Outcomes of Inpatient Child Neurology Consultations

Öz

Child neurology covers a wide range of relevant topics. Both doctors and parents are concerned when a child complains of being unable to walk or having a headache, and they are afraid of postponing the diagnosis. The goal of this study was to assess pediatric neurology inpatient consults. A total of 1,669 requests for pediatric neurology inpatient consultations were reviewed retrospectively during a one-year period. Seizure and febrile seizure were the most common reasons for child neurology consultations (60,6% and 12.2%, respectively). Neuromotor developmental delay (5.7%), syncope (3.4%), headache (2.6%), altered mental status (2.1%), acute complaint of inability to walk (1.8%), facial nerve paralysis (1.4%), ataxia (1.2%), and monoparesis/hemiparesis (1.2%) were among the other reasons for child neurology consultations (1%). Fifty-seven patients (8.8%) who were consulted owing to a seizure were not diagnosed as having seizures. The most common cause of changed mental status was meningoencephalitis. Nine (47.4%) of the patients with acute inability to walk were evaluated as viral myositis. In a patient with acute neurological symptoms, there may be a simple underlying cause or a serious cause.

Anahtar Kelimeler

• Child
• concultation
• inpatient
• neurology

Yatan Hasta Çocuk Nörolojisi Konsültasyon Sonuçları

Öz

Çocuk nörolojisi, çok çeşitli ilgili konuları kapsar. Bir çocuk yürüyememekten veya baş ağrısından şikayet ettiğinde hem doktorlar hem de ebeveynler endişelenir ve teşhisi ertelemekten korkarlar. Bu çalışmanın amacı, pediatrik nöroloji yatan hasta konsültasyonlarını değerlendirmekti. Pediatrik nöroloji yatan hasta konsültasyonları için toplam 1.669 talep, bir yıllık süre içinde geriye dönük olarak incelendi. Çocuk nörolojisi konsültasyonlarının en sık nedenleri nöbet ve ateşli nöbet (sırasıyla %60,6 ve %12.2) idi. Nöromotor gelişimsel gecikme (%5,7), senkop (%3,4), baş ağrısı (%2,6), mental durum değişikliği (%2,1), akut yürüyememe şikayeti (%1,8), fasiyal sinir felci (%1,4), ataksi (%1.2) ve monoparezi/hemiparezi (%1) çocuk nörolojisi konsültasyonlarının diğer nedenleri arasındaydı. Nöbet nedeniyle konsülte edilen 57 hastaya (%8,8) nöbet tanısı konulmadı. Mental durum değişikliğinin en sık nedeni meningoensefalit idi. Akut yürüyememe şikayeti olan hastaların 9'u (%47,4) viral miyozit olarak değerlendirildi. Akut nörolojik semptomları olan bir hastada altta yatan basit bir neden olabileceği gibi ciddi bir neden de olabilir.

Anahtar Kelimeler

• Çocuk
• konsültasyon
• yatan hasta
• nöroloji

Kaynakça

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