Pediatrics - Neurology
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When a child’s doctor recommends that the child sees a pediatric neurologist, it is because they suspect a disorder of the nervous system. Specializing in all types of nervous system disorders, some of the more typical neurological disorders and diseases we diagnosis and treat are:
- Attention deficit, learning and processing disorders
- Autism spectrum disorders, PDD
- Developmental delays
- Epilepsy and Seizures
- Headache and migraine disorders
- Head and Spinal Cord Trauma
- Head shape or head size disorders
- Infections or inflammatory processes
- Motor impairments: cerebral palsy, ataxias, hypotonia, and hypertonia
- Movement disorders: Tourette syndrome, other tic disorders, chorea, dystonia
- Neuromuscular disorders
- Neurogenetic or hereditary disorders
- Prenatal/Neonatal Neurology
- Progressive neurologic disorders such as mitochondrial disorders, leukodystrophy
- Sleep disorders
Diagnosing Neurologic Conditions
If a child is suspected of having a neurologic disorder, the doctor will perform a physical exam and take a detailed medical history. In addition, a number of tests may be ordered. These can include:
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El Dr. Karl Kuban tiene una experiencia especial en las deficiencias motoras, en particular las asociadas con la parálisis cerebral. El Dr.
El desarrollo de un niño se retrasa si está rezagado con respecto a otros niños de la misma edad en una o más de las siguientes áreas: habla y lenguaje, habilidades motoras, inteligencia, capacidad de atención, aprendizaje en la escuela, comportamiento y control emocional y social. habilidades.
Las convulsiones son causadas por una actividad eléctrica excesiva en el cerebro, aunque no siempre se conoce la causa.
Los traumatismos craneales pediátricos son una de las principales causas de morbilidad infantil en los Estados Unidos, y los niños tienen el doble de probabilidades de sufrir lesiones que las niñas. Aquí vemos lesiones deportivas y no deportivas.
Los trastornos del movimiento en los niños pueden significar que se mueven demasiado o muy poco de una manera que interfiere con el flujo normal de movimientos y posturas.
Programas y Servicios
Condiciones que Tratamos
Autism Spectrum Disorder (ASD) refers to a group of disorders that affect communication and interaction (autism, Asperger’s syndrome, pervasive developmental disorder not otherwise specified, and childhood disintegrative disorder).
Dr. Kuban received formal training as a cerebral palsy fellow at Children's Hospital Boston, and has more than 30 years experience caring for patients with this disorder.
Epilepsy is diagnosed when a person has had at least one seizure and there is a strong likelihood of future events. It is a neurological condition that can vary widely in symptoms, so it is best treated on an individual basis. Boston Medical Center’s Comprehensive Epilepsy Center (CEC) is committed to helping patients and families get the best possible care for their unique case of epilepsy.
Pediatric head injuries are a major cause of childhood morbidity in the United States, with boys twice as likely to be injured as girls.
A good night's sleep is essential for a child's growth and development. Many studies have shown that poor sleep quality and/or quantity in children is associated with emotional, behavioral, weight and cognitive dysfunction including attention, learning and memory. These problems not only impact child's health, but also interfere with family functioning. At the Pediatric Sleep Disorders Center at Boston Medical Center, we care for children—from newborns to adolescent.
Movement disorders in children can mean that they are moving too much or too little in a way that interferes with the normal flow of movements and postures.
Children involved in contact sports like football and soccer run the risk of sustaining a concussion during play, just like those participating in everyday activities like ice skating or riding a bike. When your child suffers a head injury, Boston Medical Center’s Concussion Clinic for Children is here to help.
Tratamientos y Servicios
Special Kids Special Help
This web site was created to serve as a resource for families of children with neurological or developmental disorders, including epilepsy, autism, and developmental delay.
Diagnósticos y Pruebas
An EEG is a test that measures and records the electrical activity in the brain.
Electromyography (EMG) is a diagnostic test to evaluate the health of muscles and the nerve cells that control them. Motor neurons transmit electrical signals that cause muscles to contract.
Multiple Sleep Latency Testing
The multiple sleep latency test (MSLT) tests for excessive daytime sleepiness by measuring how quickly a patient falls asleep in a quiet place during the day. It is the standard tool used to diagnose narcolepsy and idiopathic hypersomnia.
Nerve conduction study
A nerve conduction study measures how well and how fast the nerves can send electrical signals.
Sleep Studies (Polysomnogram)
Sleep studies, called polysomnograms, are used to diagnose sleep disorders. The test records a patient's brain waves, blood oxygen levels, heart rate and breathing, as well as eye and leg movements.
Video EEG Telemetry
A Video EEG test records brainwaves on an EEG and takes a video of what is going on at the same time. The purpose is to be able to see what is happening when a patient has a seizure or event and then compare the picture to what the EEG records at the same time.
Computed Tomography (CT) Scan
CT scans use x-ray equipment and computer processing to produce 2-dimensional images of the body. The patient lies on a table and passes through a machine that looks like a large, squared-off donut. Doctors order CT scans when they want to see a two-dimensional image of the body to look for tumors and examine lymph nodes and bone abnormalities. If contrast dye is used to improve the computer image, the patient may need to avoid eating or drinking for 4 to 6 hours before the test. Patients should tell their provider before the test if they have any allergies or kidney problems.
Computed tomography angiography (also called CT angiography or CTA) is used to visualize arterial and venous vessels in the body. These include arteries in brain and those that bring blood to the lungs, kidneys, arms and legs.
A head ultrasound is a safe and painless test that uses sound waves to make images of the brain tissue.
A fetal ultrasound is a test done during pregnancy that uses sound waves to produce a picture of a fetus.
An MRI is a non-invasive diagnostic imaging that doesn't use ionizing radiation. It is painless and a harmless way of looking inside the body without using X-rays. Instead it uses a large magnet and computer to scan the body. This provides the doctor with information not available from other scans.
MRA and MRV
MRA (Magnetic Resonance Angiography) or MRV (Magnetic Resonance Venography) is an MRI study of the blood vessels that is like and MRI and is noninvasive and painless. The test helps doctors diagnose medical conditions in the blood vessels.
Positron Emission Tomography (PET) scan
A PET scan is used to detect cellular reactions to sugar. Abnormal cells tend to react and "light up" on the scan, thus helping physicians diagnose a variety of conditions. For the PET scan, a harmless chemical, called a radiotracer, is injected into your blood stream.
A SPECT scan is a nuclear imaging test that uses a radioactive substance and a special camera to create 3-D pictures and examine how a patient’s organs are working.
Division Chief, Pediatric Neurology
Director of Pediatric Epilepsy and EEG
Pediatric Epilepsy, Dietary therapy for Epilepsy including the Ketogenic Diet, LGIT diet, MAD diet, MCT diet, General Child Neurology, Seizures in babies born prematurely
Epilepsy/Seizures, Headaches, Developmental Delay, Cerebral Palsy, Inflammatory Disorders
Special InterestsPediatric Neurology, Pediatric Epilepsy, Pediatric Sleep Medicine
Professor of Pediatrics and Neurology, Boston University School of Medicine
Child Neurology, Pediatric Neurology, Cerebral Palsy, Neonatal Neurology, Neonatal neurological outcome research
Director of Movement Disorders Program
Movement Disorders, ADHD, Epilepsy, Headache
Associate Professor of Pediatrics and Neurology, Boston University School of Medicine
Traumatic Brain Injury and Concussion
Elizabeth Lowe, RN
Nurse and Care Coordinator: Outpatient Neurology and Epilepsy Programs
Resumen de la Investigación
The Role of Research
The pediatric neurology faculty at Boston Medical Center is actively involved in basic science and clinical research. Division staff members have presented their work at meetings of the Child Neurology Society, the American Epilepsy Society, and the International Child Neurology Association, often in collaboration with pediatric neurology residents or medical students.
The following is a selected list of research activities currently underway involving Pediatric Neurology Division faculty:
- Extremely Low Gestational Age Newborns (ELGAN) study (NIH): molecular antecedents of brain damage (Kuban)
- Environmental influences on Child Health Outcomes (ECHO)/Extremely Low Gestational Age Newborns (ELGAN) study (Douglass, Kuban, Rana)
- Analyses about antecedent risks of CP and natural history of CP among ELGANs (Kuban)
- Validation of bedside method for estimating intracranial pressure in term and preterm infants (Kuban, Torres)
- Antecedent risks, clinical correlates, and natural history of congenital and acquired microcephaly among ELGANs (Kuban)
- Association of MRI-based brain volumetrics with neurological and behavioral outcomes in ELGANs
- The role of early exposure to inflammatory and neurotrophic proteins on changes in head size between birth and two years of age in ELGANs
- Evaluating the association of MRI-identified white matter tracts and connectomes with volumetrics at 15 years with neurological, cognitive, behavioral, and psychiatric outcomes in a large cohort of ELGANs (Kuban, Mabray)
- Evaluating the association of traumatic head injury with alterations in MRI-identified white matter tracts and connectomes (Mabray, Torres)
- Further clinical analyses in 406 cases of febrile seizures followed prospectively (Rosman)
- Epilepsy in children born extremely prematurely (Douglass, Kuban)
- Concussion Referrals in Pediatrics and Adolescents in the Urban Safety-Net Hospital (Torres)
- Concussion Referrals for Urban Safety Net Hospital (Katz, Torres)
- Impact of embedding a psychologist in a pediatric concussion program (Goldman, Torres)
- Assessing factors associated with persistent post-concussion symptoms (Torres)
- Multicenter description of Acute Flaccid Myelitis Patients treated with fluoxetine (Torres)
- Controlled evaluation of ADHD in children with idiopathic epilepsy (Douglass)
- Validation of a two step seizure screen in Spanish (Douglass, Torres, Jonas)
- Pharmacological clinical trials in childhood epilepsy: Levetiracetam (Keppra), Lamotrigine (Lamictal) (DeBassio, Douglass, Montouris)
- Causes and consequences of acquired microcephaly (Rosman)
Información Sobre Residencia y Becas
Welcome to the Child Neurology Residency Program at Boston Medical Center! We are excited that you will be joining us in one of the most fulfilling and invigorating fields in medicine.