Child Neurology is a medical specialty related to brain, spinal cord, nerve and novelistic diseases in children. It is also known as” pediatric neurology “or” developmental neurology”.

What does Child Neurology look at?
Diseases that are subject to it range from severe brain damage, temporary paralysis, epilepsies of good or bad course to simple fainting, autistic complaints, behavioral disorders, novelties, nerve injuries. After applying the necessary tests and examinations, pediatric neurology doctors can diagnose according to complaints and the result of manual examination.

What is Child Neurology and how does the examination proceed?
Pediatric neurology, i.e. Pediatric Neurology, is a branch of science that deals with the diagnosis and treatment of brain-related problems in newborns, infants, children and adolescents. The first step to be taken in addressing patients ‘ ailments is clinical evaluation. First, the course and story of the disorder is listened to first-hand and from the relatives of the children, and then the child is examined. These initial clinical impressions often reveal information that leads to diagnosis for many diseases. Although some advanced studies (such as MRI and EEG) always come to mind in addressing patients ‘ neurological problems, clinical evaluation plays a very decisive role. From time to time, some misleading results from patients ‘ tests are trivialized by simple clinical determinations about the patient’s discomfort. Diseases such as SMA, epilepsy, cerebral palsy, microcephaly, down syndrome also concern the field of Child Neurology.

SMA disease
SMA disease, also known as loose baby syndrome, is a neuro-muscular disease caused by nerve cells that act. The most dangerous of SMA disease seen in Stage 3 is the stage called SMA Type 1. Symptoms of SMA Type 1 disease can be seen from childhood. Symptoms of SMA include problems such as difficulty swallowing and breathing, inability to sit without support. In SMA, which does not have a specific treatment, it is important to improve the quality of life of the patient by performing only some care. The disease can be diagnosed by SMA test. The SMA test measures the amount of antibodies formed against smooth muscles at the moment. SMA is a protein produced by the immune system against smooth muscles.

Epilepsy
For anxious families, “What is epilepsy?”epilepsy is a clinical condition in which normal brain activity is disrupted as a result of abnormal electrical activity that occurs temporarily in nerve cells.” Epilepsy disease is manifested by repeated seizures caused by the brain. The symptom of epilepsy is these seizures. In seizures, empty eyes, contractions, uncontrollable movements, changes in consciousness can be observed. Seizures can be common in childhood and adolescence. For the treatment of epilepsy seizures, a comprehensive family history, physical examination, blood tests, eectroencephalography and imaging methods are required. Epilepsy can mostly be controlled with a single drug, while other children may have more than one drug. In pediatric patients whose seizures cannot be prevented despite these drugs, surgical methods are resorted to.

Scientific methods in Child Neurology
Pediatric neurology patients have a wide range of disorders related to the brain and nervous system. Among them are important applications that we try to help in practice conditions:

Age-appropriate neurological development problems:
Delay in walking

Recommended (hypoton) babies (SMA)

Speech delay

Autistic complaints

Learning and school problems (attention problems)

Conditions that occur in the form of changes in consciousness or repeated attacks:
Fiery transfers

Epilepsy seizures

Faint

Joining

Headache

Problems that develop during childbirth or pregnancy:
Brain damage due to difficult labor (cerebral palsy (CP), spastic or hypotonic strokes)

Damage due to premature birth (spastic diparesis, tetraparesis)

Damage to arm nerves at birth (brachial plexopathy)

Microcephaly (small head size)

Weakness and imbalance:
Nov Nov (Duchenne Muscular Dystrophy), a muscular dystrophy of the Duchenne)

Nerve involvement (Guillain Barré syndrome, Charcot Marrie Tooth syndromes)

Ataxias

Conditions detected by imaging (MRI, CT, US) :
Hydrocephalus (collecting water in the brain)

Cysts in the brain (arachnoid cyst)

Brain tumors

Brain hemorrhage, vascular balls and dilations (AVM, aneurysm)

Congenital abnormalities of the spinal cord (Spina bifida)

Movement disorders
Tics (simple tics or Tourette’s Syndrome)

Dystonia (uncontrollable irregular contractions)

Korean-athetosis (involuntary rapid or convoluted movements)

Behavioral disorders:
Although these are mostly psychiatric issues, they can be seen as additional problems.

Hyperactivity / attention deficit

Problems of social cohesion

Obsessions

Genetic or metabolic problems:
Thyroid problems

Amino acid metabolism disorders (phenylketonuria)

Problems of organic acid metabolism

Mitochondrial diseases

Chromosomal abnormalities (Down Syndrome)

Genetic tables that are obvious by facial and other structural differences

Characteristics Evaluated In Child Neurology Examination:
General condition, age-appropriate response and development

Orientation and information status

Head size

Speech and movement skills

Coordination, access and balance

Strength, ability to walk

Reflexes

Pathological and neonatal reflexes

Areas of vision and hearing

Eye movements and eye bottom

Some of these assessments may give age-related, questionable and inadequate information to pediatric neurology doctors. The overall clinical picture and story again becomes very decisive. The importance of additional tests usually becomes apparent after them. Although it is not a disease, the child’s neurological development and examination are important for health.

Child Neurology