Pediatric Neurology: A Case-Based Review

352 Pages·2006·1.02 MB·English

by  Tena Rosser

Pediatric Neurology:
A Case-Based Review
Tena Rosser, MD
Children’s Hospital Los Angeles
University of Southern California Keck School of Medicine
Los Angeles, California
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Library of Congress Cataloging-in-Publication Data
Pediatric neurology : a case-based review / [edited by] Tena Rosser ;
contributing authors, Arthur Partikian . . .[et al.].
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-0-7817-7888-6
ISBN-10: 0-7817-7888-3
1. Pediatric neurology. 2. Pediatric neurology––Case studies. I. Rosser,
Tena. II. Partikian, Arthur.
[DNLM: 1. Nervous System Diseases––Case Reports. 2. Nervous System
Diseases––Examination Questions. 3. Child. 4. Infant. WS 18.2 P36997
2007]
RJ486.P433 2007
618.92'8––dc22
2006011452
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C O N T R I B U T I N G A U T H O R S
Children’s Hospital Los Angeles
University of Southern California Keck School of Medicine
Los Angeles, California
Arthur Partikian, MD
Tena Rosser, MD
Kiarash Sadrieh, MD
Children’s National Medical School
George Washington University School of Medicine
Washington, District of Columbia
Taeun Chang, MD
John Crawford, MD
Tammy Tsuchida, MD, PhD
Adeline Vanderver, MD
iii

To my mentors and colleagues in the neurology department
at Children’s National Medical Center, Washington, DC.
To my family.
v

C O N T E N T S
Contributing Authors iii
Dedication v
Preface ix
Abbreviations xi
Introduction xiii
Case 1 . . . . . . . . . . . . . . . . . . . . . .1 Case 31 . . . . . . . . . . . . . . . . . . .159
Case 2 . . . . . . . . . . . . . . . . . . . . . .5 Case 32 . . . . . . . . . . . . . . . . . . .167
Case 3 . . . . . . . . . . . . . . . . . . . . .11 Case 33 . . . . . . . . . . . . . . . . . . .173
Case 4 . . . . . . . . . . . . . . . . . . . . .17 Case 34 . . . . . . . . . . . . . . . . . . .177
Case 5 . . . . . . . . . . . . . . . . . . . . .23 Case 35 . . . . . . . . . . . . . . . . . . .183
Case 6 . . . . . . . . . . . . . . . . . . . . .31 Case 36 . . . . . . . . . . . . . . . . . . .189
Case 7 . . . . . . . . . . . . . . . . . . . . .35 Case 37 . . . . . . . . . . . . . . . . . . .193
Case 8 . . . . . . . . . . . . . . . . . . . . .41 Case 38 . . . . . . . . . . . . . . . . . . .197
Case 9 . . . . . . . . . . . . . . . . . . . . .45 Case 39 . . . . . . . . . . . . . . . . . . .201
Case 10 . . . . . . . . . . . . . . . . . . . .49 Case 40 . . . . . . . . . . . . . . . . . . .205
Case 11 . . . . . . . . . . . . . . . . . . . .53 Case 41 . . . . . . . . . . . . . . . . . . .211
Case 12 . . . . . . . . . . . . . . . . . . . .59 Case 42 . . . . . . . . . . . . . . . . . . .217
Case 13 . . . . . . . . . . . . . . . . . . . .65 Case 43 . . . . . . . . . . . . . . . . . . .223
Case 14 . . . . . . . . . . . . . . . . . . . .69 Case 44 . . . . . . . . . . . . . . . . . . .229
Case 15 . . . . . . . . . . . . . . . . . . . .75 Case 45 . . . . . . . . . . . . . . . . . . .233
Case 16 . . . . . . . . . . . . . . . . . . . .81 Case 46 . . . . . . . . . . . . . . . . . . .239
Case 17 . . . . . . . . . . . . . . . . . . . .87 Case 47 . . . . . . . . . . . . . . . . . . .247
Case 18 . . . . . . . . . . . . . . . . . . . .93 Case 48 . . . . . . . . . . . . . . . . . . .253
Case 19 . . . . . . . . . . . . . . . . . . . .97 Case 49 . . . . . . . . . . . . . . . . . . .257
Case 20 . . . . . . . . . . . . . . . . . . .103 Case 50 . . . . . . . . . . . . . . . . . . .263
Case 21 . . . . . . . . . . . . . . . . . . .111 Case 51 . . . . . . . . . . . . . . . . . . .269
Case 22 . . . . . . . . . . . . . . . . . . .117 Case 52 . . . . . . . . . . . . . . . . . . .273
Case 23 . . . . . . . . . . . . . . . . . . .123 Case 53 . . . . . . . . . . . . . . . . . . .277
Case 24 . . . . . . . . . . . . . . . . . . .127 Case 54 . . . . . . . . . . . . . . . . . . .283
Case 25 . . . . . . . . . . . . . . . . . . .133 Case 55 . . . . . . . . . . . . . . . . . . .287
Case 26 . . . . . . . . . . . . . . . . . . .137 Case 56 . . . . . . . . . . . . . . . . . . .293
Case 27 . . . . . . . . . . . . . . . . . . .141 Case 57 . . . . . . . . . . . . . . . . . . .299
Case 28 . . . . . . . . . . . . . . . . . . .145 Case 58 . . . . . . . . . . . . . . . . . . .305
Case 29 . . . . . . . . . . . . . . . . . . .149 Case 59 . . . . . . . . . . . . . . . . . . .311
Case 30 . . . . . . . . . . . . . . . . . . .153 Case 60 . . . . . . . . . . . . . . . . . . .317
Index by Category of Disease 323
Index 325
vii

P R E F A C E
The idea for the development of this book arose while preparing for the oral
portion of the American Board of Psychiatry and Neurology board examination.
I quickly came to realize that there was no current published collection of cases in
pediatric neurology that might serve as a study aid. Although this book will likely
appeal most to adult and pediatric neurology residents preparing for the oral board
examination, it is also intended to be of interest to a broader audience of practic-
ing adult and child neurologists, general pediatricians, and medical students.
Although it is difficult to recreate the oral board examination experience on
paper, this book is written as a case-based review with discussions structured
according to the format used in the neurology oral boards. Both common and rare
neurologic disorders are covered in the text, but the majority of cases are based on
actual patient presentations. The cases demonstrate the diverse and fascinating dis-
ease processes found in the field of child neurology. The vignettes in this book are
presented randomly and not by disease category to simulate the experience of the
oral boards. However, for individuals who wish to perform more focused study on
a particular area of child neurology, an index by disease category is provided in the
back of the book. Overall, this book is intended to help readers gain a foundation
of knowledge in pediatric neurology and develop an organized approach to clinical
decision making.
ix