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Pediatric Neurology

Pediatric Neurology is a medical speciality dealing with brain, spinal cord, nerve and muscle diseases in children. Diagnosis and treatment of neurological problems such as convulsions seen in childhood,  developmental disorders such as growth deficiency seen since the neonatal period, cerebral palsy, muscle diseases, and autism are provided in the Department of Pediatric Neurology. The smooth development and healthy development of the nervous system of children is of great importance from the point of view of human and social health. Various diseases such as cerebral palsy (brain stroke), epilepsy, mental retardation, movement disorders, autism, muscle diseases, spinal cord and peripheral nerve diseases as a result of damage to the developing nervous system during pregnancy, at birth or in the postnatal period or due to genetically transmitted diseases can occur and the entire life of the child, and even life span, can be affected. Services are provided by specialist doctors in the Pediatric Neurology Department of Okan University Hospital.

What are the characteristics evaluated in the examination?

  • General condition, age-appropriate response and development
  • Orientation and information status
  • Head size
  • Speech and movement skills
  • Coordination, accessibility and balance
  • Strength, ability to walk
  • Reflexes
  • Pathological and newborn reflexes
  • Areas of vision and hearing
  • Eye movements and the bottom of the eye

Some of these assessments, depending on the age, may give dubious and insufficient information. The general clinical picture and the history again become very decisive. The importance of additional tests usually becomes apparent after these.

 What are the diseases that are examined and treated?

1. Age-appropriate neurological development problems

  • Delay in walking
  • Recommended (hypotonic) babies (SMA)
  • Speech delay
  • Autistic complaints
  • Learning and school problems (attention problems)

2. Conditions that occur in the form of changes in consciousness or attacks

  • Fever convulsion
  • Epileptic seizures
  • Fainting
  • Convulse
  • Headache

3. Problems that develop during childbirth or pregnancy

  • Brain injuries due to difficult childbirth (cerebral palsy (CP), spastic or hypotonic strokes)
  • Damages due to premature birth (spastic diparesis, tetraparesis)
  • Damage to the nerves of the arm at birth (brachial plexopathy)
  • Microcephaly (small head size)

4. Weakness and imbalance

  • Muscle diseases (Duchenne Muscular Dystrophy)
  • Nerve involvement (Guillain Barré Syndrome, Charcot Marie Tooth Syndromes)
  • Ataxy

5. Conditions detected by imaging (MRI, CT, US)

  • Hydrocephalus (Water collection in the brain)
  • Cysts in the brain (Arachnoid cyst)
  • Brain tumours
  • Brain haemorrhage, vascular tangles and enlargements (AVM, aneurysm)
  • Congenital anomalies of the spinal cord (Spina bifida)
  • Movement disorders
  • Tics (simple tics and Tourette's Syndrome)
  • Dystonias (Uncontrollable irregular contractions)
  • Chorea-athetosis (Involuntary rapid or wriggling movements)

6. Behavioral disorders

  • Hyperactivity/attention deficit
  • Social adjustment problems
  • Obsessions

7. Genetic or metabolic issues

  • Thyroid gland problems
  • Amino acid metabolism disorders
  • Organic acid metabolism problems
  • Mitochondrial diseases
  • Chromosomal abnormalities (Down Syndrome)
  • Genetic tables with facial and other structural differences