By Thomas Sejersen, Ching H. Wang
This publication presents concepts for assessment and remedy within the quarter of acute pediatric neurology; those are provided didactically with widespread use of illustrations and algorithms. Chapters within the first a part of the booklet speak about offering signs of acute neurological stipulations. the second one a part of the booklet covers significant components of acute pediatric neurology and every of those chapters has 3 key parts: description of proposing signs; steered exams; and prompt interventions.
Acute Pediatric Neurology provides an available, clinically centred advisor to aid physicians within the emergency ward or extensive care unit in judgements on analysis and healing interventions in all significant acute pediatric neurological diseases.
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Extra info for Acute Pediatric Neurology
Epilepsia. 2010;51:676–85. 4. Abend NS, Gutierrez-Colina AM, Topjian AA, Zhao H, Guo R, Donnelly M, Clancy RR, Dlugos DJ. Nonconvulsive seizures are common in critically ill children. Neurology. 2011; 76:1071–7. 5. Vespa PM, O’Phelan K, Shah M, et al. Acute seizures after intracerebral hemorrhage: a factor in progressive midline shift and outcome. Neurology. 2003;60:1441–6. 6. Vespa PM, Miller C, McArthur D, et al. Nonconvulsive electrographic seizures after traumatic brain injury result in a delayed, prolonged increase in intracranial pressure and metabolic crisis.
This is referred to as remote symptomatic epilepsy with an acute precipitant or acute on remote epilepsy. In the American Academy of Neurology (AAN) practice parameter for the diagnostic assessment of the child with status epilepticus, a retrospective study, remote symptomatic SE with an acute precipitant occurred in 1 % of patient , whereas in the prospective North London status epilepticus surveillance study, an acute on remote cause occurred in 16 % . J. Riviello Jr. C. Scott Serum glucose should be rapidly checked to exclude hypoglycemia.
1 Introduction Seizures represent a neurologic event whose clinical manifestations result from excessive CNS excitation . The underlying neurophysiology of this excessive excitation is a transient hypersynchronous neuronal discharge. Seizures usually have a short duration, lasting less than several minutes. A prolonged seizure is referred to as status epilepticus (SE), and SE is more likely to occur in the critically ill. Epilepsy is defined as a condition in which there are recurrent, unprovoked seizures [2, 3].
Acute Pediatric Neurology by Thomas Sejersen, Ching H. Wang