Non-Epileptic Childhood Paroxysmal Disorders

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9780195335378: Non-Epileptic Childhood Paroxysmal Disorders

This book is written for those who evaluate the many quirks and behaviors encountered in the lives of developing children. The number of important pathologic conditions that befall this age group is staggering. However, equally staggering is the number of episodic and often benign or developmentally programmed paroxysmal events encountered in this population. The nature of these episodic events in many circumstances leads to their erroneous identification as epileptic in nature. This book serves as a compendium of those episodically manifest entities often uniquely observed in childhood. The book is organized with some foundations in terminology and an in depth analysis of epidemiology of many of these disorders. As best possible, epidemiologic data are compiled with incidence and prevalence figures provided for comparisons. Discussion on the deductive approach to their clinical assessment is provided along with emphasis on the diagnostic clues contained within the descriptive and observational information provided during clinical evaluation. A categorization of the differential features and ages of presentation are provided as a means to help direct logical diagnostic considerations. Subsequent chapters are organized by major topic (i.e.) Syncopes, Sleep Phenomena, Somatization, Factitious Illness, Movement Disorders, and Migraine Syndromes. Each chapter provides discourse on the general principles of underlying pathophysiologic mechanisms and current knowledge about the chapter topic under discussion. Specific clinical entities encompassed within the general topic are then discussed individually with particular attention to their clinical descriptions and presentations, natural history, particular pathophysiology, genetics, pertinent laboratory, and treatments. The text is amplified by pertinent tables highlighting diagnostic criteria where this applies and reference information where needed. The text is generously referenced to encompass the most relevant information available.

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About the Author:

Francis J. DiMario Jr., MD was Born in Somerville, MA August 9th, 1954. He is currently in the Department of Pediatrics and Neurology at The University of Connecticut School of Medicine, Farmington, CT and Chief of Pediatric Neurology at the Connecticut Children's Medical Center in Hartford,
CT. He is also Professor of Pediatrics and Neurology, Academic Chief of the Division of Pediatric Neurology, Associate Chair for Academic Affairs in the Department Pediatrics and an Adjunct Lecturer at Trinity College in Hartford CT.

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"Paroxysmal events from breath-holding spells and migraines to confusional arousals, tics, and conversion disorders are just some of the conditions reviewed, all in great detail. The author nicely categorizes the spells (e.g., sleep-related, movement disorders, headaches, syncope, factitious disorder), providing a framework to help readers better approach these problems. The tables are particularly helpful in distilling key points from the chapters....This is a very useful book to read and have on your bookshelf...this is a particularly thorough, concise, and accessible compendium for all pediatric practitioners."--Doody's


"A major strength of this text is the extensive literature review in each chapter. This feature reflects the author's evidence-based method, which is an important theme throughout the work...The author also makes extensive use of tables, lists, algorithms, and diagrams....Child neurologists will want to own a copy, whereas pediatric and adult neurology residents will at least want the opportunity to review this book. More experienced clinicians will also find this text useuful, particularly for its extensive references and for the various tables and figures that will almost certainly adorn some of their future lectures."--Robert J. Baumann, MD, Department of Neurology, University of Kentucky, as reviewed in Pediatric Neurology


"This text is a must have for pediatricians and child neurologists in training and would be a welcome addition to any personal library."--Journal of Child Neurology


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