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Showing results for tags 'neurology'.
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Seizure control. Tried and true or the new kid on the block?
AllThingsNeonatal posted a blog entry in All Things Neonatal
Phenobarbital at least where I work has been first line treatment for seizure control for as long as I can recall. We dabbled with using phenytoin and fos-phenytoin in the past but the go to tried and true has been phenobarbital for some time. The use of this drug though has not been without trepidation. Animal studies have linked phenobarbital to increases rates of cerebral apoptosis. Additionally, in a retrospective comparison of outcomes between seizures controlled with phenobarbital vs Levetiracetam, the latter came out ahead in terms of better long term developmental outcomes. This study -
The "PEDIATRIC NEUROLOGIC EXAM: A NEURODEVELOPMENTAL APPROACH" uses over 145 video demonstrations and narrative descriptions in an online tutorial. It presents the neurological examination of the pediatric patient as couched within the context of neurodevelopmental milestones for Newborns, 3 month-olds, 6 month-olds, 12 month-olds, 18 month-olds, and 2-and-a-half year-olds. Use the Table of Contents on the left to access these tutorials. In assessing the child’s developmental level, the examiner must know the age when key social, motor, and language skills are normally acquired. The normal neurological findings one would expect for a newborn are certainly different than a 2, 6 or 12-month-old infant. Obtaining developmental milestones is an important reflection of the maturation of the child's nervous system, and assessing development is an essential part of the pediatric neurological examination. Delay in obtaining developmental milestones and abnormal patterns of development are important indicators of underlying neurological disease. This "Internet Accessible Tutorial for Medical Neuroscience in the Pediatric Neurologic Examination" is authored by the University of Nebraska Medical Center. College of Medicine (Paul D. Larsen, MD) and the University of Utah School of Medicine (Suzanne S. Stensaas, PhD).
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KCL, UCL, Imperial, Guys and St Thomas and Evelina London are organising a 2 day symposium on neonatal neurprotection, 29 - 30 May 2014 Details: http://www.guysandstthomasevents.co.uk/paediatrics-training/london-neonatal-neuroprotection-symposium/