Pediatric Neurology Flashcards
When do humans complete the Myelination process?
22-26yrs
What is different about kids?
They must learn after an injury
Have high plasticity
Ideal time for brain injury
What is significant about neonatal vasculature?
Watershed boarder there is flow many arteries arteries so ischemic assaults are not as bad
Watershed area is in the middle
You get most damage in the arms and legs
What travels close to the ventricles?
Paralysis to the legs
A insult an an infant and preinfant give what problems?
Upper limb and lower limb respectively
What does newborn extra pyramidal innervation mean?
- This is dominant
- An infant with a stroke looks totally normal because it has bilateral innervation
- later the pyramidal innervation becomes contralateral
What is central hypotonia?
An upper motor neuron lesion in a baby looks like a lower motor lesion in an adult
Hypotonia, but reflexes are present
What are the things you do in a neurological exam?
Watch them walk into the room
Watch them
Ears
What is a traction pull?
Head lie down and pull them
What is vertical suspension?
Hold under the arm pits, newborn should be able to support themselves
What is horizontal suspension?
Putting them into the superman position, pelvic, spine function
What is gallant reflex?
Run you finger down their spine and see if there is symmetry
What do you check on the skin of an infant?
NF, TS, myelo (spine), pigmentation
What do you look at growth charts for?
Hydrocephalus
FTT - RET, angle an, Prader-Wili
Sutures prefuse
What is CP in an infant?
Weakness
Caused by many different insults
Static encephalopathy
Hypoxia, trauma
How do you see autism in an infant?
Improves over time
Earlier is worse
Most kids diagnosised age 3 because they are at extremes
Can be secondary (TS,CP)
What about leukodystrophies in an infant?
Don’t miss
White matter disease
Usually see randomly at age 5, otherwise progress normal
What does muscular dystrophy effect in infants?
More boys than girls
Can’t move much by themselves
What do you see epililepsy in infants?
Infantile panel
Look for genetics - may not go away
What is NES?
Non epileptic seizures
- syncope, panic, hyperventilation, tic disorder
- GER, reflux, stiffen and arch but really reflux
