Category Neurology

Seizure Mimics

Few things will frighten parents more than seeing their child appear to shake all over.  Fortunately, many times seizure activity is due to benign causes like simple febrile seizures.  Unfortunately, our job is quite difficult and we need to deal…

Autism

The Emergency Department is appealing to many of us because of the speed at which it occurs.  We evaluate rapidly.  We get results quickly (relatively anyway… often we get cranky because they aren’t rapid enough).  We make decisions expeditiously.  Our environment…

Migraine Cocktail

  Naturally, the differential for headache in pediatric patients is vast and includes conditions ranging from strep throat to Pseudotumor and pneumonia to AVM. Occasionally, we have to perform invasive tests like Lumbar Punctures to help evaluate the headache. Fortunately,…

Baclofen Pump

  Medical technology continues to advance with the goal of improving patient care, but as the march toward the future seems to occur more rapidly each year, it is our challenge to stay abreast of the good and the, potentially,…

Facial Nerve Palsy

There are many conditions that exist in both Pediatric and Adult patients who present to the ED.  Some of them require special consideration when you are evaluating the special population of pediatric patients (please don’t say “kids aren’t little adults”……

Intussusception & Altered Mental Status

Evaluating the child with altered mental status can be very challenging.  As with adults, there are a myriad of potential etiologies and it can be difficult to prioritize the order of the evaluation.  Does this patient have an intracranial process…

Tick Paralysis

Ascending paralysis naturally evokes concern for Guillain-Barre syndrome, but one entity that should be on your differential and requires special action is Tick Paralysis.  Let’s take a minute to refresh our memories about this interesting and important condition. Presentation Prodrome…