Early recognition of Parkinson’s disease requires health care providers to look beyond the classic tremor. Parkinson’s disease affects approximately 1 million people in the United States, with 90,000 new diagnoses each year. Despite its prevalence, early recognition remains challenging for health care providers. Parkinson’s disease is the most common neurodegenerative movement disorder, characterized by abnormal…
Provider Team The patient The patient is a now 13-year-old girl with a history of anxiety and headaches dating back to approximately age 7, although she did not present to neurology until age 9. At that time, she was reporting approximately 15 out of 30 headache days per month and was meeting criteria for chronic…
Pediatric migraine management requires a nuanced approach that differs significantly from adult protocols. While migraine affects up to 10% of children and adolescents, treatment decisions must account for developmental considerations, family dynamics and the substantial placebo effect observed in younger patients. This evidence-based guide synthesizes current best practices for clinicians managing pediatric migraine, from initial…
Although most pediatric syncope cases are benign, general providers should be able to distinguish red-flag symptoms and refer patients as necessary. “Providers should differentiate syncope from cardiac conditions, seizures, metabolic disturbances or psychogenic causes,” said Delwyn E. McOmber, M.D., pediatric cardiologist with Norton Children’s Heart Institute, affiliated with the UofL School of Medicine. By taking…
Hydrocephalus in newborns represents one of the most challenging conditions faced in neonatal care. Early recognition and appropriate intervention are crucial for optimal outcomes. The key to managing newborn hydrocephalus lies in recognizing changes over time. “It’s not what the brain looks like at any moment. It’s what it looks like today versus previously,”…
Neonatal seizures represent one of the most common and challenging neurologic conditions encountered in the neonatal intensive care unit. The unique characteristics of the developing nervous system and their often subtle clinical manifestations complicate recognition and management, according to Lester M. “Max” Gallivan, M.D., a resident in pediatric neurology at the UofL School of Medicine and…
Neonatal hypotonia, or “floppy infant syndrome,” is a common condition encountered after delivery and in the neonatal intensive care unit (NICU). Early diagnosis and differentiating etiology of low tone are critical to help prevent further complications. “Hypotonia can be a manifestation of systemic illness or dysfunction of any level of the nervous system,” said Amanda…
Norton Neuroscience Institute is one of six sites nationwide chosen to pilot a new Brain Health Navigator program aimed at creating a worldwide model to prevent, diagnose and treat Alzheimer’s disease. The program — funded and pioneered by the Davos Alzheimer’s Collaborative — provides resources for patients and providers at these six sites. “This collaborative effort continues…
A recent study published in the The Journal of Prevention of Alzheimer’s Disease provides detailed insight into clinicians’ and patients’ initial experience with lecanemab, the first Food and Drug Administration-approved antiamyloid monoclonal antibody infusion proven to slow cognitive and functional decline due to Alzheimer’s disease. Conducted at the Norton Neuroscience Institute Memory Center, the study…
Cerebral palsy describes a range of permanent motor function disorders arising from a one-time change to the fetal or infant brain. Cerebral palsy symptoms are secondary to a brain injury or malformation before, during or shortly after birth, according to Christopher R. Barton, M.D., a pediatric neurologist with Norton Children’s Neuroscience Institute, affiliated with the…
David A. Robertson, M.D., neurologist and neuroimmunologist, has joined Norton Neuroscience Institute Hussung Family Multiple Sclerosis Center. Dr. Robertson is originally from McPherson, Kansas. He graduated from the University of Kansas School of Medicine in 2004 and completed an internship in internal medicine and a residency in neurology, both at Vanderbilt University in Nashville, Tennessee. As a…
Norton Neuroscience Institute will be the first and only facility in Kentucky to offer MRI-guided high-frequency focused ultrasound for essential tremor and tremor-dominant Parkinson’s disease. This life-changing treatment has been shown to dramatically improve tremor symptoms for patients starting on the day of treatment. The technology will be purchased with $2.8 million in funding through the Norton Healthcare Foundation. High-frequency…