Category Neurology

Tapping a VP Shunt

The number of technology dependent children that we see seems to steadily be increasing. These technologies can be quite beneficial for the patient, but are associated with potential complications and issues. Ventriculoperitoneal (VP) shunts certainly benefit patients who have hydrocephalus;…

Headaches- Common or Concerning?

In the ED we are trained to think of the big, bad diagnoses first… and there are several concerning potential options when we consider Headaches (HA). HA is a common complaint that we see in children (~75% of children will…

Concussions

Often the first explanation / opinion a patient and family hear is the one that resonates the loudest and longest within their minds. This is why it is crucial that we give honest and well-informed perspectives. Recently, Dr. Elizabeth Weinstein…

Syncope

Syncope 15-25% of children experience at least one syncopal episode by young adulthood Heart Disease has been the attributed etiology in as high as 10-28% of these cases Historical features suggestive of Cardiac etiology (similar to adults): Onset with exertion…

Febrile Seizure Evaluation

On this April Fool’s Day, do not let the seizing patient with a fever make a fool of you. Naturally, anytime a patient has a fever and a seizure, the first concerning diagnosis that comes to mind is meningitis; however,…

Acute Otitis Media and Cochlear Implant

Acute Otitis Media with Cochlear Implant Advancements in medicine can benefit our patients, but remember they can also complicate our decision making as a physician.  In this case, that acute otitis media you are diagnosing may not be as simple…

Pseudosubluxation

Happy New Year!!!! Inevitably the coming days will be a pain in the neck, or at least present you with the opportunity to evaluate kids with pains in their necks. When that happens, recall that kids have several normal radiographic…