Download e-book for iPad: Acute Pediatric Neurology by Thomas Sejersen, Ching H. Wang

By Thomas Sejersen, Ching H. Wang

ISBN-10: 0857294903

ISBN-13: 9780857294906

This booklet offers techniques for review and remedy within the sector of acute pediatric neurology; those are awarded didactically with common use of illustrations and algorithms. Chapters within the first a part of the ebook talk about providing signs of acute neurological stipulations. the second one a part of the ebook covers significant parts of acute pediatric neurology and every of those chapters has 3 key parts: description of offering indicators; urged tests; and urged interventions.

 

Acute Pediatric Neurology provides an available, clinically concentrated consultant to aid physicians within the emergency ward or extensive care unit in judgements on prognosis and healing interventions in all significant acute pediatric neurological diseases.

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Extra resources for Acute Pediatric Neurology

Example text

The third is to immediately treat the seizure, especially if prolonged, and the fourth is to identify and treat the precipitating cause, if possible. The last is to determine the AED needed to prevent subsequent seizure activity. Especially in regard to recognizing a seizure, it is important to know that the clinical manifestations of a seizure may vary. The classification of seizures and the epilepsy syndromes guides management. 2 Stages of status epilepticus [7, 8] 25 Incipient stage (0–5 min) Early stage (5–30 min) Special circumstances of the early stage: situations that need immediate seizure control Transition stage Late stage (established) (30–60 min) Refractory stage (>60 min) Postictal stage either focal or generalized; and (3) seizure etiology.

Greenberg MK, Barsan WG, Starkman S. Practice parameter: neuroimaging in the emergency patient presenting with seizure. Neurology. 1996;47:26–32. 21. Sharma S, Riviello JJ, Harper MB, Baskin MN. The role of emergent neuroimaging in children with new-onset afebrile seizures. Pediatrics. 2003;111:1–5. 22. DeLorenzo RJ, Waterhouse EJ, Towne AR, Boggs JG, Ko D, DeLorenzo GA, Brown A, Garnett L. Persistent nonconvulsive status epilepticus after control of generalized convulsive status epilepticus. Epilepsia.

An acute CNS insult is more likely if the first seizure occurs during an illness, for which a specific treatment may be needed. Seizures may occur with epilepsy or may result from an acute primary CNS insult, such as stroke, intracranial hemorrhage, or traumatic brain injury, or from a systemic disorder with secondary effects on the CNS, such as hypoglycemia, hypoxemia, or hypotension. A focal neurologic deficit is more suggestive of a primary intracranial insult, whereas global (diffuse) CNS dysfunction suggests a secondary CNS insult, such as hypoglycemia.

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Acute Pediatric Neurology by Thomas Sejersen, Ching H. Wang


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