Paediatric neurology topics for General Physicians
How pediatric neurology is tested
Written for DHA, SMLE, DOH, QCHP, OMSB, MOH, NHRA and Kuwait MOH — the same GP licensing mix, not a pediatric neurology specialist paper.
Paediatric neurology is febrile vs unprovoked seizure, LP timing, and which headache is a scan.
Simple febrile seizures are age, duration and recovery. Complex features change follow-up. Status in a child is a timed benzo algorithm like adults, with paediatric doses.
LP is delayed if there are contraindications (coma, focal signs, rash of meningococcus still gets antibiotics first).
When is a first seizure a scan?
Focal features, prolonged recovery, raised ICP signs, or age outside the febrile window. A textbook simple febrile seizure is not an MRI stem.
Antibiotics before LP?
Yes if the child is toxic or LP will be delayed. Do not withhold cover to “protect the culture” in a dying child.
Headache red flags in children?
Worse in the morning, vomiting, visual change, focal neurology, or a VP shunt. Migraine can exist — those flags still win.
More Pediatrics subspecialties