keyword
https://read.qxmd.com/read/38523396/experiences-of-young-adults-with-cerebral-palsy-in-pediatric-care-transitioning-to-adult-care
#21
JOURNAL ARTICLE
Cristina A Sarmiento, Jordan M Wyrwa, Chloe Glaros, Brooke Dorsey Holliman, Lisa A Brenner
AIM: To increase understanding regarding the experiences and values of young adults with cerebral palsy (CP), and their caregivers, regarding pediatric rehabilitation-related care, including perceived barriers and potential facilitators to transition to adult care. METHOD: This was a qualitative descriptive study that used 20 semi-structured interviews (13 caregivers and seven patient-caregiver dyads). RESULTS: We identified four major themes: (1) the value and security of long-term relationships; (2) feeling 'rudderless' navigating the logistics of transition; (3) differences in pediatric versus adult models of care; and (4) perceived lack of provider expertise and comfort in adult care settings...
March 24, 2024: Developmental Medicine and Child Neurology
https://read.qxmd.com/read/38523380/anxiety-depression-sleep-disorders-and-quality-of-life-in-parents-of-children-with-first-unprovoked-seizure-and-epilepsy
#22
JOURNAL ARTICLE
Bilge Özgör, Neslihan Cansel
BACKGROUND: Parents of a child with neurological problems such as seizures and epilepsy experience significant mental distress. Little is known about the mental state of parents in such a stressful situation. This study aims to determine the prevalence of self-reported depression, anxiety, sleep disorders, and quality of life in parents of children with epilepsy and first unprovoked seizure. METHODS: This cross-sectional study was conducted among the parents of children diagnosed with first unprovoked seizure and epilepsy admitted to the Pediatric Neurology Department, Outpatient Unit of İnönü University Medical Faculty Hospital...
2024: Turkish Journal of Pediatrics
https://read.qxmd.com/read/38523120/the-sensitivity-of-limited-sequence-mri-in-identifying-pediatric-cervical-spine-injury-a-western-pediatric-surgery-research-consortium-multicenter-retrospective-cohort-study
#23
JOURNAL ARTICLE
Caroline Melhado, Rachelle Durand, Katie W Russell, Natalya E Polukoff, John Rampton, Rajiv R Iyer, Shannon N Acker, Richele Koehler, Connor Prendergast, Nicholas Stence, Brent O'Neill, Benjamin E Padilla, Ramin Jamshidi, Jennifer A Vaughn, Jennifer S Ronecker, Leigh Selesner, Katrine Lofberg, Michael Regner, Jaclyn Thiessen, Christine Sayama, Ryan G Spurrier, Erin E Ross, Chia-Shang Jason Liu, Jason Chu, Kathryn McNevin, Catherine Beni, Bryce R H Robinson, Ken Linnau, Robert T Buckley, Stephanie D Chao, Akanksha Sabapaty, Elizabeth Tong, Laura M Prolo, Romeo Ignacio, Gretchen Floan Sachs, Peter Kruk, David Gonda, Mark Ryan, Samir Pandya, Korgun Koral, Bruno P Braga, Kurtis Auguste, Aaron R Jensen
INTRODUCTION: Clinical clearance of a child's cervical spine after trauma is often challenging due to impaired mental status or an unreliable neurologic examination. Magnetic resonance imaging (MRI) is the gold standard for excluding ligamentous injury in children but is constrained by long image acquisition times and frequent need for anesthesia. Limited-sequence MRI (LSMRI) is used in evaluating the evolution of traumatic brain injury and may also be useful for cervical spine clearance while potentially avoiding the need for anesthesia...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38522093/fanconi-anemia-neuroinflammatory-syndrome-fans-brain-lesions-and-neurologic-injury-in-fanconi-anemia
#24
JOURNAL ARTICLE
Allison L Bartlett, John E Wagner, Blaise V Jones, Susanne Wells, Anthony Sabulski, Christine Fuller, Stella M Davies
Fanconi anemia (FA) is a complex inherited bone marrow failure syndrome characterized by chromosomal instability and defective DNA repair causing sensitivity to DNA interstrand cross-linking agents. Our understanding of the full adult phenotype of the disease continues to evolve, as most patients with Fanconi Anemia died of marrow failure in the first decade of life prior to more recent advances in allogeneic hematopoietic cell transplantation. Herein, we report a previously undescribed, clinically concerning, progressive neurologic syndrome in patients with FA...
March 24, 2024: Blood Advances
https://read.qxmd.com/read/38521709/balancing-neuronal-activity-to-fight-neurodevelopmental-disorders
#25
JOURNAL ARTICLE
Stephanie Le, Carmen Menacho, Alessandro Prigione
In a recent study, Rylaarsdam and colleagues revealed that mutant PACS1 gene, which causes a rare neurodevelopmental syndrome, affects the firing ability of human neurons without dysregulating the cellular architecture of brain organoids. These findings suggest aberrant neuronal electrophysiology as a possible interventional target for pediatric diseases impairing brain development.
March 22, 2024: Trends in Neurosciences
https://read.qxmd.com/read/38518503/genetic-and-congenital-anomalies-in-infants-with-hypoxic-ischemic-encephalopathy
#26
JOURNAL ARTICLE
Adriana S Morell, Sarah E Monsell, Marie-Coralie Cornet, Jessica L Wisnowski, Robert C McKinstry, Amit M Mathur, Yi Li, Hannah C Glass, Fernando F Gonzalez, Dennis E Mayock, Kristen L Benninger, Krisa P Van Meurs, Andrea L Lampland, Tai-Wei Wu, David Riley, Ulrike Mietzsch, Lina Chalak, John Flibotte, Joern-Hendrick Weitkamp, Kaashif A Ahmad, Toby D Yanowitz, Mariana Baserga, Stephanie Merhar, Rakesh Rao, Gregory M Sokol, Bryan A Comstock, Patrick J Heagerty, Sandra E Juul, Yvonne W Wu
BACKGROUND: Infants with hypoxic ischemic encephalopathy (HIE) may have underlying conditions predisposing them to hypoxic-ischemic injury during labor and delivery. It is unclear how genetic and congenital anomalies impact outcomes of HIE. METHODS: Infants with HIE enrolled in a phase III trial underwent genetic testing when clinically indicated. Infants with known genetic or congenital anomalies were excluded. The primary outcome, i.e., death or neurodevelopmental impairment (NDI), was determined at age two years by a standardized neurological examination, Bayley Scales of Infant Development, Third Edition (BSID-III), and the Gross Motor Function Classification Scales...
February 20, 2024: Pediatric Neurology
https://read.qxmd.com/read/38518418/autoimmune-encephalitis-in-israeli-children-a-retrospective-nationwide-study
#27
JOURNAL ARTICLE
Nimrod Sachs, Efrat Zohar-Dayan, Bruria Ben Zeev, Tal Gilboa, Mohammad Kurd, Itay Tokatly Latzer, Hadas Meirson, Irit Krause, Yotam Dizitzer, Esther Ganelin Cohen
Immune-mediated or autoimmune encephalitis (AE) is a relatively new, rare and elusive form of encephalitis in children. We retrospectively collected seropositive children (0-18 years old) with well characterized antibodies through 3 reference laboratories in Israel. Clinical symptoms, MRI and EEG findings and treatment courses were described. A total of 16 patients were included in the study, with 10 females. Anti NMDA encephalitis was most common followed by anti HU and anti mGLuR1. Psychiatric symptoms, abnormal movements, seizures and behavioral changes were the most common presentation...
March 15, 2024: European Journal of Paediatric Neurology: EJPN
https://read.qxmd.com/read/38518284/comprehensive-characterization-of-intracranial-hemorrhage-in-deep-brain-stimulation-a-systematic-review-of-literature-from-1987-to-2023
#28
JOURNAL ARTICLE
Cletus Cheyuo, Artur Vetkas, Can Sarica, Suneil K Kalia, Mojgan Hodaie, Andres M Lozano
OBJECTIVE: Deep brain stimulation (DBS) is an effective treatment for medically refractory movement disorders and other neurological conditions. To comprehensively characterize the prevalence, locations, timing of detection, clinical effects, and risk factors of DBS-related intracranial hemorrhage (ICH), the authors performed a systematic review of the published literature. METHODS: PubMed, EMBASE, and Web of Science were searched using 2 concepts: cerebral hemorrhage and brain stimulation, with filters for English, human studies, and publication dates 1980-2023...
March 22, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38518279/language-discordant-care-in-pediatric-neurosurgery-parent-and-provider-perspectives-on-challenges-and-multilevel-solutions-to-reduce-disparities
#29
JOURNAL ARTICLE
Gabriela D Ruiz Colón, Sylvia Bereknyei Merrell, Diana C Poon, Kelly B Mahaney, Cormac O Maher, Laura M Prolo
OBJECTIVE: In the United States, Spanish is the second most spoken language, with nearly 42 million individuals speaking Spanish at home. Spanish speakers have been noted to have higher rates of unfavorable neurosurgical outcomes; however, to the authors' knowledge, no study has explored the experiences of patients, caregivers, and providers receiving or delivering neurosurgical care in language-discordant settings. In this study, the authors sought to identify challenges faced by pediatric neurosurgery providers and Spanish-speaking parents communicating with a language barrier and propose solutions to address those challenges...
March 22, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38516717/efficacy-of-early-intervention-for-infants-with-cerebral-palsy-in-an-lmic-an-rct
#30
JOURNAL ARTICLE
Katherine A Benfer, Koa Whittingham, Robert S Ware, Asis Kumar Ghosh, Sayak Chowdhury, Golam Moula, Sandip Samanta, Naila Zaman Khan, Kristie L Bell, Stina Oftedal, Sasaka Bandaranayake, Alison T Salt, Anjan Bhattacharya, Pradip Maiti, Santanu K Tripathi, Cathy Morgan, Iona Novak, Roslyn N Boyd
OBJECTIVE: To test efficacy of a parent-delivered multidomain early intervention (Learning through Everyday Activities with Parents [LEAP-CP]) for infants with cerebral palsy (CP) compared with equal-dose of health advice (HA), on (1) infant development; and (2) caregiver mental health. It was hypothesized that infants receiving LEAP-CP would have better motor function, and caregivers better mental health. METHODS: This was a multisite single-blind randomized control trial of infants aged 12 to 40 weeks corrected age (CA) at risk for CP (General Movements or Hammersmith Infant Neurologic Examination)...
March 22, 2024: Pediatrics
https://read.qxmd.com/read/38516342/an-improvement-project-in-reducing-after-visit-phone-calls-in-a-community-pediatric-neurology-clinic-too-much-communication
#31
JOURNAL ARTICLE
Thara R Bala
BACKGROUND AND OBJECTIVE: Physicians strive to provide high-quality clinical care, yet after-visit patient telephone calls create extra demands on a clinician's time. Pediatric neurologists are particularly affected by this challenge given the number of patients with chronic illnesses they serve and the volume of worried parents they support. Added workload coupled with a busy office practice increases the likelihood of early physician burnout, which can have downstream effects on the quality of patient care and patient satisfaction...
April 2024: Neurology. Clinical Practice
https://read.qxmd.com/read/38516134/novel-variants-and-phenotypes-of-robo3-gene-associated-with-horizontal-gaze-palsy-with-progressive-scoliosis
#32
JOURNAL ARTICLE
Yan Xie, Lijuan Huang, Yunyu Zhou, Jin Wu, Ningdong Li
No abstract text is available yet for this article.
March 2024: Pediatric Investigation
https://read.qxmd.com/read/38515429/misdiagnosis-of-functional-neurological-symptom-disorders-in-paediatrics-narrative-review-and-relevant-case-report
#33
JOURNAL ARTICLE
Valentina Baglioni, Dario Esposito, Katerina Bernardi, Maria Novelli, Valerio Zaccaria, Serena Galosi, Francesco Pisani
Functional neurological symptom disorders (FNSD) pose a common challenge in clinical practice, particularly in pediatric cases where the clinical phenotypes can be intricate and easily confused with structural disturbances. The frequent coexistence of FNSDs with other medical disorders often results in misdiagnosis. In this review, we highlight the distinctions between FNSD and various psychiatric and neurological conditions. Contrary to the misconception that FNSD is a diagnosis of exclusion, we underscore its nature as a diagnosis of inclusion, contingent upon recognizing specific clinical features...
March 22, 2024: Clinical Child Psychology and Psychiatry
https://read.qxmd.com/read/38514517/reflections-upon-the-intrauterine-repair-of-myelomeningocele
#34
REVIEW
Giuseppe Talamonti
The intrauterine repair of myelomeningocele presents certain advantages and has gained widespread acceptance. It significantly reduces the incidence of Chiari-2 anomalies and hydrocephalus, and it is thought to enhance the neurologic outcome. Nevertheless, several issues remain unsettled and there are no negligible disadvantages. After working with patients with myelomeningocele for 30 years, I thought about how we currently treat them. There are ethical, organizational, neurological, obstetrical, and postnatal aspects worth discussing...
March 22, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38514514/predictive-ability-of-amplitude-integrated-electroencephalography-for-adverse-outcomes-in-neonates-with-sepsis-associated-encephalopathy-a-cohort-study
#35
JOURNAL ARTICLE
Priyansh Jain, Shiv Sajan Saini, Jitendra Kumar Sahu, Priyanka Madaan, Venkataseshan Sundaram, Sourabh Dutta
The authors examined the prevalence of abnormal amplitude integrated electroencephalography (aEEG) patterns in neonates diagnosed with sepsis-associated encephalopathy (SAE). They recorded 36626 min of aEEG in 75 study neonates. Encephalopathy was defined by the Brighton Collaboration Neonatal Encephalopathy criteria. Neonates with primary outcome [either non-survivors or survivors with abnormal neurological examination at discharge using Amiel-Tison assessment tool, n = 58, (77%)] were compared with 17 survivors having normal neurological examination at discharge...
March 22, 2024: Indian Journal of Pediatrics
https://read.qxmd.com/read/38514022/quality-of-outpatient-pediatric-palliative-care-telehealth-a-retrospective-chart-review
#36
JOURNAL ARTICLE
Elisa Williams, Catrina White, Ankona Banerjee, Melody Hellsten, Kenneth J Nobleza, Duc T Nguyen, Jessica Casas, Jill Ann Jarrell
CONTEXT: Studies suggest the feasibility and acceptability of telehealth in outpatient pediatric palliative care. However, there is a need for data that describes the implementation and quality of telehealth, relying on objective and validated measures. OBJECTIVE: We sought to compare the provision of pediatric palliative care by delivery method. METHODS: We conducted a retrospective electronic health record review of patients seen by our outpatient palliative care team over a two-year period...
March 19, 2024: Journal of Pain and Symptom Management
https://read.qxmd.com/read/38513763/exploring-the-differences-between-an-immature-and-a-mature-human-auditory-system-through-auditory-late-responses-in-quiet-and-in-noise
#37
JOURNAL ARTICLE
Fauve Duquette-Laplante, Benoît Jutras, Noémie Néron, Sandra Fortin, Amineh Koravand
Children are disadvantaged compared to adults when they perceive speech in a noisy environment. Noise reduces their ability to extract and understand auditory information. Auditory-Evoked Late Responses (ALRs) offer insight into how the auditory system can process information in noise. This study investigated how noise, signal-to-noise ratio (SNR), and stimulus type affect ALRs in children and adults. Fifteen participants from each group with normal hearing were studied under various conditions. The findings revealed that both groups experienced delayed latencies and reduced amplitudes in noise but that children had fewer identifiable waves than adults...
March 19, 2024: Neuroscience
https://read.qxmd.com/read/38513189/teaching-neuroimage-anti-nmda-receptor-encephalitis-presenting-with-cerebellitis-in-a-pediatric-patient
#38
JOURNAL ARTICLE
Molly Moehlman, Alexandra B Kornbluh
No abstract text is available yet for this article.
April 23, 2024: Neurology
https://read.qxmd.com/read/38511552/seizures-focal-neurological-signs-and-pneumococcal-aetiology-associate-with-impaired-consciousness-in-childhood-bacterial-meningitis
#39
JOURNAL ARTICLE
Ester Valtiala, Irmeli Roine, Manuel Leite Cruzeiro, Heikki Peltola, Tuula Pelkonen
AIM: A low Glasgow Coma Scale Score (GCS) on admission is a known predictor of poor outcome from childhood bacterial meningitis. In turn, the factors associated with the admission GCS are less known. Our aim was to identify them, both for clinical alerts of reserved prognosis and to find potential targets for intervention. METHODS: This study is a secondary analysis of data collected prospectively in Angola and in Latin America between 1996 and 2007. Children with bacterial meningitis were examined on hospital admission and their GCS was assessed using the age-adjusted scale...
March 21, 2024: Acta Paediatrica
https://read.qxmd.com/read/38510224/methadone-for-emergence-delirium-in-ambulatory-pediatric-strabismus-surgery
#40
JOURNAL ARTICLE
Khaled A Dajani, Bren Davis, Hussam Ghabra, Jakayla Harrell-Mohamed, Carol O Carrillo, H Sprague Eustis
Background: Emergence delirium in children following strabismus surgery is a distressing and potentially dangerous condition and is likely attributable to visual disturbances, pain, and anesthetic gases. We explored whether a single intraoperative dose of methadone could reduce emergence delirium. Methods: Our study was an institutional review board-approved prospective, controlled, before-and-after investigation. Inclusion criteria were age <18 years and American Society of Anesthesiologists (ASA) classification 1 or 2...
2024: Ochsner Journal
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