Pediatric Neurology: Kanoff Flashcards

1
Q

Why is age 3-7 “ideal” for a brain injury?

A

Because development has taken place but the brain’s plasticity remains high.

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2
Q

Why might an infant with a stroke look normal until 12 months of age?

A

The extrapyramidal system is still in place (provides bilateral innervation). Once the pyramidal system takes over, you will notice deficits.

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3
Q

Where will you see deficits from a lesion in a full-term infant? Why?

A

Arms because they are more vulnerable in watershed areas which are more lateral on the brain surface (think of the Homunculus)

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4
Q

Where will you see damage in a pre-term infant?

What is something specifically you may see?

A

Legs. They have more of a diffuse vascular supply.

Spastic diplegia: both legs stiff

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5
Q

What is central hypotonia?

A

An UMN lesion but instead of stiffness, you have a floppy kid but reflexes are brisk.

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6
Q

What does it indicate if a baby puts its thumb inside of its palm?

A

Something pathological is going on.

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