Pediatric emergency medicine trisk 2604 2604
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CHAPTER 97 ■ NEUROLOGIC EMERGENCIES
SRI S. CHINTA, MATTHEW P. GRAY
GOALS OF EMERGENCY CARE
Signs and symptoms of neurologic dysfunction in children are produced by either
primary nervous system disorders or are secondary to systemic disease. The
differential diagnosis of many such neurologic findings can be found in the
second section of this book (see related chapters below). This chapter focuses on
the management of conditions primarily involving the various parts of the
nervous system, including the brain, spinal cord, and peripheral nerves. Most
neurologic conditions present with a recognizable pattern of clinical
manifestations. Goals of care in the emergency department (ED) should focus on
prompt recognition of these patterns, systematic diagnostic evaluations, and
appropriate subspecialist consultation.
KEY POINTS
A detailed history and neurologic examination are imperative to
identifying the etiology of most neurologic conditions.
Anatomic localization of a neurologic injury is usually possible after
evaluation of the distribution and character of the deficit.
Neuroimaging is a useful adjunct in the diagnosis of many neurologic
diseases and MRI is often the study of choice.
RELATED CHAPTERS
