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…
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…
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…
Cerebral palsy is one of the most common disabilities affecting children. It is a group of permanent conditions and symptoms that affect movement, posture, overall mobility, gross motor skills, manual ability, vision, speech and muscle tone. Movement disorders such as this are often accompanied by disturbances in sensation, cognition, communication or behavior. Some statistics about…
Pediatric epileptologists are specialized pediatric neurologists who help to confirm the diagnosis of epilepsy, discover what is causing a child’s seizures and work to find an individualized management strategy considering concomitant medical issues. Referral to a pediatric epileptologist is recommended: To confirm the diagnosis of epilepsy For patients with multiple other medical conditions along with…
Reviewed by Brian M. Plato, D.O., FAHS, neurologist and headache specialist at Norton Neuroscience Institute. Migraine is a common, disabling condition among teenagers, making it difficult for them to keep up with school activities and their family and social lives, according to Brian M. Plato, D.O., FAHS, a neurologist and headache specialist at Norton Neuroscience…
Diffusion tensor magnetic resonance (MR) imaging of the brain combined with machine learning could provide a fast and objective alternative to traditional methods of diagnosing autism spectrum disorder (ASD), according to a recently published study. Currently, the gold standard for an autism diagnosis is a set of diagnostic evaluations, such as the Autism Diagnostic Observation…
Stroke is the sixth-leading cause of death in children, and early recognition is key. Those at higher risk of stroke include newborns and pediatric patients with sickle cell anemia, congenital heart defects, immune disorders, clotting disorders and hidden disorders, such as narrow blood vessels. If a pediatric stroke is suspected, Norton Children’s has implemented an…
Pediatric neurologist Cullen S. Marshall, M.D., has joined Norton Children’s Neuroscience Institute, affiliated with the UofL School of Medicine. Dr. Marshall recently completed a residency in child neurology at Cincinnati Children’s Hospital Medical Center. He earned his medical degree from the University of Louisville School of Medicine in 2017. While in residency, Dr. Marshall was…