Abstract
Hypotonia in infants and children can be a confusing clinical presentation, which often leads to unnecessary investigations. Stepwise and accurate assessment is very important to reach the correct diagnosis. Although specific treatments are not always available, accurate diagnosis is critical to predict the clinical course, associated manifestations, complications, prognosis, and provide genetic counseling. In this chapter, I present a concise clinical approach for evaluating the hypotonic infant. Some practical tips and skills are discussed to improve the likelihood of obtaining accurate diagnosis.
Keywords: Infant, Hypotonia, Weakness, Myopathy, Dystrophy, Fasiculations, Areflexia, EMG, Muscle biopsy, Rehabilitation.