Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
32 Cards in this Set
- Front
- Back
what D/O in Ped Neuro is very common and frequently underdiagnosed?
|
Juvenile Migraine H/A
|
|
Somone who just started having H/A 2-3 months ago and now has D/A as soon as wake up?
|
Juvenile Migraine H/A
|
|
can you have migraine syndrome w/o H/A?
|
yes
|
|
what's interesting about migraine syndrome
|
do not have to have H/A!
|
|
Char of benign febrile seizures
|
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 |
|
char of complex febrile seizure
|
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) |
|
Tx for febrile seizures
|
if fever precedes seizure by several hours, use PRN diazepam (Valium)
|
|
definition of seizure
|
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)
|
|
def of epilepsy
|
tendencing to have RECURRING seizures (someone who has one seizure is NOT an epileptic)
|
|
subtypes of CP (cerebral palsy)
|
-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 |
|
Neurofibromatosis
|
*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 |
|
causes of acute chorea
|
*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) |
|
multiple ticks, including vocal tics, >1 year
|
Tourette's
|
|
Tourette's
|
multiple ticks, including vocal tics, >1 year
|
|
how Dx Juvenile Migraine H/A
|
1.Aura (flashing lights, dizziness, numbness of L or R side)
2.relief by sleep 3. NORMAL neuro exam |
|
Lt prognosis for Juvenile Migraine H/A
|
-most kids outgrow it
-Tx for 1 year, then taper |
|
how evalute for epilepsy
|
EEG:
can do normal EEG, sleep deprived EEG, or 23-hour video EEG |
|
how Tx epilepsy
|
give daily meds for 2 years til seizure free (don't need to Tx initial seizure because 1 seizure is not epilepsy!)
|
|
Cerebral Palsy
|
-D/O of locomotion present since birth (secondary to problems with brain or s.c.)
|
|
CP subtype involving all 4 limbs
|
spastic quadriplegia
|
|
CP subtype when only legs involved
|
spastic diplegia
|
|
CP subtype with only L or R side involved
|
hemiplegic CP
|
|
CP subtype if athetoid mvmt
|
athetoid CP
|
|
CP subtype if hypotonic
|
(hypotonic= (+)Babinski)
hypotonic CP |
|
clinical features of CP
|
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 |
|
Sturge Weber syndrome
|
*facial hemangioma (benign skin lesion)- port wine stain
*occipital lobe calcification |
|
port-wine stain
|
Sturge Weber syndrome
|
|
dystonia
|
disturbance of posture caused by simultaneous contractions of agonist and antagonist
|
|
mvmt D/O
|
1.Chorea
2.Dystonia 3.Motor tics (if include vocal tics-->Tourette's) |
|
cause of degenerative D/O
|
absent enzyme or protein
|
|
hallmarks of presentation of degenerative D/O
|
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 |
|
milkmaid's grip
|
chorea
|