CLIPP 20: 7 year old with a headahce Flashcards
Most common cause of recurrent headaches in children?
Migraine headaches
Is throbbing associated with migraine or tension headaches?
Migraine headaches
Most common cause of acute ataxia in children?
Post-infectious cerebellitis
Ataxia is most often associated with tumors located where?
cerebellum or frontal lobe
What is Opsoclonus-myoclonus syndrome
A paraneoplastic syndrome that occurs most often with neuroblastoma, generally occurs in the younger child (6 months-3 years).
Ataxia is accompanied by intermittent jerking movements (myoclonus) and erratic, jerky conjugate movements of the eyes (opsoclonus)
Ataxia may be associated with which two metabolic syndromes?
Ataxia may be associated with a number of metabolic diseases such as maple syrup urine disease or pyruvate decarboxylase deficiency.
Here the ataxia may be intermittent or chronic with intermittent exacerbations
Two neurodegenerative diseases that cause atzxia?
Ataxia-telangectasia
Frederich’s ataxia
Infratentorial lesions usually present with what two findings
Infratentorial lesions usually present with cerebellar signs and signs of raised intracranial pressure (ICP)
How do Cerebellar hemispheric lesions affect tone and reflexes?
Cerebellar hemispheric lesions can cause changes in muscle tone and DTRs, but usually lead to hypotonia and hyporeflexia
How do supratentorial lesions affect motor and sensory?
Supratentorial lesions more commonly lead to focal motor and sensory abnormalities on the side opposite to the lesion
Most common findings in brain stem tumors?
Brain stem tumors will often be associated with cranial nerve and gaze palsies
Most common brain tumors in kids?
Medulloblastoma (20%)
Juvenile pilocytic astrocytoma (20%)
Low-grade astrocytoma (15%)
High-grade astrocytoma (7%)
5 year survival of ependymoma?
50%
Tx of ependymoma?
Surgical resection –> radiation
Best prognosis of all infratentorial tumor?
Apendymoma
90% with complete resection
50-70% with partial resection
