Child Neurology Board Prep

BrainSparks,MD
Child Neurology Board Prep

🎙 Child Neurology Board Prep is your go-to podcast for high-yield pediatric neurology review. Designed for residents, fellows, and practicing neurologists preparing for the boards, each episode breaks down essential topics in a concise, easy-to-digest format. From epilepsy and metabolic disorders to neurogenetics and neuromuscular conditions, we cover key concepts, case-based discussions, and board-style questions to help you solidify your knowledge. Whether you're commuting, working out, or taking a quick study break, tune in to sharpen your skills and stay board-ready! 🔬 Hosted by BrainSparks,MD

Episoder

  1. 27. MAJ

    Part 1: Pediatric Neuromuscular Board Prep Q&A

    Summary This conversation covers various pediatric neurology topics, focusing on muscle disorders, their diagnosis, and management. It includes discussions on genetic testing for conditions like spinal muscular atrophy, infant botulism, and various forms of muscular dystrophy. The speaker emphasizes the importance of early diagnosis and treatment options available for these conditions, providing insights into clinical presentations and diagnostic approaches. Takeaways Genetic testing is crucial for diagnosing spinal muscular atrophy.Infant botulism can present with constipation and weakness.Statin use in adolescents can lead to myopathy.Congenital muscle eye brain disease has distinct MRI findings.Congenital myotonic dystrophy type 1 can lead to cognitive delays.Emery-Dreifuss muscular dystrophy has a characteristic family history.Cardiac issues are a significant concern in muscular dystrophy.Duchenne muscular dystrophy requires early steroid intervention.Infant botulism diagnosis relies on stool tests for botulinum toxin.Nerve conduction studies are essential for evaluating neuropathies.Titles Understanding Pediatric Neuromuscular DisordersGenetic Insights into Muscle WeaknessSound Bites "It's statin-induced myopathy.""Look for signs in the mom too.""Early detection can save lives."Chapters 00:00Introduction to Child Neurology Board Review 00:43Understanding Spinomuscular Atrophy Type 1 02:14Infant Botulism: Diagnosis and Treatment 03:38Statin-Induced Myopathy in Adolescents 04:30Muscle Eye Brain Disease: A Congenital Dystrophy 05:36Congenital Myotonic Dystrophy Type 1 06:52Emery-Dreifuss Muscular Dystrophy: Symptoms and Diagnosis 08:13Cardiac Risks in Muscular Dystrophy 09:10Duchenne Muscular Dystrophy: Early Signs and Management 10:39Infant Botulism: A Recap on Symptoms and Diagnosis 11:19Hereditary Motor Sensory Neuropathy: Evaluation Steps 12:13Duchenne Muscular Dystrophy: Early Indicators 13:16Merosyn-Deficient Muscular Dystrophy: Key Features 14:31Transient Neonatal Myasthenic Gravis: Diagnosis 15:54Infant Botulism: A Closer Look 16:48Dystrophinopathy: Confirming Diagnosis in Children 18:03Silent Ocean

    18 min.
  2. 27. APR.

    Part 2: Pediatric Demyelinating Disorders Board Prep Q&A

    SummaryThis episode delves into the complexities of autoimmune encephalitis, Guillain-Barre syndrome (GBS), and acute disseminated encephalomyelitis (ADEM). It explores diagnostic approaches, management strategies, and the importance of differentiating these conditions in pediatric neurology. Through case studies, the discussion highlights the clinical insights necessary for effective treatment and recovery. Takeaways Autoimmune encephalitis can present with acute and subacute symptoms.Full recovery is achievable in a significant percentage of patients with anti-NMDA receptor encephalitis.Tumor resection can be a curative approach in certain autoimmune conditions.Differentiating ADEM from other neurological disorders is essential for proper management.Vaccination can trigger ADEM, highlighting the need for awareness in clinical settings.The presence of specific antibodies like NMO-IGG is crucial for diagnosis.Sequential approach in diagnosis and treatment is vital for patient outcomes.Higher recurrence rates in autoimmune conditions are linked to delayed treatment.Understanding the clinical features of GBS is important for timely intervention.Case studies provide valuable insights into the management of complex neurological conditions.Titles Navigating Autoimmune Encephalitis and GBSThe Diagnostic Journey in Pediatric NeurologySound Bites "The answer is acute and subacute.""Full recovery is seen in 75 patients.""ADEM is considered a distinct syndrome."Chapters 00:00Understanding Autoimmune Encephalitis Symptoms 02:54EEG Findings in Autoimmune Encephalitis 04:11Confirming Diagnosis with Laboratory Tests 05:03First Line Treatment for Autoimmune Encephalitis 05:17Understanding Anti-NMDAR Encephalitis and Its Triggers 07:29Recurrence and Prognosis of Anti-NMDAR Encephalitis 08:29Diagnosing Multiple Sclerosis in Pediatric Patients 11:46Neuromyelitis Optica: Diagnosis and Antibody Testing 13:06Acute Disseminated Encephalomyelitis (ADEM) Overview 16:10Differentiating ADEM from Other Conditions 16:19Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) vs GBS 17:42Acute Inflammatory Demyelinating Polyradiculopathy (AIDP) in Children 19:03Understanding Guillain-Barre Syndrome and Its Triggers 20:53Acute Disseminated Encephalomyelitis: A Distinct Disorder 23:54Differentiating ADEM from Other Neurological Conditions 27:55Electrodiagnostic Patterns in Neurological Disorders 28:53Clinical Management of ADEM and Diagnostic Approaches 31:07Silent Ocean

    22 min.
  3. 20. APR.

    Part 1: Pediatric Demyelinating Disorders Board Prep Q&A

    SummaryThis episode delves into various pediatric neurological conditions, focusing on Guillain-Barre Syndrome, Acute Disseminated Encephalomyelitis (ADEM), Multiple Sclerosis, and Optic Neuritis. The speaker provides insights into symptoms, diagnosis, and treatment options for these autoimmune diseases, emphasizing the importance of recognizing specific patterns in clinical presentations to guide effective management. Takeaways Guillain-Barre can present with ascending weakness after a viral infection.ADEM is often seen in children following a viral illness and can cause confusion and weakness.Multiple Sclerosis in children may present with optic neuritis and requires specific diagnostic criteria.Optic neuritis typically presents with sudden vision loss and may involve bilateral symptoms in children.NMO-IGG testing is crucial in cases of suspected neuromyelitis optica spectrum disorder.High-dose steroids are the first-line treatment for acute optic neuritis to reduce inflammation.Recovery from Guillain-Barre can take weeks to months, with many patients recovering completely.Identifying the pattern of weakness is key in diagnosing Guillain-Barre and ADEM.MRI findings can help differentiate between ADEM and multiple sclerosis.Early intervention and accurate diagnosis are critical in managing pediatric neurological conditions.Sound Bites "This pattern is an ascending weakness.""Optic neuritis usually affects one eye.""ADEM is an autoimmune process."Chapters 00:00Introduction to Demyelinating Disorders 00:32Understanding Guillain-Barre Syndrome 02:49Exploring Optic Neuritis 05:58Acute Disseminated Encephalomyelitis (ADEM) Overview 07:24Introduction to Demyelinating Disorders 08:26Acute Disseminated Encephalomyelitis (ADEM) 10:02Guillain-Barre Syndrome (GBS) 12:21Multiple Sclerosis in Pediatrics 14:22Identifying ADEM in Children 17:09Ruling Out Herpes Simplex Encephalitis 18:54Acute Inflammatory Demyelinating Polyneuropathy 20:07Clinically Isolated Syndrome (CIS) 25:15Acute Optic Neuritis 27:45Bilateral Optic Neuritis and NMO Testing 35:50Silent Ocean

    21 min.
  4. 7. APR.

    Part 12: Pediatric Epilepsy Board Prep Q&A

    Summary This conversation delves into various aspects of child neurology, focusing on seizures, their classifications, and the implications for treatment and diagnosis. It covers febrile seizures in infants, the evaluation of seizures in adolescents, complex cases involving genetic considerations, and the importance of parental guidance in treatment decisions. The discussion emphasizes the need for thorough assessments and the role of education in managing pediatric neurological disorders. Takeaways A febrile infant with a seizure requires careful classification.Duration and focality are key in differentiating seizure types.Annual counseling on contraception is crucial for teens on AEDs.Hypercaplexia can mimic seizures; differentiation is essential.Building trust with patients is vital for adherence to treatment.Identifying subtypes of epilepsy can guide treatment options.Avoiding certain medications in specific syndromes is critical.Parental concerns about treatments should be addressed with evidence-based guidance.Mitochondrial issues can present with stroke-like symptoms in children.Recognizing vaccine-related complications is important in pediatric care.Titles Navigating Febrile Seizures in InfantsSeizure Evaluation in Adolescents: Key ConsiderationsSound Bites "Look for the ECG.""This is hypercaplexia.""Check mitochondria."Chapters 00:00Understanding Febrile Seizures in Infants 02:31Evaluating Syncope and Seizures in Adolescents 04:53Managing Epilepsy in Teenagers 07:11Identifying Rare Epileptic Syndromes 08:38Silent Ocean

    9 min.
  5. 5. APR.

    Part 11: Pediatric Epilepsy Board Prep Q&A

    Summary This conversation delves into the complexities of epilepsy and seizures, exploring various types, their neurobiological underpinnings, and treatment options. The discussion highlights the differences between focal and generalized epilepsy, the role of genetic factors, and the importance of early intervention in conditions like West syndrome. The conversation also emphasizes the significance of understanding seizure types and their management, particularly in pediatric cases. Takeaways Seizures can be triggered by fever, especially in children.Focal epilepsy may require specific evaluations for treatment.Genetic mutations can lead to epilepsy with low seizure thresholds.Early treatment is crucial for conditions like West syndrome.Absence seizures can evolve into generalized tonic-clonic seizures.Ethosuximide is the first-line treatment for absence epilepsy.Monitoring EEG is important for understanding seizure frequency.Genetic factors can influence seizure occurrences in families.Anti-seizure medications often target sodium channels to prevent seizures.Lifelong treatment may be necessary for certain types of epilepsy.Titles Exploring the Complexities of EpilepsySeizure Types: Focal vs. GeneralizedSound Bites "Early treatment is key for West syndrome.""Monitor for underlying causes of seizures.""What is 20 months old who had a seizure?"Chapters 00:00Introduction to Epilepsy Surgery Considerations 01:02Understanding Anti-Seizure Medications 02:10Diagnosis and Treatment of Childhood Epilepsy Syndromes 03:02Understanding Febrile Seizures 03:39Genetic Factors in Epilepsy 05:05Prolonged Seizures and Risk Factors 05:26Infantile Spasms and Treatment Options 06:32Juvenile Absence Epilepsy and Medications 06:52Silent Ocean

    7 min.
  6. 28. MAR.

    Part 10: Pediatric Epilepsy Board Prep Q&A

    Summary This podcast episode covers various cases in child neurology, focusing on different types of seizures, their diagnosis, management, and implications, especially in special populations like pregnant women. The discussion includes psychogenic non-epileptic seizures, language regression in children, the impact of anti-seizure medications during pregnancy, and urgent treatment protocols for status epilepticus. The episode also addresses genetic factors in epilepsy, the ketogenic diet for specific conditions, and the importance of timely diagnostics in cases of syncope and seizure disorders. Takeaways Psychogenic non-epileptic seizures are triggered by emotional stress.Video EEG is the gold standard for diagnosing PNES.Lundukreffner syndrome leads to language regression due to ESES.Valproic acid can lower IQ in children exposed in utero.IV midazolam is crucial for treating status epilepticus without IV access.Simple febrile seizures require reassurance and follow-up.ACTH is the gold standard treatment for infantile spasms.SCN1A mutation is linked to prolonged febrile seizures.Ketogenic diet is effective for Glut1 deficiency.Long QT syndrome requires urgent EKG assessment.Titles Understanding Psychogenic Non-Epileptic SeizuresExploring Language Regression and ESESSound Bites "The answer is SCN1A mutation.""The answer is ketogenic diet.""This is called hypercaplexia." Chapters 00:00Introduction to Child Neurology Cases 03:04Exploring Language Regression in Children 05:16Status Epilepticus: Initial Treatment Strategies 06:34Infantile Spasms and Treatment Options 07:20Genetic Considerations in Prolonged Febrile Seizures 08:15Understanding Glut1 Deficiency 09:02Hypercaplexia and Its Genetic Basis 10:18Epilepsy with Grand Mal Seizures on Awakening 11:05Long QT Syndrome and Syncope During Exercise 11:39Management of Juvenile Myoclonic Epilepsy in Pregnancy 12:30Silent Ocean

    13 min.
  7. 19. MAR.

    Part 9: Pediatric Epilepsy Board Prep Q&A

    Summary This episode of Child Neurology Board Review delves into various pediatric neurological disorders, focusing on Angelman syndrome, benign epilepsy with centrotemporal spikes, infantile spasms, temporal lobe epilepsy, and Dravet syndrome. Each condition is explored through case studies, highlighting symptoms, diagnosis, treatment options, and future directions in research and therapy. Takeaways Angelman syndrome is caused by the loss of function of the UB3A gene.Patients with Angelman syndrome exhibit developmental delays and seizures.Benign epilepsy with centrotemporal spikes is common in children and often resolves by age 18.Hypsarrhythmia is a key EEG finding in infantile spasms.Temporal lobe epilepsy can result from childhood febrile seizures.Dravet syndrome is a severe genetic epilepsy disorder triggered by fever.Avoid sodium channel blockers in Dravet syndrome as they worsen seizures.Gene therapy is a promising future direction for genetic epilepsy disorders.Early intervention and therapy are crucial for developmental outcomes.Regular follow-up is essential for managing pediatric epilepsy. Sound Bites "This is Angelman syndrome.""The diagnosis is Angelman syndrome.""This is Dravet syndrome."Chapters 00:00Understanding Angelman Syndrome 02:50Benign Epilepsy with Centrotemporal Spikes 05:23West Syndrome: A Severe Infantile Epilepsy 08:07Temporal Lobe Epilepsy and Its Implications 10:15Dravet Syndrome: A Genetic Epilepsy Disorder 11:27Silent Ocean

    12 min.
  8. 13. MAR.

    Part 8: Pediatric Epilepsy Board Prep Q&A

    SummaryThis episode delves into various neurological conditions in children, focusing on their diagnosis, symptoms, and management strategies. It covers congenital heart disease, DiGeorge syndrome, alternating hemiplegia of childhood, benign paroxysmal vertigo, pyridoxine-dependent epilepsy, Dravet syndrome, tonic seizures, and Lennox-Gastaut syndrome, providing insights into their clinical presentations and treatment options. Takeaways DiGeorge syndrome is characterized by low calcium and seizures.Alternating hemiplegia of childhood is caused by ATP1A3 gene mutation.Benign paroxysmal vertigo is a migraine-related disorder in children.Pyridoxine-dependent epilepsy requires IV pyridoxine for management.Dravet syndrome is linked to SCN1A gene mutations.Tonic seizures involve muscle stiffening without loss of consciousness.Lennox-Gastaut syndrome features multiple seizure types and cognitive impairment.Gene therapy is a promising future direction for rare genetic conditions.Early diagnosis and management are crucial for better outcomes.Physical and speech therapy are important for developmental support.Sound Bites "This is Dravet syndrome.""This is tonic seizure.""Gene therapy trials are ongoing."Chapters 00:00Introduction to Child Neurology Cases 02:35Dijon's Syndrome: Diagnosis and Treatment 04:03Alternating Hemiplegia of Childhood: Symptoms and Management 05:48Benign Paroxysmal Vertigo in Young Children 06:33Pyridoxine-Dependent Epilepsy: A Rare Condition 08:00Dravet Syndrome: Genetic Epilepsy Insights 10:00Understanding Tonic Seizures 11:40Lennox-Gastaut Syndrome: Complex Epilepsy Management 14:04Silent Ocean

    14 min.

Om

🎙 Child Neurology Board Prep is your go-to podcast for high-yield pediatric neurology review. Designed for residents, fellows, and practicing neurologists preparing for the boards, each episode breaks down essential topics in a concise, easy-to-digest format. From epilepsy and metabolic disorders to neurogenetics and neuromuscular conditions, we cover key concepts, case-based discussions, and board-style questions to help you solidify your knowledge. Whether you're commuting, working out, or taking a quick study break, tune in to sharpen your skills and stay board-ready! 🔬 Hosted by BrainSparks,MD

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