Fenichel's Clinical Pediatric Neurology. A Signs and by J Eric Piña-Garza

By J Eric Piña-Garza

Confidently diagnose and deal with basic neurologic problems of adolescence with actionable, step-by-step suggestions from Fenichel’s scientific Pediatric Neurology! A signs-and-symptoms-based approach - with attention of every offering symptom when it comes to differential prognosis and therapy - mirrors how you would routinely overview and deal with a sufferer. A practical and well-organized creation to pediatric neurology, this can be an excellent source for board examination training, workplace use, and reference in the course of residency.

  • Quickly establish the development of every neurological affliction.
  • Extensive assurance in actual fact defines age at onset, process affliction, medical good points, and cures.

  • Evaluate and deal with even the main tricky neurodegenerative disorders
  • ―including these because of inborn mistakes of metabolism – due to differential prognosis tables and remedy algorithms.

  • Search the most important details at a glance.
  • a company by means of neurological signs, including a elementary, hugely templated layout makes it possible for quickly and simple reference.

  • Rely on it every time, anywhere!
  • entry the entire textual content and extra at www.expertconsult.com.


  • Discover the most recent in pediatric neurology
  • including very important rising subject matters reminiscent of new-generation pharmacological treatment for seizures and epilepsy, neuropathic discomfort, and auto-immune neurological illness; anti-NMDA antibody encephalopathy; prognosis and administration of neuro-psychogenic symptomatology; and overview and administration of persistent day-by-day headaches.

  • Readily determine the extra universal and such a lot treatable neurological issues with the help of hugely templated chapters, and weighted differential analysis tables.
  • Confidently triumph over the scientific demanding situations you’re prone to face with singular, authoritative advice from Dr. J. Eric Piña-Garza – an established affiliate and protégé of Dr. Gerald Fenichel.

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Additional info for Fenichel's Clinical Pediatric Neurology. A Signs and Symptoms Approach

Sample text

Clinical Features. The onset is at birth or early infancy. When the onset is at birth, the newborn may appear hypotonic during sleep and develop generalized stiffening on awakening. Apnea and an exaggerated startle response are associated signs. Hypertonia in the newborn is unusual. Rigidity diminishes but does not disappear during sleep. Tendon reflexes 25 are brisk, and the response spreads to other muscles. The stiffness resolves spontaneously during infancy, and by 3 years of age most children are normal; however, episodes of stiffness may recur during adolescence or early adult life in response to startle, cold exposure, or pregnancy.

The response to anticonvulsant drugs and the outcome depend on the underlying cause. Hemiconvulsions-Hemiplegia Syndrome (Rasmussen Syndrome) Rasmussen syndrome is a poorly understood disorder. While originally described as a form of focal, viral encephalitis, an infectious etiology is not established. Clinical Features. Focal jerking frequently begins in one body part, usually one side of the face or one hand, and then spreads to contiguous parts. Trunk muscles are rarely affected. The rate and intensity of the seizures vary at first, but then become more regular and persist during sleep.

Reproduce the typical features with video/EEG. Treatment. Treatment is similar to the other idiopathic generalized epilepsies: ethosuximide, lamotrigine, levetiracetam, divalproex sodium. Myoclonic Seizures Myoclonus is a brief, involuntary muscle contraction (jerk) that may represent: (1) a seizure manifestation, as in juvenile myoclonic epilepsy; (2) a physiological response to startle or to falling asleep; (3) an involuntary movement of sleep; or (4) an involuntary movement from disinhibition of the spinal cord (see Table 14-7).

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