Global Pediatrics & Pediatric Neurology 2023 - Webcast
The Pediatrics & Pediatric, Neurology CME/CE Webcast is a recorded version of the Global Pediatrics & Pediatric Neurology Summit 2023, NY. It encompasses various topics crucial to pediatric neurology. Beginning with seizures and epilepsy, the curriculum highlights the significance of classification, syndrome recognition, and clinical decision-making. Antiseizure medications, rescue treatments, and special scenarios are explored, providing insights into treatment goals and emergency management strategies.
The program delves into self-limited epilepsies, offering detailed insights into syndrome definitions, classifications, and specific syndromes across age groups. Comprehensive coverage of febrile seizures addresses classification, prevalence, risk factors, diagnosis, treatment, and prognosis.
Neonatal seizures take center stage, emphasizing the role of EEG, recognition, and adherence to new ILAE treatment guidelines. Neurocutaneous disorders are discussed holistically, covering syndromes, treatments, and surgical interventions.
The curriculum then shifts to precision medicine in pediatric low-grade gliomas, autism diagnosis and treatment options, pediatric migraine, and concludes with a focus on sleep disorders. The activity aims to equip participants with a well-rounded understanding of diverse pediatric neurology conditions and effective management strategies.
This activity is jointly provided by Your CE Source and eMedEd.
What do You Need to Know about Seizures and Epilepsy – By Solomon L. Moshé, MD
1. Seizure Understanding
- Define seizures and classify associated symptoms.
- Discuss the importance of patient information and challenges in visualizing motor manifestations.
2. Epilepsy Insight
- Differentiate epilepsy from isolated seizures.
- Explore epilepsy syndromes and their impact on health and quality of life.
3. Syndrome Recognition
- Define epilepsy syndromes and their clinical features.
- Highlight the role of syndrome recognition in treatment decisions and prognosis.
4. Classification Mastery
- Classify epilepsy by etiology, site of origin, and associated co-morbidities.
- Explore how classification influences treatment decisions and prognosis.
5. Clinical Decision Essentials
- Discuss factors guiding treatment decisions, including the importance of understanding the site of origin.
- Explore considerations for managing co-morbidities and evaluate long-term prognosis in epilepsy.
These learning objectives aim to comprehensively understand seizures and epilepsy, covering key aspects such as classification, syndromes, and clinical decision-making in patient care.
Antiseizure Medications and Rescue Treatments – By Puja Patel, MD
1. Treatment Goals
- Define the goals of antiseizure medication (ASM) treatment.
- Discuss the desired outcomes in managing epilepsy and the role of ASMs in achieving these goals.
2. Antiseizure Medications (ASMs)
- Explore practical considerations when selecting ASMs, considering patient characteristics and lifestyle factors.
- Examine the mechanisms of action of commonly prescribed ASMs.
- Evaluate potential adverse effects associated with ASMs and strategies for their management.
3. Status Epilepticus and Rescue Treatments
- Define status epilepticus and its significance in emergencies.
- Discuss rescue treatments for status epilepticus, including medication options and administration protocols.
4. Special Scenarios
- Explore special considerations for managing epilepsy in specific scenarios, such as Infantile Epileptic Spasms Syndrome (IESS).
- Discuss the unique challenges and treatment approaches for Absence Epilepsy.
5. Clinical Application
- Apply knowledge of treatment goals, ASMs, and rescue treatments in clinical scenarios.
- Develop treatment plans for patients with epilepsy considering individual factors, co-morbidities, and special scenarios.
These learning objectives aim to provide participants with a comprehensive understanding of antiseizure medications, rescue treatments for emergencies, and specific considerations
for managing epilepsy in special scenarios.
Febrile Seizures – By Aparna Polavarapu, MD
1. Classification Understanding
- Differentiate between simple febrile seizures, complex febrile seizures, and febrile status epilepticus.
- Understand the key clinical features and criteria defining each febrile seizure category.
2. Prevalence Knowledge
- Know the prevalence rates of febrile seizures in childhood.
- Understand the age distribution and factors influencing the occurrence of febrile seizures in pediatric populations.
3. Risk Factors Recognition
- Identify the risk factors associated with febrile seizures.
- Explore the risk factors for recurrent febrile seizures and the development of epilepsy following febrile seizures.
4. Diagnostic Competence
- Consider clinical presentation and relevant diagnostic tests to understand how to diagnose a febrile seizure appropriately.
- Recognize red flags that may indicate a different diagnosis and warrant further investigation.
5. Treatment Options
- Know the appropriate treatment options for febrile seizures.
- Understand when and how to administer treatment, considering seizure duration and recurrence risk factors.
6. Prognosis Assessment
- Understand the prognosis of febrile seizures, including the likelihood of recurrence and the development of epilepsy.
- Recognize when referral to a pediatric neurologist is indicated based on specific clinical scenarios and risk factors.
These learning objectives aim to provide participants with a comprehensive understanding of febrile seizures, covering classification, prevalence, risk factors, diagnosis, treatment, and prognosis. This knowledge enables healthcare professionals to manage and support patients experiencing febrile seizures effectively.
Self-Limited Epilepsies – By Donya Eizadkhah, MD
1. Epilepsy Syndrome Definition
- Define the term "epilepsy syndrome" and its importance in the context of epilepsy diagnosis.
- Explore the criteria and characteristics that distinguish epilepsy syndromes from isolated seizures.
- Discuss the clinical relevance of recognizing epilepsy syndromes in guiding treatment decisions.
2. Self-Limited Epilepsy Syndromes & Classification
- Classify self-limited epilepsy syndromes across different age groups, including neonatal, childhood, and infantile periods.
- Explore specific self-limited epilepsy syndromes:
i.Neonatal: Self-Limited Neonatal Epilepsy (SeLNE)
ii.Childhood (SeLFEs):
• Self-Limited Epilepsy and Automatic Seizures (SeLEAS)
• Self-Limited Epilepsy with Centro-Temporal Spikes (SeLECTS)
• Childhood Onset Visual Epilepsy (COVE)
• Photosensitive Occipital Lobe Epilepsy (POLE)
iii.Infantile:
• Self-Limited Infantile Epilepsy (SeLIE)
• Genetic Epilepsy with Febrile Seizures Plus (GEFS+)
• Myoclonic Epilepsy in Infancy (MEI)
iv.Other: Absence Epilepsy
- Discuss the clinical features, prognosis, and implications for management associated with each self-limited epilepsy syndrome.
These refined learning objectives aim to provide a more detailed understanding of the definition of epilepsy syndromes and the classification of self-limited epilepsy syndromes
across various age groups, with specific examples highlighted for clarity.
Neonatal Seizures and Treatments - By Elissa Yozawitz, MD
1. Definitions Understanding
- Define neonatal seizures and differentiate them from seizures in other age groups.
- Understand key terminology related to neonatal seizures, including their significance in clinical practice.
2. Neonatal Seizures Exploration
- Explore the role of Electroencephalography (EEG) in diagnosing and monitoring neonatal seizures.
- Understand how to recognize and describe neonatal seizures, considering their unique clinical manifestations in the neonatal period.
- Familiarize participants with the new International League Against Epilepsy (ILAE) treatment guidelines for neonatal seizures.
These learning objectives aim to provide participants with a comprehensive understanding of neonatal seizures, emphasizing the role of EEG in diagnosis and monitoring. Additionally, the goals touch upon recognizing and describing neonatal seizures and the latest treatment guidelines recommended by ILAE.
Autism Diagnosis and Treatment Options - By Sailaja Musunuri, MD
1. Defining Core Features of Autism Spectrum Disorder (ASD)
- Clearly define the core features of Autism Spectrum Disorder.
- Understand the behavioral, social, and communication characteristics contributing to an ASD diagnosis.
2. DSM-5 Criteria and Assessment Tools
- Describe the DSM-5 criteria for diagnosing ASD.
- Explore various assessment tools and methods to screen and diagnose individuals with ASD.
- Discuss the importance of early identification and intervention.
3. Interdisciplinary Treatment Team Approach and Interventions
- Discuss the interdisciplinary approach to treating ASD, involving professionals from various fields.
- Explore evidence-based treatment interventions, including behavioral, speech and language, occupational, and educational strategies.
- Provide specific case examples to illustrate the collaborative nature of the treatment team and the tailored interventions for individualized care.
4. Innovative Treatment Delivery
- Explore innovative modes of treatment delivery to enhance the quality of care for individuals with ASD.
- Discuss technology-based interventions, telehealth, and other emerging approaches that can improve accessibility and effectiveness of treatment.
- Highlight the potential benefits and challenges associated with innovative treatment modalities.
These learning objectives aim to provide a comprehensive understanding of Autism Spectrum Disorder, covering diagnosis criteria, assessment tools, interdisciplinary treatment
approaches, and innovative treatment delivery methods. Including case examples will help participants apply theoretical knowledge to real-world scenarios.
Neurocutaneous Disorders: A Comprehensive Approach - By Susan Duberstein, MD
1. Understanding Neurocutaneous Syndromes
- Define neurocutaneous syndromes and recognize their significance in clinical practice.
- Differentiate between various neurocutaneous syndromes and understand their underlying genetic and clinical features.
2. Exploring Tuberous Sclerosis Complex (TSC)
- Examine the characteristics and diagnostic criteria for Tuberous Sclerosis Complex (TSC).
- Understand the genetic basis of TSC and its implications for clinical management.
3. TSC Treatment Strategies
- Explore the current treatment options for TSC.
- Understand the multidisciplinary approach to managing TSC, considering neurological, dermatological, and other aspects.
4. Facial Angiofibromas
- Recognize and understand the clinical significance of facial angiofibroma.
- Explore treatment modalities for managing facial angiofibromas.
5. Cortical Tubers and Subependymal Nodules
- Understand the neurological implications of cortical tubers and subependymal nodules in TSC.
- Discuss the clinical significance and potential treatment approaches for these manifestations.
6. Neurofibromatosis Treatments
- Explore treatment options for neurofibromatosis, considering the diverse clinical presentations.
- Understand the role of genetic counseling in the management of neurofibromatosis.
7. Schwannoma Awareness
- Define schwannoma and its relevance in the context of neurocutaneous disorders.
- Explore treatment strategies for managing schwannomas.
8. Sturge-Weber Syndrome (SWS)
- Define Sturge-Weber Syndrome (SWS) and its clinical characteristics.
- Understand the implications of SWS on neurological and dermatological health.
9. Classification of SWS
- Classify Sturge-Weber Syndrome based on clinical features and severity.
- Understand the prognostic implications associated with different classifications.
10. Laser Surgery in SWS
- Explore the role of laser surgery in the management of Sturge-Weber Syndrome.
- Understand the benefits, risks, and considerations associated with laser surgery for SWS.
These learning objectives aim to comprehensively understand neurocutaneous disorders, focusing on specific syndromes, treatments, and surgical interventions.
Central Nervous System Tumors – Move Towards Precision Medicine - By Nagma Dalvi, MD
1. Clinical Overview of Pediatric Low-Grade Gliomas
- Provide an overview of pediatric low-grade gliomas, including their epidemiology, clinical presentation, and impact on neurological function.
- Understand the histological subtypes and grading systems associated with low-grade gliomas.
2. Molecular Signatures of Low-Grade Gliomas
- Identify and explore the molecular signatures associated with low-grade gliomas.
- Understand the genetic and molecular alterations that contribute to the development and progression of these tumors.
3. Current Treatment Paradigm for Precision Medicine
- Discuss the principles of precision medicine in treating central nervous system tumors.
- Explore the current treatment paradigm for pediatric low-grade gliomas, emphasizing the role of molecular profiling and targeted therapies
- Understand the challenges and opportunities in integrating precision medicine into managing central nervous system tumors.
These learning objectives aim to provide participants with a comprehensive understanding of pediatric low-grade gliomas, focusing on clinical and molecular aspects. The seminar will
also explore the evolving treatment paradigm, emphasizing precision medicine approaches for improved patient outcomes.
Motor Weakness - We Can Make a Difference - By Leslie Delfiner, MD
1. Improvements in Pediatric Care for Motor Weakness
- Discuss advancements in the care of children affected by motor weakness.
2. Increased Diagnostic Capability
- Explore improvements in diagnostic capabilities for identifying and understanding motor weakness.
3. Improved Approach to Supportive Care
- Discuss enhancements in the supportive care provided to individuals with motor weakness.
4. Developments in Adaptive Equipment
- Highlight advancements in developing and utilizing adaptive equipment for individuals with motor weakness.
5. Advances in Disease-Targeted Therapies
- Explore the latest developments in disease-targeted therapies for managing motor weakness.
6. Understanding Spinal Muscular Atrophy (SMA) and Its Genetic Basis
- Provide insights into Spinal Muscular Atrophy (SMA) and its genetic foundation.
7. Developments in SMA Treatments - Past & Present
- Discuss the historical and contemporary advancements in the treatment of Spinal Muscular Atrophy.
8. Risk of Gene Replacement Therapy
- Examine the risks associated with gene replacement therapy, particularly in the context of treating motor weakness.
These learning objectives emphasize advancements in care, diagnostics, supportive measures, adaptive equipment, targeted therapies, and the understanding and treatment of
Spinal Muscular Atrophy, including the risks associated with gene replacement therapy.
Sleep Disorders - Don't forget them!! - By Karen Ballaban-Gil, MD
1. Definitions of Sleep & Alertness
- Establish fundamental definitions of sleep and alertness.
2. Sleepiness, Excessive Sleepiness, and Hypersomnia
- Differentiate between sleepiness, excessive sleepiness, and hypersomnia.
3. Causes of Excessive Daytime Sleepiness (EDS)
- Explore causes of EDS, including insufficient sleep, fragmented sleep, and increased need for sleep.
4. Disorder of Arousal - Common Features
- Identify common features of disorders of arousal, including confusional arousals, sleepwalking, and sleep terrors.
5. Referral, Evaluation, and Treatment for Disorders of Arousal
- Understand when to refer or evaluate patients with disorders of arousal.
- Explore treatment options, including medications.
6. Rapid Eye Movement (REM) Behavior Disorder (RBD)
- Discuss symptoms, diagnosis, and treatments for REM Behavior Disorder.
7. Restless Leg Syndrome (RLS)
- Explore Restless Leg Syndrome, its symptoms, and available treatments.
8. Pediatric PLMD (Periodic Limb Movement Disorder)
- Understand PLMD in the pediatric population.
9. RLS & PLMD Treatment
- Explore treatment options for Restless Leg Syndrome and Periodic Limb Movement Disorder.
10. Narcolepsy
- Discuss symptoms, diagnosis, and treatments for Narcolepsy.
11.Treatment of Cataplexy
- Explore treatment options for Cataplexy associated with Narcolepsy.
These learning objectives aim to equip participants with the knowledge and skills to effectively identify, diagnose, and manage pediatric migraine. The focus is on understanding the prevalence and impact of migraine, accurate differentiation of primary and secondary headache disorders, appropriate patient referrals, and developing comprehensive treatment plans.
Migraine in Pediatrics - By Daniel Lax, MD
1. Recognizing the Prevalence and Impact
- Identify migraine as a prevalent and disabling neurological condition in children and adolescents.
- Understand the impact of pediatric migraine on affected individuals' quality of life, academic performance, and overall well-being.
2. Differentiating Primary and Secondary Headache Disorders
- Differentiate primary headache disorders, focusing on migraine, from secondary causes.
- Develop skills to drive accurate diagnosis in patients with presumed migraine by considering clinical features, history, and red flags for secondary causes.
3. Identifying Patients for Imaging or Subspecialist Involvement
- Identify patients with pediatric migraine who may require imaging studies or subspecialist involvement.
- Understand the appropriate use of neuroimaging and when to refer to a pediatric neurologist or headache specialist.
4. Developing Treatment Plans
- Develop a comprehensive plan for treating pediatric migraine acutely, considering age-appropriate pharmacological and non-pharmacological interventions.
- Outline strategies for reducing migraine attack frequency through preventive measures, including lifestyle modifications, behavioral approaches, and medications when necessary.
These learning objectives aim to equip participants with the knowledge and skills to effectively identify, diagnose, and manage pediatric migraine. The focus is on understanding
the prevalence and impact of migraine, accurate differentiation of primary and secondary headache disorders, appropriate patient referrals, and developing comprehensive treatment plans.