Neuropaediatrics

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In the pediatric neurology (including children Euro Logie called) is the medical field that deals with the nervous diseases of children busy.

particularities

While adult neurology deals with diseases of the anatomically and functionally mature nervous system , the spectrum of neuropediatrics includes the diseases of people whose nervous system is in very different stages of development or maturity depending on their age. Depending on how mature the brain is, the same damage can have different consequences. The doctor's contact with the patient and the examination techniques used must be adapted to the various ages and levels of development. The normal ranges applicable to the different age groups (premature and newborns, infants, toddlers, school children, adolescents) must be taken into account during the examination and diagnosis. An abnormal neurological finding may or may not be accompanied by developmental delay. On the other hand, numerous children show developmental delays without showing neurologically abnormal findings at the same time.

The neuropaediatrician is well versed in the field of neurometabolic disorders (e.g. Refsum syndrome ), heredodegenerative disorders of the neuromuscular apparatus (e.g. Werdnig-Hoffmann's spinal muscular atrophy ), and malformations of the nervous system (e.g. Chiari malformation ), epilepsy of childhood and adolescence (e.g. BNS attacks) as well as tumors and vascular, inflammatory and traumatic damage to the nervous system.

It is consulted, for example, in children with a lack of neural tube occlusion , movement disorders or mental disabilities.

Institutions

Inpatient departments for neuropediatrics are available at most university children's clinics in Germany and Switzerland as well as in some large non-university children's clinics, and in Germany also at individual social pediatric centers . In Austria, there are currently no approved inpatient areas at any of the three public university clinics for paediatrics. Outpatient neuropediatric care is provided by the neuropediatric outpatient departments of the above-mentioned clinics, and in Germany also by the social pediatric centers and established pediatricians specializing in neuropediatrics . In Germany, this additional qualification can be acquired following the acquisition of the specialist title in pediatric and adolescent medicine through a two-year advanced training course with a final examination.

literature

Monographs
  • Florian Heinen u. a. (Ed.): Pediatric Neurology: Diagnosis and Therapy . Kohlhammer, Stuttgart 2009, ISBN 978-3-17-019468-7 .
  • Richard Michaelis , Gerhard Niemann (ed.): Developmental neurology and neuropediatrics. Basics, diagnostic strategies, developmental therapies and development support. 5th edition, Georg Thieme Verlag, Stuttgart 2017, ISBN 978-3-13-118535-8 .
  • Rudolf Korinthenberg, Christos P. Panteliadis, Christian Hagel (eds.): Neuropädiatrie: Evidenzbasierte Therapy. 2nd edition, Urban & Fischer, 2014, ISBN 978-3-437-23076-9 .
  • J. Eric Piña-Garza, Kaitlin C. James: Fenichel's Clinical Pediatric Neurology: A Signs and Symptoms Approach. 8th edition, Elsevier, 2019, ISBN 978-0-323-48528-9 .
  • Joseph J. Volpe et al. a. (Ed.): Volpe's Neurology of the Newborn . 6th edition, Elsevier, 2017, ISBN 978-0-323-42876-7 .
  • Kenneth F. Swaiman et al. a. (Ed.): Swaiman's Pediatric Neurology: Principles and Practice . 6th edition, Elsevier, 2017, ISBN 978-0-323-37101-8 .
Magazines

Web links

Individual evidence

  1. KFSwaiman: 'Pediatric Neurology. Principles and Practice ', CVMosby, Baltimore 1989, pp. 3-114; Franco Vasella: Special features of the field of neuropediatrics in: Fuat Aksu: Neuropädiatrie 2008, pp. 40–43.
  2. In Austria, neuropediatrics has been recognized as an additive subject with three years of advanced training since 2007. (Sample) advanced training regulations of May 2003 (PDF; 64 kB) in the version of March 28, 2008 of the German Medical Association , p. 89.