By Audrey M. Walker MD, David Myland Kaufman MD, Cynthia R. Pfeffer MD, Gail Ellen Solomon MD
Completely revised for its moment variation, this article is geared to citizens and fellows education in baby and adolescent psychiatry and people getting ready for board examinations in either common and baby psychiatry. The ebook covers universal neurologic problems noticeable within the pediatric inhabitants, their presentation, together with psychiatric indicators, and their workup, analysis, and therapy. assurance contains psychiatric comorbidities in pediatric neurologic problems and psychiatric unintended effects of medicines used to regard pediatric neurologic disorders.
Case shows display the diagnostic method of sufferers in pediatric neurology and at the interface of pediatric neurology and psychiatry. perform questions provide very good evaluation for board certification and recertification examinations. A word list is additionally included.
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Additional info for Child and Adolescent Neurology for Psychiatrists
Regardless of the definition used, the detection of intracranial injury on the basis of physical examination findings is notoriously difficult, and no clinical finding or combination of findings reliably identifies all significant intracranial injuries (21). This further underscores the important role of research in developing guidelines relating to the utility of imaging in the management of minor head trauma. Conversely, in the setting of imaging findings, there is a need to consider the fact that not every abnormality detected with neuroimaging may turn out to be clinically significant.
These low-grade tumors usually develop near the foramen of Monro, progressively enlarge, and may cause obstructive hydrocephalus (43,63). Neuroimaging plays an important role in the diagnosis and management of tuberous sclerosis. Current recommendations are for cranial imaging with CT or MRI every 1 to 3 years in children with TS, to detect complications (65). In addition, MRS and perfusion imaging can be helpful in distinguishing between benign hamartomas and neoplasms. qxd 7/22/08 3:26 PM Page 31 Chapter 2 / NEURORADIOLOGICAL IMAGING IN CHILDREN 31 for determining which brain lesions are epileptogenic so that they may be removed surgically (43,66).
10 A: Craniopharyngioma. Sagittal T1 contrast-enhanced MRI demonstrates a suprasellar, enhancing cystic lesion, with evidence of calcification on axial noncontrast CT scan (B). qxd 28 7/22/08 3:26 PM Page 28 CHILD AND ADOLESCENT NEUROLOGY FOR PSYCHIATRISTS benign, whereas pineoblastomas are highly malignant, invasive tumors that resemble medulloblastoma histologically (57). CT shows both tumors as isodense to hyperdense lesions with calcifications and marked enhancement. Pineoblastomas may be larger, more lobulated, and more heterogeneous than pineocytomas.