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Home >> Health Topics >> Pediatric Neurological Disorders
 MyKidz Pediatric Clinic offers comprehensive evaluation and care for children and young adults (up to 25 years old) with neurological symptoms or disorders.

​ A comprehensive list of neurological presentations are listed below:


  1. Headaches and Migraines
            -   Chronic headache, whether migrainous or not
            -   Headache of uncertain etiology
            -   Headache not responding to first line therapy (i.e. Tylenol and NSAIDs)
            -   Headache with any other neurological symptoms​ 


    2.  Post-concussive syndrome

 
   3.  Seizures 
         
            -   F
ebrile seizures if uncertain about treatment/prognosis
            -   First time seizures in anyone under 17 years old; second time seizures if 17 years old and older
            -   Seizures caused by known triggers if uncertain of treatment
            -   Seizures not responsive to first-line medication
            -   Seizure syndromes, whether known or unknown (JME, absence, etc)
            -   Query seizure (usually the question is seizure vs syncope)
            -   Loss of consciousness for unclear reasons, especially if recurrent

    4.  Weakness          
            -   Cerebral Palsy
​            -   
Stiffness, cramps
            -   Contractures for unclear reasons, whether present from birth or newly developed
            -   Unusual limb posturing
            -   Facial movement weakness
            -   High CK for unclear reasons
            -   Other strength abnormalities from unclear causes
            -   Gait dysfunction, whether long standing or new onset
            -   Difficulty getting up from sitting position
            -   Hemiplegia, especially intermittent


    5.  Movement Abnormalities / Movement Disorders     
            -   Excessive movement (e.g. chorea, dystonia, tics)
            -   Reduced movement (e.g. bradykinesia)
            -   Bulbar problems (e.g. dysphagia, dysarthria) for unclear causes
            -   Eye movement abnormalities (e.g. gaze restriction, nystagmus)
            -   Ataxia or incoordination, whether chronic, progressive, or intermittent
                   Note: acute onset ataxia should be referred directly to Hospital Emergency


    6.  Sensory complaints     
            -   tingling, burning, or reduced sensation

    7.  Developmental regression / delay
            -   Dysmorphic child with neurological features (e.g. developmental delays, seizures, abnormal stature)
            -   Dysmorphic child without any neurological features is best assessed by a general pediatrician and/or geneticist;
                       however, if there are concerns about possible or probable neurological involvement, a referral is welcome


    8.  Facial and Body Asymmetries 
            -   Facial asymmetries (e.g. seventh cranial nerve paralysis, whether from Bell’s palsy or unknown, or present from birth;
                   other cranial nerve palsies or weaknesses, especially new onset palsies)
            -  Body asymmetries (e.g. limb length discrepancy with weakness and/or contractures, skin asymmetries
                        - e.g. a rash restricted to one half of the body, or present in a dermatomal distribution)

    9.  Query neurological presentation with unclear etiology
           
 -  New onset behavioural or attention difficulties
                (e.g. new onset ADHD in a previously attentive school-aged child or older, irritability in a previously easy-going child)


   10.  Behavioral Disorders
         
  -  Assessment and treatment of patients with query Tourette’s Syndrome
            -  Previously diagnosed ADHD with other neurological difficulties, such as muscle weakness, developmental delay, seizures,
                 dysmorphic features skin
findings, etc., and/or if the ADHD appears to be new in onset (as described above).
                  Note:  ADHD is best  treated or assessed through Psychology and Psychiatry, as behavioral intervention is the best first                                and major step to treatment. This also applies to Obsessive-Compulsive disorders, Oppositional-Defiant disorders,                              etc.  
           -  Previously diagnosed Adult Spectrum Disorders (ASD)  who have other neurological difficulties, in particular, but not limited                                to, seizures.
                  
Note:  Children with query Autism Spectrum Disorders; like ADHD, must be diagnosed through the appropriate clinics
                             (in particular, the Autism Clinic at the Alberta Children’s Hospital)


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