Pediatric Neurology - is a very difficult medical specialty that is very different from the adult neurology, as the disease in children often appear very different and unexpected symptoms, which vary depending on the age, the initial state of the body of the child and even from his entourage. It is in childhood often rare and atypical occurring neurological diseases that causes pediatric neurologists to rely heavily on their experience and intuition. Pediatric Neurology - is an area of medicine that studies diseases of the nervous system in children. Structure and function of the nervous system of a child is much different from its state in the adult. That is why there is such a profession as a children's neurologist.
The main task of Pediatric Neurology is the earliest possible detection of perinatal nervous system lesions. Perinatal (or perinatal) period begins on 22 completed weeks of pregnancy and ends after 7 full days after birth.
Feature perinatal pathology is that the condition of the fetus and newborn during this period is influenced by many factors that often play a leading role in the development of various diseases of the nervous system
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. The result of this action may be, for example, minimal brain dysfunction syndrome, which is also known as attention deficit disorder
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with increased activity. In this syndrome, the child has difficulty focusing, excitable, irritable, and later he appeared awkward movements, diseases of the musculoskeletal system associated with reduced muscle tone (violation of posture, flat feet), incontinence. These children are different nervousness, decreased ability to endure physical and mental load, autonomic disorders in the form of headaches, dizziness, palpitations and so on.
Since it is in the first months of life of the most active mature and restored parts of the brain of the child it is important detection and treatment of birth defects. It also happens that the first examination the child was almost healthy, and then, in the first year of life, he revealed neurological pathology. That is why children have to watch a child neurologist in the first year of life a few times.
Neurological pathology perinatal period - a birth trauma, brain damage due to lack of oxygen and intracranial hemorrhage.
Hypoxic-ischemic encephalopathy
This disease is a direct result of lack of oxygen supply to the brain. This affects both the cerebral cortex and subcortical structures. If untreated, the outcome of such a state is paralysis and intellectual failure, seizures, cerebral palsy, etc. To identify such a breach in the early stages, you can use electroencephalography.
Once the diagnosis is carried out treatment which comprises treatment of hypoxia and its consequences such as metabolic disorders
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and rehabilitation therapy.
Birth injury
The term "birth trauma" unites compromising the integrity of tissues and organs of the child arising during childbirth. By birth injuries of the nervous system are facial paralysis, spinal cord injury, etc.
Facial paralysis is characterized by the omission of the mouth and motionless, his swelling, lack of nasolabial folds, incomplete closure of the eyelids. With proper treatment, the condition is restored.
The cause of birth injury
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the spinal cord is malposition (such as breech presentation) and carrying out various methods of manual aids. This can occur subluxation of the vertebrae, bleeding in the spinal cord and its membranes, pinching the vertebral artery and its spasm, which leads to interruptions in the supply of the brain with oxygen. Manifested such trauma in different ways, depending on which part of the spinal cord struck. Treatment of a generic spinal cord injury - immobilization (immobilization using special devices) head and neck of the child, removal of pain and edema, restoration of the structures of the spinal cord.
Intracranial hemorrhage
Contributing factors for intracranial hemorrhage is a lack of oxygen, blood clotting newborn, prematurity, intrauterine infection. All these factors contribute to changes in the walls of cerebral blood vessels and the immediate cause of hemorrhage is usually the birth trauma as a result of rapid or prolonged labor, improperly performed obstetric benefits and so on.
Treatment must include the protective mode (complete elimination of sound and light stimuli, sparing motion for swaddling), permanent medical supervision. Drug treatment depends on the nature and severity of hemorrhage. In acute hemorrhage progression surgical treatment - sucking the blood under the control of the ultrasound beam.
Proper diagnosis of perinatal lesions of the nervous system requires an individual approach to each child, a thorough study of heredity and risk factors for perinatal diseases. All these features are taken into account necessarily pediatric neurologist.
Pediatric Neurology developing techniques for early detection and treatment of diseases of the nervous system in children.
Galina Romanenko