Pediatric Catatonia

Catatonia is a syndrome that consists of motor and behavioral signs and symptoms in the setting of neurochemical insult. It can be seen with psychiatric, neuromedical, and substance induced conditions. Though the prevalence of catatonia among the general pediatric population has not been established, it is estimated to be between 0.6% and 17% among child and adolescent psychiatric inpatients [1]. Pediatric patients with catatonia are mostly likely to have a primary diagnosis of psychotic disorder (18.3%) or a neurologic, developmental, and inflammatory illness, such as autoimmune and infectious processes (11.8%) [2]. In comparison, adult patients have a higher proportion of underlying mood disorders, especially bipolar disorder [4].

Obstructive Hydrocephalus Due to Intraventricular Neurocystircercosis

A 21-year-old Spanish-speaking gentleman presented to the emergency department with the chief complaint of abdominal pain. It quickly became apparent that the abdominal pain was not his chief concern and he was most bothered by three days of waxing and waning headache.

Clinical Image Case: Triple “E” Syndrome

A 68-year-old male with a past medical history of HTN, HLD presents reporting severe bilateral upper extremity pain…

Neurology, Orthopedics, Clinical ImageDerek LubetkinSeptember 30, 2022seizure, Posterior Shoulder DislocationComment

A Burst of Light on Postpartum Seizure

A 17-year-old female presents via EMS from her boyfriend’s home after a report of two separate episodes of generalized tonic-clonic seizure like activity. She has no previous history of seizures. Per EMS, she was given versed on scene for seizure like activity lasting roughly 5 minutes. She was also febrile to 100.8°F. The emergency department team is unable to obtain a detailed history from the patient and unable to reach the family when the patient first presents to the ED…

OB/Gyn, NeurologyDerek LubetkinOctober 15, 2021eclampsia, neurology, seizure, OB/GynComment

The Febrile Seizure

Despite how frequently emergency physicians encounter children who have had a febrile seizure, there tends to be great variation in the diagnostic evaluation of these patients. The algorithm below was created to provide a more simplified approach to the patient presenting with a febrile seizure. The algorithm draws from the 2011 American Academy of Pediatrics (AAP) Clinical Practice Guideline for the Febrile Seizure as well as the clinical pathways published by Seattle Children’s Hospital…

Pediatrics, NeurologyAlexander DaytonOctober 2, 2020Febrile Seizure, pediatrics, seizure, algorithm, best practiceComment

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