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49 Cards in this Set
- Front
- Back
what is most common cause of neonatal seizure?
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1.hypoxic injury
2.infection 3.hemoorhage 4.in urtero stroke 5. CNS malformation 6. metabolic disease |
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what is the major cause of hypoxic brain injury to infant
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intrautern asphxia(placental abruptions
postnatal resp. distress cardiac issue |
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what is hyptonia?
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floppy baby
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what is the causes of neonatal hypotonia?
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spinal muscular atrophy
choromosome 5 neuromuscular junction like botuslims and myastneia gravis congenital myopathy |
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nemaline rod
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congenital myopathy
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what does cerebral palsy indicate?
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injuyr early in neurolig development
prenatal most common-drugs,alcohol, genetics |
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what are the most common cerebral palsy?
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spastic
quadriplegia, mono/di plegia |
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what are all the cerebral palsy?
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spastic
hyptoninc dystonic ataxic mixed |
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dystonic is from
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basal ganglia damage
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ataxic is from
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cerebellar damage
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what is usual cause of spastic cerebral palsy?
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prenatal stroke
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what is the most common presentation to neuro for kids?
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seizures which include:
cerebral palsy epilepsy all the stuff in the cards before this |
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what is the second reason kids present to neuro?
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headaches
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what is the significant difference between headaches in kids and adults
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nothing talked about so basically same as lectures for headache we did already
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what are the tic disorders?
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transient-at least 4 weeks no more than 1year
chronic motor- simple/complex tics more than a year vocal chronic- greater than 1 year tourete's syndrome- both vocal/motor over 1 year |
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what is tourettes associated with
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ADHD
OCD anxiety/phobias |
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what is treatment for tics
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clonidine and guanfacine
alpha 2 agonist neuroleptics-risperidone, haldol |
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what are stereotypies?
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repeated, purposeless movement that may be simple or complex
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what is kernicterus?
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hypotonica, lethargy, poor feeding, fever
neonate with chorea/tremaor/dystonia |
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what is cause of kernicterus?
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deposit in basal ganglia and hippocampus
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what are some shaking spells that are not seizure in kids
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jitteriness
sandifer syndrome benign sleep myoclonus steryotypies |
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what is lennox gaustaut
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childhood epilepsy
1-2hz spike and wave on EEG poor prognosis refactory tonic, |
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what is west syndrome
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hypsarrhthmia spasm, MR
tuberous sclerosis, prematurity, stroke poor prognosis |
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what is hypsarrhythmia?
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really crazy EEG spikes all over the place
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what is classic petit mal epilepsy EEG pattern
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3-Hz spike and wave
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what is benign rolandic epilepsy of childhood?
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nocturnal seizures onset at 6-8 out grow it around 12
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juvenile myocloic epilepsy?
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late child hood myoclonic jerks and absence siezures
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what is febrile seizures associated with?
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HHV infection
occurs less than 12 mins and less than 2 times a day |
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causes of ataxia?
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post infection cerbellitis
MS stroke opsoclonus myclonus genetic |
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freidreich's ataxia?
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AR
progressive cardiomyopathy |
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chronic ataxia genetic has
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telagniectasia
AR late tremors, and chorea dandy walker malformation |
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cerebellar hypplasia, cystic dilation, ventriculomegally?
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dandy walker malformation
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Duchenne
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x linked recessive
prominent calves proximal weakness CPK is 10K-30K |
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myotoinc dystrophy
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AD trinucleotide repeat
frontal baldnes cataracts mucsle biopsy with central nuclei** |
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infantile botulism?
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ingestion of spores
constipation-ileus hyptonia dilated pupils |
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lebers disease
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males
onset 18 mainly issue of the optic nerve degen |
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leigh syndrome
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progressive
starts 1st year of life cerebellar dysfunction |
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ragged red fibers in what?
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mitochondrial disorders
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tubersou sclerosis
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AD variabel penetrance
cutaneous lesions adenoma sebaceum patchy skin stuff and nails bad tubers in the brain, which ar pale hard gliotic tissue. wide spread issue with tumors due to defect in tumor supressor gene |
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Neurofirbromatotiss type 1
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AD chromosome 17
6 or more cafe au lait spots lichnodules dysfiguring neurofibromas all over the body elephant man |
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neurofirbromatosis type 2
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AD chromosome 22
neuroma/schwanoma presence of hearing loss |
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Sturge weber syndrome
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hemiparesis
generalized partial seiurzures glaucoma spot on face |
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microcephaly
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primary-familial
secondary-intrauterine disorder |
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two types of hydrocephalus?
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comunicating
noncomunicating |
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noncomunicating hydrocephalus
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dandy walker
chiari malformation mass |
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communicating hydrocephalus
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meningitis
post hemorrhagic subarachnoid hemorrhage choriod plexus malformation |
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developmental delay seen in ?
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static encephalopathy
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developmental regression
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neurodegenerative disease
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developemental milestones
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head control 12 w
crawl 40w first word 1 year walk 10-15 m sentences 2-3y |