Peds neuro Flashcards
Seizure disorders- Eti
- Sudden, transient disturbance in brain fxn
- Metabolic, traumatic, anoxic or infectous
- Repeated = epilepsy
Seizure disorders- Sx
- Focal or generalized
Seizure disorders- Dx
- Detailed hx to determine sypmtops at onset, duration, focal v general
- EEG
Seizure disorders- Tx
- carbamazapine
Febrile seizures- Eti
- 90% generalized
- Last
Febrile seizures- Sx
- Fever > 38.8 degrees
- Non-CNS infection
- Between 3 mo - 6 yrs
Febrile seizures- Dx
- Determine source of fever
- Lumbar puncture, RO CNS illness
Febrile seizures- Tx
- Dont tx with anticonvulsants
- Control fever with baths, antipyretics and abx
Febrile seizures- Tx
- Dont tx with anticonvulsants
- Control fever with baths, antipyretics and abx
Hydrocephalus- Eti
- Increased CSG volume
- Progressive ventricular dilation
Hydrocephalus-Sx
- Macrocephaly
- Excessive rate of head growth
- Irritability
- Bulging fontanelle
- LOA, V
- Impaired gaze, EOM
- Hypertonia & hyperreflexia
Hydrocephalus-Sx
- Macrocephaly
- Excessive rate of head growth
- Irritability
- Bulging fontanelle
- LOA, V
- Impaired gaze, EOM
- Hypertonia & hyperreflexia
Hydrocephalus-Dx
- Clinical
- CT & MRI
Hydrocephalus-Tx
Vetriculoperitoneal shunting
- Tx underlying cause
Hydrocephalus-Tx
Vetriculoperitoneal shunting
- Tx underlying cause
Headaches- Eti
- Migraine & tension type
- 11-28% children
Headaches- Sx
- Primary: migraine, tension, trigeminal
Migraine- episodic, unilateral, throbbing, photphobia, phonophobia, N/V - Tension: Tight, dull sensation
- Trigeminal: Rare, unilateral severe HA, autonomic dysfxn (congestion, watery eye, facial sweating, miosis)
Headaches- Dx
History & symptoms
Headaches- Tx
- Acute- analgesics & migraine meds
- Preventative- biobehavioral management
Headaches- Tx
- Acute- analgesics & migraine meds
- Preventative- biobehavioral management
Cerebral palsy- Eti
- 0.2% children
- Chronic, static impairment of muscle tone, strength, tone, coord, Mvmt
- Non-progressive, originated from trauma
Cerebral palsy- Sx
- Limb spasticity: Mono, hemo, para
- Ataxia- fine coordination of upper extremities
- Hyperreflexia
- Microcephaly
- Seizures, retardation,
Cerebral palsy- Dx
- MRI
- Genetic & metabolic testing
Cerebral palsy- Tx
- PT, OT, ST
- Orthopedic monitoring
- Botox for spasticity