{
  "abstract": "Children presenting with abnormal tone and involuntary movements are a routine part of paediatric practice. Hypertonia—whether spasticity, dystonia or mixed phenotypes—accompanies many neurological conditions, most commonly cerebral palsy but also genetic, metabolic and acquired disorders. The consequences extend beyond motor impairment: pain, sleep disruption, feeding difficulty, respiratory complications and challenges in daily care frequently dominate family experience. Despite this burden, access to advanced management remains inconsistent, as aptly described by Lumsden and his UK-wide colleagues in their important consensus report this month, in which referral criteria were discussed and eventually agreed on using the Delphi process. 1 The difficulty they emphasise is not the absence of neurosurgical treatment options but the absence of predictable referral pathways such as the one already set up and commissioned for children’s epilepsy surgery by NHS England.2",
  "authors": [
    {
      "affiliations": [
        "Paediatric Neurosurgery, University Hospitals Bristol NHS Foundation Trust, Bristol, UK",
        "Neurosurgery, Sidra Medicine, Ar-Rayyan, Al Rayyan Municipality, Qatar"
      ],
      "name": "Ian Pople"
    }
  ],
  "title": "When to refer a child with a movement disorder for neurosurgical intervention? The emergence of UK-wide national consensus guidelines",
  "uid": "394d9d76-28f3-5fdd-902a-e9d42aeec01e"
}