88 Child Neurology in East Africa

Jane Hassell 13/11/18

When you find a child with neuro symptoms what is the first thing you are trying to work out? : Is this a secondary neuro distrubance or a primary neurological disorder?

Structure for taking a neuro history in kids? : Location (Where are the symptoms/Where is the lesion?), Progression (Timing, Step Wise Progression), Associations (include baseline health/development), Functional Impact

Structure for examining kids for neurology? : Consciousness / ICP / Motor + Sensory / Cranial Nerves / Higher Function

How do you diagnose TB meningitis in kids when no access to mycobacteria? : Marais Diagnostic Criteria (Evidence of clinical exam, CSF, imaging, Evidence TB is elswhere)

What is the triad of TB Meningits seen on imaging? : Hydrocephalus, Basal Enhancement on Circle of Willis, Infarction

If you’ve a child who presents with what seems like TB meningitis, what other differentials should you think about? : Pituary Fossa Tumour, Cerebral Venous Sinus Thrombosis