W8 - Neurological Disease in Childhood Flashcards
diferentials for persistent headache
- migraine
- brain tumour
- tension headache
- idiopathic intracranial hypertension - obesity
- psychosomatic
what features of a brain tumour
pain at night
night sweats
WL
early morninng headache
early morning vomiting
vision changes
what is normal migraine duration
1hr to 3days
what is the classification and diagnosis of headaches
ICHD
- really good to look through for headache revision
what is the characteristic headache of tumour
progressive over time
can fluctuate but wont go away
what is the first treatment for migraine
triptans
under 12 - nasal spray
over 12 - tablet
causes of seizures in children
fever (febrile seizures), infections,
head injuries
epilepsy - JME (juvenile myoclonic epilepsy)
what is JME
a common, hereditary, and generalized form of epilepsy
begins in adolescence, myoclonic seizures, generalized tonic-clonic and absence seizure
what can trigger a seizure in JME
lack of sleep, early awakening, alcohol, drugs, stress, menstruation, or flickering lights
whats the treatment for JME
antiseizure meds
lamotrigine, carbanmazepine
whats the prognosis of JME
good
can be managed well with anti-seizure meds
what is the inheritance of duchennes
x-linked recessive
who gets duchennes
boys
what is the investigation for Duchenne’s
creatinine kinase
if low - easy to exclude
if high - indicated neuromuscular and needs further investigation
what conditions are associated with autism
duchennes
ADHD
prader will
angelmans
edwards syndrome
what’s the treatment for Duchenne’s
physio
steroids - reduce muscle loss
genetic testing and counselling
