Pediatric Neurology

Question 0

When do humans complete the Myelination process?

Answer 0

22-26yrs

Question 1

What is different about kids?

Answer 1

They must learn after an injury
Have high plasticity
Ideal time for brain injury

Question 2

What is significant about neonatal vasculature?

Answer 2

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

Question 3

What travels close to the ventricles?

Answer 3

Paralysis to the legs

Question 4

A insult an an infant and preinfant give what problems?

Answer 4

Upper limb and lower limb respectively

Question 5

What does newborn extra pyramidal innervation mean?

Answer 5

• This is dominant
• An infant with a stroke looks totally normal because it has bilateral innervation
• later the pyramidal innervation becomes contralateral

Question 6

What is central hypotonia?

Answer 6

An upper motor neuron lesion in a baby looks like a lower motor lesion in an adult

Hypotonia, but reflexes are present

Question 7

What are the things you do in a neurological exam?

Answer 7

Watch them walk into the room

Watch them

Ears

Question 8

What is a traction pull?

Answer 8

Head lie down and pull them

Question 9

What is vertical suspension?

Answer 9

Hold under the arm pits, newborn should be able to support themselves

Question 10

What is horizontal suspension?

Answer 10

Putting them into the superman position, pelvic, spine function

Question 11

What is gallant reflex?

Answer 11

Run you finger down their spine and see if there is symmetry

Question 12

What do you check on the skin of an infant?

Answer 12

NF, TS, myelo (spine), pigmentation

Question 13

What do you look at growth charts for?

Answer 13

Hydrocephalus
FTT - RET, angle an, Prader-Wili
Sutures prefuse

Question 14

What is CP in an infant?

Answer 14

Weakness
Caused by many different insults
Static encephalopathy
Hypoxia, trauma

Question 15

How do you see autism in an infant?

Answer 15

Improves over time
Earlier is worse
Most kids diagnosised age 3 because they are at extremes
Can be secondary (TS,CP)

Question 16

What about leukodystrophies in an infant?

Answer 16

Don’t miss
White matter disease
Usually see randomly at age 5, otherwise progress normal

Question 17

What does muscular dystrophy effect in infants?

Answer 17

More boys than girls

Can’t move much by themselves

Question 18

What do you see epililepsy in infants?

Answer 18

Infantile panel

Look for genetics - may not go away

Question 19

What is NES?

Answer 19

Non epileptic seizures

• syncope, panic, hyperventilation, tic disorder
• GER, reflux, stiffen and arch but really reflux