10-23 L1 Brain Behavior

Question 1

What are the conditions that are common neurology referrals?

Answer 1

• Seizures & epilepsy
• Developmental delay/cerebral palsy
• ADHD/Behavior/Autism
• Headaches
• Tics/Movements

Question 2

What are the 4 key domains of devleopment?

Answer 2

• Gross
• Fine motor
• Speech
• Social

Question 3

What is the one thing you are excpeted to report for a child with developmental delays?

Answer 3

• measure the head circumference

Question 4

Developmental delay

Answer 4

• have 1 out of the 4 developmental delays
  
  • a problem that arrises is that some of these are difficult to measure (children < 5yo)
• child falls with <2 std of norm

Question 5

Static encephalopathy

Answer 5

• gneric temrs, whatever has happened happened
• meaning changes of the child’s development will be mininal from a year to a year basis
  
  • don’t give false hope

Question 6

Mental retardation

Answer 6

• not used due to its negativity
• Intellectual disability

Question 7

Typically developing

Answer 7

• ‘normal child’
  
  • so we don’t use the term ‘normal’
• use this instead

Question 8

What are the 4 things to take into accout wiht febrile seizures in children (CARE)

Answer 8

• Common
• Ages
• Recurrence risk
• Epilepsy rish

Question 9

What are the 4 things youwill nearly never order in children with Febrile seizures?

what are the things you will order/perform?

Answer 9

• Nearly never
  
  • Lumbar puncture
  • Imaging
  • EEG
  • Daily seizure Meds
• Always
  
  • Hx
  • PE
  • Education

Question 10

What are the tests that you will nearly never order in Non-Febrile seizures in children?

What will you always order?

Answer 10

• Nearly never
  
  • Lumbar puncture
• Always
  
  • Hx
  • PE
  • Education

Question 11

What are the 2 things that can cause focal seizures?

Answer 11

• cysticercosis
• AVM (ateriovenous malformation)

Question 12

What are the key points with non-febrile seizures in children?

Answer 12

• Common
• Recurrence risk idiopathic
• Recurrence risk symptomatic
• Treat
• Safety

Question 13

Epilepsy

• Diagnosed after what?
• Indicates what?
• what are the catergorizations?

Answer 13

• Diagnosed after 2 unprovoked seizures
• indictes a chronic tendency to have seizures
• Categorized based on
  
  • symptomatic vs idiopathic
  • focal vs generalized
  • special features of syndromes
  • e.g. childhood absence epilepsy
  • benign rolandic epilepsy

Question 14

What are the treatments for absence epilepsy?

standard & atypical

Answer 14

• standard
  
  • Ethosuximide (20 mg/kg/day)
• atypical
  
  • Valproic acid (20 mg/kg/day)

Question 15

Absence seizures (key points)

• onset
• freq

Answer 15

• happen at unpredicitable times
• freq: many episodes daily

Question 16

Behavioral staring

(dissociation from the enviroment)

• onset
• appearance

Answer 16

• onset: predictable (e.g. when child is bored)
• Appearance: staring