About this Book

A practical guide to day-to-day care in child neurology
Uses key concepts to introduce complex topics
Includes anatomical diagrams for quick and easy reference
Reflecting real life situations on the ward
Covers common and rare conditions

Paediatric Neurology contains all the necessary guidance to investigate, diagnose and treat many of the common and rare neurological conditions in paediatrics. Each condition is covered by its own topic providing information on symptoms and signs, complications and emergency intervention. Other contents include: anatomical diagrams for quick and easy reference; expert guidance on drug usage in paediatric neurology; highlighted emergencies section; and, North American perspectives on management.

Readership: Aimed at paediatric trainees, paediatric neurology trainees, consultant and trainee general paediatricians, paediatric neurology consultants, and specialist nurses.

Table of Contents

Clinical approach

The consultation
What, where, and when
History taking
Examination
Higher cognitive function
Cranial nerves
Peripheral nervous system
Neonatal neurological examination
Real world examination sequences
Synthesis

Neurodiagnostic tools

Principles of investigation
Principles of neuroradiology
Neuroradiological anatomy
Principles of neurophysiology
Peripheral neurophysiological tests
Neurophysiological testing of central sensory pathways
Specialist investigations
Practical procedures
Neuropsychological testing

Signs and symptoms

Agitation and confusion
Back pain
Behaviour disorders
Developmental delay
Exercise limitation and muscle pain
Eye movement abnormalities
Facial movement abnormalities
Facial sensation abnormalities
Floppy infant
Foot deformaties
Funny turns (paroxysmal episodes)
Funny turns: likely epilepsy?
Gait abnormalities
Head shape abnormalities
Head size abnormalities
Headache
Hearing loss
Incontinence
Movement abnormalities
MRI: developmental abnormalities
MRI: unexpected and incidental findings
MRI: white matter abnormalities
Numbness, pain and sensory disturbance
Peripheral weakness
Psychomotor regression
School failure
Sleep disturbance
Speech difficulties
Swallowing and feeding problems
Toe walking
Unsteadiness and falls
Visual disturbances

Specific conditions

Acquired brain injury
Acquired spinal cord injury
Autoimmune disease of the CNS
Cerebral palsy and neurodisability
Demyelinating disease
Epilepsy
Non-epileptic paroxysmal phenomena
Functional illness
Headache
Hydrocephalus
Idiophathic intracranial hypertension
Infection of the CNS
Metabolic disease: late presentations
Mitochondrial disease
Movement disorders
Neuromuscular disease
Neurocutaneous syndromes
Neurodegenerative conditions
Neurotransmitter disorders
Sleep disorders
Stroke and intracerebral haemorrhage
Tumours of the CNS
Vitamin-responsive disorders

Consults with other services

General principles
Cardiology consultations
Endocrinology consultations
Gastroenterology consultations
Neonatal unit consultations
Neurosurgical consultations
Oncology consultations
PICU consultations
Psychiatry consultations
Renal consultations
Respiratory consultations
Rheumatology consultations

Emergencies

Acute agitation
Coma
Convulsive status epilepticus
Status dystonicus
Sudden onset visual loss
The child who suddenly stops walking

Pharmacopoeia

Author Information

Rob Forsyth, Senior Lecturer and Consultant Paediatric Neurologist, Great North Children's Hospital, Newcastle Biomedicine, Newcastle University, Newcastle upon Tyne, UK, and Richard W. Newton, Consultant Paediatric Neurologist, Manchester Children's Hospital, Manchester, UK

Rob Forsyth trained at Cambridge and Oxford Universities. His general paediatric training was in Nottingham before moving to Newcastle to complete a PhD in brain energy metabolism. After a fellowship in Vancouver he was appointed as consultant and senior lecturer in child neurology in Newcastle in 1997. He is National Training Adviser for the British Paediatric Neurology Association and Neurology Specialty Advisory Committee of the RCPCH.

Richard Newton trained at King's and Guy's in London and then completed a GP Vocational Training Scheme in Humberside. A growing interest in paediatric neurology then took him to Manchester where he completed his higher specialist training. He has been a consultant in paediatric neurology to the Manchester Children's Hospitals since 1983 and their Director of Clinical Services, later Medical Director from 1988 to 1997.

Contributors:

Dr Christian de Goede
Dr Sophia Varadkar
Dr Ki Pang
Dr Nuno Cordeiro
Dr Omar Khwaja
Dr Kate Riney
Dr Rachel Kneen
Dr Andrew Lux
Dr Grace Vassallo Dr Anna Basu