goldsmith CS, Reagan-Stainer S, Ermias Y, Suzuki T, Luz KG (2016) Pathology of congenital Zika syndrome in Brazil: a case series. Lancet 388:898–904. https://doi.org/10.1016/S0140-6736(16)30883-2 CrossRefPubMed Martines RB, Bhatnagar J, Ramos AMO, Davi HP, Iglezias SD, Kanamura CT, Keating MK, Hale G, Silva-Flannery L, Muehlenbachs A, Ritter J, Gary J, Rollin D, Goldsmith CS, Reagan-Stainer S, Ermias Y, Suzuki T, Luz KG (2016) Pathology of congenital Zika syndrome in Brazil: a case series. Lancet 388:898–904. https://​doi.​org/​10.​1016/​S0140-6736(16)30883-2 CrossRefPubMed
59.
Zurück zum Zitat Parrott J, Boyd RN, Dobson F, Lancaster A, Love S, Oates J, Wolfe R, Nattrass GR, Graham HK (2002) Hip displacement in spastic cerebral palsy: repeatability of radiological measurement. J Pediatr Orthop 22(5):660–667PubMed Parrott J, Boyd RN, Dobson F, Lancaster A, Love S, Oates J, Wolfe R, Nattrass GR, Graham HK (2002) Hip displacement in spastic cerebral palsy: repeatability of radiological measurement. J Pediatr Orthop 22(5):660–667PubMed
60.
Zurück zum Zitat Chimelli L, Melo ASO, Avvad-Portari E, Wiley CA, Camacho AHS, Lopes VS, Machado HN, Andrade CV, Dock DCA, Moreira ME, Tovar-Moll F, Oliveira-Szejnfeld PS, Carvalho ACG, Ugarte ON, Batista AGM, Amorim MMR, Melo FO, Ferreira TA, Marinho JRL, Azevedo JS, Leal JIBF, Costa RFM, Rehen S, Arruda MB, Brindeiro RM, Delvechio R, Aguiar RS, Tanuri A (2017) The spectrum of neuropathological changes associated with congenital Zika virus infection. Acta Neuropathol 133:983–999. https://doi.org/10.1007/s00401-017-1699-5 CrossRefPubMed Chimelli L, Melo ASO, Avvad-Portari E, Wiley CA, Camacho AHS, Lopes VS, Machado HN, Andrade CV, Dock DCA, Moreira ME, Tovar-Moll F, Oliveira-Szejnfeld PS, Carvalho ACG, Ugarte ON, Batista AGM, Amorim MMR, Melo FO, Ferreira TA, Marinho JRL, Azevedo JS, Leal JIBF, Costa RFM, Rehen S, Arruda MB, Brindeiro RM, Delvechio R, Aguiar RS, Tanuri A (2017) The spectrum of neuropathological changes associated with congenital Zika virus infection. Acta Neuropathol 133:983–999. https://​doi.​org/​10.​1007/​s00401-017-1699-5 CrossRefPubMed
Metadaten
Titel
Zika virus infection in children: epidemiology and clinical manifestations
verfasst von
Marcos Vinicius da Silva Pone
Sheila Moura Pone
Andrea Araujo Zin
Pedro Henrique Barros Mendes
Mitsue Senra Aibe
Elisa Barroso de Aguiar
Tallita de Oliveira Gomes da Silva
Publikationsdatum
06.11.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Child's Nervous System / Ausgabe 1/2018
Print ISSN: 0256-7040
Elektronische ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-017-3635-3

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