Category Neurology

Arteriovenous Malformations

Recall your medical school application?  Do you remember what you wrote about in your personal statement?  I would be willing to bet that a good majority of you wrote about wanting to “make a difference.”  Those of us that spend…

Hypertonic Saline for TBI

There has been a lot of focus on the appropriate evaluation of pediatric MINOR head injury (we’ve even covered the 3 month old caveat and concussions); however, let us not forget that MAJOR head injury is a serious public health…

Rapid MRI for VP Shunt Evaluation

VP Shunts have greatly benefited many children with hydrocephalus.  Unfortunately, VP shunts can have complications… and we have discussed some of them before (Tapping a VP Shunt).  The evaluation of a child with a VP shunt who is not critically…

Dog Bites and PTSD

We are all well aware of the physical damage that occurs with dog bites, particularly in children, who are often bitten in the face and above the shoulders.  We all are able to deftly discuss the risk and benefits of…

Pyridoxine Dependent Seizures

We have recently discussed how neonatal seizures are often very subtle and, unfortunately, commonly related to significant pathology (infection, hypoxic-ischemic encephalopahty, intracranial hemorrhage, hypoglycemia, inborn errors of metabolism, etc). Once we determine that we are dealing with a seizure, we…

Ketogenic Diet and Seizures

Ketogenic Diet and Pediatric Seizures During this holiday season many people are looking for the perfect diet to help them balance out all of the high caloric intake. What could be more perfect than trying to loose your excess holiday…

Krazy Keppra

Keppra

Keppra: Important Side Effect One of the most interesting (and most frustrating) aspects of our jobs is its perpetually evolving nature. That can be humbling (particularly when what you held as steadfast fact is pointed out to be mythical by your…