By Gloria Galloway
This is the 1st ebook to comprehensively handle neurodiagnostic checking out for the extensive scope of scientific neurophysiologic problems within the pediatric inhabitants. the sphere of scientific neurophysiology has extended exponentially with the improvement of recent methods, recommendations, experiences, and certifications. This booklet bridges the space in scientific info to be had for practitioners who use neurophysiologic recommendations to guage and deal with young children and children with epilepsy, sleep, neuromuscular, and autonomic problems yet would possibly not have subspecialty education in each one person field.
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Additional resources for Clinical Neurophysiology in Pediatrics: A Practical Approach to Neurodiagnostic Testing and Management
2006;117(2):304–308. 2005-0759. 19. Hesdorffer DC, Chan S, Tian H, et al. Are MRI-detected brain abnormalities associated with febrile seizure type?. Epilepsia. 2008;49(5):765–771. x. 20. Kimia AA, Ben-Joseph E, Prabhu S, et al. Yield of emergent neuroimaging among children presenting with a first complex febrile seizure. Pediatr Emerg Care. 2012;28(4):316–321. 0b013e31824d8b0b. 28 ■ Clinical Neurophysiology in Pediatrics 21. Wo SB, Lee JH, Lee YJ, et al. Risk for developing epilepsy and epileptiform discharges on EEG in patients with febrile seizures.
The finding that hippocampal sclerosis is associated more frequently with developmental anomalies like focal cortical dysplasia and/or heterotropia suggests genetic predisposition. This is also suggested by a study of familial mesial temporal lobe epilepsy (38) in which 52 asymptomatic relatives of patients with familial mesial temporal lobe epilepsy were studied and 18 were found to have a hippocampal abnormality on MRI. A recent study looked at genome-wide association comparing 1,018 study patients with mesial temporal lobe epilepsy and hippocampal sclerosis with 7,552 controls.
EEG demonstrates bradycardia (black arrow) after episode of crying, followed by prolonged, 20-seconds asystole (black line). EEG during that period shows generalized background slowing, followed by diffuse electrical suppression, associated with opisthotonic posturing of the child (inserted picture). After the event, heart rate returns to baseline (gray arrow). Longitudinal montage, amplitude 150 peak-to-peak, 30-seconds screen. Syncope Syncope is a transient, abrupt loss of consciousness due to reduction in global cerebral perfusion.
Clinical Neurophysiology in Pediatrics: A Practical Approach to Neurodiagnostic Testing and Management by Gloria Galloway