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Total 93 results found since Jan 2013.

Can Patent Foramen Ovales Cause Problems?
Discussion During fetal development, the heart primum and secundum septa grow and overlap leaving a small but important channel between the two atria. The foramen ovale is a flap valve moving blood from the right atrium into the left atrium directly and bypassing the high pressure pulmonary system. After birth and breathing air, the neonate’s lungs open up and the pulmonary vascular resistance decreases. The left atrium now has a relatively higher pressure than the right atria, and therefore pressure on the flap valve closes the foramen ovale. Usually within 6-12 months, the fusion of the primum and secundum of the f...
Source: PediatricEducation.org - July 24, 2023 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

Know your stroke mimics
A developmentally normal and previously well 15-year-old boy, presented to hospital with a 4-hour history of gradually worsening, throbbing, left-sided headache spreading across his whole head. Four hours prior, he could not read properly or string words together and felt tired. He developed a headache followed by expressive aphasia, agitation and vomiting. A right-sided lower facial droop was noted that resolved in a couple of hours. He played a rugby match in the morning and there was a history of minor head injury without loss of consciousness. He started to develop self-resolving apnoeic episodes each lasting for 30&nd...
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2023 Category: Pediatrics Authors: Hanna, D., Holland, J., Lichtblau, N., Maduakor, C., Khan, F., Kerr, T. Tags: Epilogue Source Type: research

What is Ondine ’ s Curse?
Discussion Congenital central hypoventilation syndrome (CCHS) is an autosomal dominant with variable inheritance genetic disease caused by mutation in the Paired Like Homeobox B2 (PHOX2B) gene on chromosome 4. There are two other genes which may also cause CCHS. CCHS affects the chemoreceptor afferent ventilation pathways and is a neural crest migration problem of the autonomic nervous system. The incidence is unknown but a prevalence of 1 in 200,000 live births has been reported. Obviously it is a rarer phenomenon because of the general lethality of the syndrome. Patients usually present at birth or soon afterwards, but o...
Source: PediatricEducation.org - August 15, 2022 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

Pediatric stroke codes need to grow  up
Previously in The Journal, Harrar et al (J Pediatr 2020;216:136-41.e6. DOI: https://doi.org/10.1016/j.jpeds.2019.09.027) reported that the use of a pediatric stroke code system could decrease median time to just over an hour from emergency department arrival to neuroimaging. Timely diagnosis is prerequisite in order to initiate interventional therapies quickly and improve neurologic outcomes. Time is brain! However, this prior study analyzed data from only one advanced, tertiary children's hospital.
Source: The Journal of Pediatrics - February 22, 2022 Category: Pediatrics Authors: Paul G. Fisher Tags: The Editors' Perspectives Source Type: research

Highly Respected, Beloved Neurologist Dies Highly Respected, Beloved Neurologist Dies
Highly respected and beloved pediatric neurologist Verne Strudwick Caviness, Jr, attended on the stroke and child neurology services at Massachusetts General Hospital in Boston for five decades.Medscape Medical News
Source: Medscape Pediatrics Headlines - July 9, 2021 Category: Pediatrics Tags: Neurology & Neurosurgery News Source Type: news

Moving Toward a New Standard of Care for Acute Pediatric Stroke
This article summarizes the issues and presentations behind identifying acute pediatric stroke, the research behind these emerging therapies in children, and the process of successfully applying pediatric stroke protocols. [Pediatr Ann. 2021;50(6):e242-e244.].PMID:34115557 | DOI:10.3928/19382359-20210519-01
Source: Pediatric Annals - June 11, 2021 Category: Pediatrics Authors: Henry David Source Type: research