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32 Cards in this Set
- Front
- Back
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what D/O in Ped Neuro is very common and frequently underdiagnosed?
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Juvenile Migraine H/A
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Somone who just started having H/A 2-3 months ago and now has D/A as soon as wake up?
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Juvenile Migraine H/A
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can you have migraine syndrome w/o H/A?
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yes
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what's interesting about migraine syndrome
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do not have to have H/A!
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Char of benign febrile seizures
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1. Age: 6 mo-4 yrs
2. Brief in duration: <5 min 3. Generalized (affects whole body, not just left or right side) 4. Occur as single episodes |
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char of complex febrile seizure
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1. >10 min duration
2. Focal (just left or right side) 3. occur in clusters 4. higher incidence of subsequent afebrile seizure D/O (thus, must watch more closely) |
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Tx for febrile seizures
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if fever precedes seizure by several hours, use PRN diazepam (Valium)
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definition of seizure
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abnl CLINICAL spell caused by abnl electric activity in brain (even if see abnl EEG,, the pt isn't having a seizure unless he's falling down and shaking)
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def of epilepsy
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tendencing to have RECURRING seizures (someone who has one seizure is NOT an epileptic)
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subtypes of CP (cerebral palsy)
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-all 4 limbs: spastic quadraplegia
-only legs involved: spastic diplegia -only L or R side involved: hemiplegic CP -athetoid mvmts: athetoid CP -if hypotonic (+Babinksi): Hypotonic CP |
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Neurofibromatosis
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*EXAM-axillary freckles
*multiple cafe-au-lait spots -subcutaneous tumors -may have CNS involvement: ~tumors of optic nerve (CN2): optic glioma ~tumors of acoustic nerve (CN8): acoustic neuroma |
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causes of acute chorea
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*EXAM: Syndenham's chorea (post-strep, part of rheumatic fever complex)
*Know that it's part of Rh heart dz and must be put on anti-strep prophylaxis -Thyroid Dz -Parathy Dz -SLE -Drug-induced (phenytoin, carbamezepine, birth control) |
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multiple ticks, including vocal tics, >1 year
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Tourette's
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Tourette's
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multiple ticks, including vocal tics, >1 year
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how Dx Juvenile Migraine H/A
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1.Aura (flashing lights, dizziness, numbness of L or R side)
2.relief by sleep 3. NORMAL neuro exam |
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Lt prognosis for Juvenile Migraine H/A
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-most kids outgrow it
-Tx for 1 year, then taper |
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how evalute for epilepsy
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EEG:
can do normal EEG, sleep deprived EEG, or 23-hour video EEG |
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how Tx epilepsy
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give daily meds for 2 years til seizure free (don't need to Tx initial seizure because 1 seizure is not epilepsy!)
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Cerebral Palsy
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-D/O of locomotion present since birth (secondary to problems with brain or s.c.)
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CP subtype involving all 4 limbs
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spastic quadriplegia
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CP subtype when only legs involved
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spastic diplegia
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CP subtype with only L or R side involved
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hemiplegic CP
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CP subtype if athetoid mvmt
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athetoid CP
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CP subtype if hypotonic
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(hypotonic= (+)Babinski)
hypotonic CP |
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clinical features of CP
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1.spasticity (certain muscles are continually contracted
-->incr DTR's, +Bab, Adductor Reflex: both legs adduct) 2.normal intelligence 3.disordered swallowing, possible aspiration and pneumonia |
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Sturge Weber syndrome
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*facial hemangioma (benign skin lesion)- port wine stain
*occipital lobe calcification |
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port-wine stain
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Sturge Weber syndrome
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dystonia
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disturbance of posture caused by simultaneous contractions of agonist and antagonist
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mvmt D/O
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1.Chorea
2.Dystonia 3.Motor tics (if include vocal tics-->Tourette's) |
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cause of degenerative D/O
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absent enzyme or protein
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hallmarks of presentation of degenerative D/O
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1.Loss of previous development milestones
2.New onset of neuro defects (nystagmus) 3.Hard to differentiate from static encephalo-pathy early on 4.Developmental delay with no clear explanation |
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milkmaid's grip
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chorea
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