- Recent Advances in Pediatrics (RAP): Hot Topics in General/Miscellaneous PediatricsVol 17 (2007),Vol 16 (2006), Vol 15 (2005), Vol 14 (2004), Vol 13 (2003),Vol 12 (2002), Vol 11 (2001), Vol 10 (2000), Vol 9 (1999), Vol 8 (1998),Vol 7 (1997), Vol 6 (1996), Vol 5 (1995), Vol 4 (1994), Vol 3 (1993),Vol 2 (1992), Vol 1 (1991)
- Recent Advances in Pediatrics (RAP): Special VolumesRAP Special Vol 19 (2007): Developmental and Behavioral PediatricsRAP Special Vol 17 (2006): AdolescenceRAP Special Vol 16 (2006): Pediatric CardiologyRAP Special Vol 15 (2006): NephrologyRAP Special Vol 14 (2005): Critical Care PediatricsRAP Special Vol 13 (2004): Pediatric EndocrinologyRAP Special Vol 12 (2003): Neonatal EmergenciesRAP Special Vol 11 (2002): Community PediatricsRAP Special Vol 10 (2002): PulmonologyRAP Special Vol 09 (2001): NeurologyRAP Special Vol 08 (2001): Emergency PediatricsRAP Special Vol 07 (2000): HematologyRAP Special Vol 06 (2000): Gastroenterology, Hepatology and NutritionRAP Special Vol 05 (2000): Neonatology - 2RAP Special Vol 04 (1999): NeonatologyRAP Special Vol 03 (1999): Tropical Pediatrics -2RAP Special Vol 02 (1998): Tropical PediatricsRAP Special Vol 01 (1997): Nutrition, Growth and Development
- RAP Volumes in Pipeline for 2008RAP 18: Hot Topics in General/Miscellaneous PediatricsRAP Special Vol 20: Pediatric HematologyRAP Special Vol 21: Nutrition, Growth and Development
- Other Books by Prof (Dr) Suraj GupteDifferential Diagnosis in Pediatrics, 5th editionInstructive Case Studies in Pediatrics, 5th editionPediatric Drug Directory, 9th edition
Honorary Director: Pediatric Education Network, Children's Health Center
Editor: The Short Textbook of Pediatrics, Textbooks of Pediatric Emergencies, Neonatal Emergencies, Pediatric Gastroenterology, Hepatology and Nutrition and Pediatric Nutrition. Pediatric Yearbook Series, Pediatric Today Monograph Series, Newer Horizons in Tropical Pediatrics, Towards MRCPCH Part II (Theory) Examination
Author: Differential Diagnosis in Pediatrics, Instructive Case Studies in Pediatrics, Pediatric Drug Directory, Infant Feeding, Speaking of Child Care: Everything You Wanted to Know, The Baby Book: The Parents’ Guide from Birth to Infancy
Co-editor: Asian Journal of Maternity and Child Health (Manila, Philippines)
Section Editor: Pediatrics Today (New Delhi, India)
Editorial Adviser: Asian Journal of Pediatric Practice (New Delhi, India)
Editorial Advisory Board Member/Reviewer: Indian Journal of Pediatrics (New Delhi, India) Indian Pediatrics (New Delhi, India) Synopsis: A Current Survey of World Literature in Pediatrics (Detroit, USA), Indian Journal of Pediatric Gastroenterology, Hepatology and Nutrition (Jaipur, India), Maternal and Child Nutrition (Preston, UK)
Examiner: National Board of Examinations (NBE) for DNB, New Delhi, All India Institute of Medical Sciences (AIIMS), New Delhi, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, Sher-i-Kashmir Institute of Medical Sciences (SKIMS) and several universities
Pediatric Faculty Selection Expert: All India Institute of Medical Sciences, New Delhi, Punjab Public Service Commission, Jammu and Kashmir Public Service Commission, Union Public Service Commission.
Jitendar P Vij
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Recent Advances in Pediatrics
(Special Volume 18: Pediatric Neurology)
© 2008, Shamma-Bakshi Gupte, Executive Editor
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editor and the publisher.
First Edition: 2008
9788184482010
Typeset at JPBMP typesetting unit
Printed at Rajkamal
The fond memory of our late parents
whose inspiration, blessings and
moral support continue to contribute
a great deal to our academic
endeavors
and
Everybody contributing to child health
7Contributors
- Kamran Afzal
- Lecturer
- Department of Pediatrics
- Jawahar Lal Nehru Medical College
- Aligarh Muslim University
- Aligarh, India
- Ch 14: Meningoencephalitis
- Shazia Afzal
- Senior Resident
- Department of Pediatrics
- Jawahar Lal Nehru Medical College
- Aligarh Muslim University
- Aligarh, India
- Ch 14: Meningoencephalitis
- Harmesh S Bains
- Professor and Head
- Department of Pediatrics
- Dayanand Medical College and Hospital
- Ludhiana, India
- Ch 19: Landry Guillain-Barré Syndrome
- Ch 21: Febrile Seizures
- Robert Brown
- Associate Professor (Ex)
- Division of Pediatric Neurology
- Temple University Children's Medical Center
- Philadelphia, USA
- Ch 29: Cerebral Palsy
- Ch 30: Paraplegia
- Manoj Das
- Senior Resident
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- Ch 25: The Floppy Child: An Approach
- Akash Deep
- Senior Fellow
- Pediatric Intensive Care Unit (PICU)
- St. Mary's Hospital, London,
- United Kingdom
- Ch 6: Th Child with Large Head: An Approach
- Ch 8: Raised Intracranial Pressure (RICP)
- Ch 16: Subacute Sclerosing Panencephalitis
- Shabari Dutta
- Consultant Psychiatrist
- Nur Manzil Psychiatric Center
- Lucknow, India
- Ch 32: Dissociative Conversion Disorder
- Ajay Garg
- Assistant Professor
- Department of Neuroradiology
- All India Institute of Medical Sciences
- New Delhi, India
- Ch 1: Neuroradiology in Pediatrics
- Sheffali Gulati
- Associate Professor
- Child Neurology Division
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- Ch 1: Neuroradiology in Pediatrics
- Ch 18: Neurocysticercosis
- Ch 20: The Child with Acute Seizures
- Ch 24: Neurometabolic Disorders: An Approach
- Ch 25: The Floppy Child: An Approach
- Ravinder K Gupta
- Assistant Professor
- Department of Pediatrics
- Acharya Shri Chandar College of Medical Sciences (ASCOMS)
- Sidhra, Jammu, India
- Ch 10: Neurotuberculosis
- Ritu Gupta
- Professor and Head
- Lecturer Department of Physiology
- Government Medical College
- Jammu, India
- Ch 10: Neurotuberculosis
- Suraj Gupte
- Professor and Head
- Postgraduate Department of Pediatrics
- Narayana Medical College
- Chinthareddypalem, Nellore, AP, India
- Ch 27: Infantile Tremor Syndrome (ITS) 2007
- Ch 29: Cerebral Palsy
- Ch 30 Paraplegia
- Nadia Hajiani
- Senior Fellow
- Pediatric Intensive Care Unit (PICU)
- St. Mary's Hospital, London
- United Kingdom
- Ch 6: The Child with Large Head: An Approach
- Dhaara Iyer
- Research Officer in Hematology
- BJ Wadia Hospital for Children
- Mumbai, India
- Ch 6: Th Child with large Head: An Approach
- Ch 16: Subacute Sclerosing Panencephalitis
- Vijay Iyer
- Clinical Fellow
- Pediatric Intensive Care Unit (PICU)
- St. Mary's Hospital
- London, United Kingdom
- Ch 16: Subacute Sclerosing Panencephalitis
- Neeraj Jain
- Senior Resident
- Department of Pediatrics
- SMS Medical College
- Jaipur
- India
- Ch 28: Childhood Stroke
- Monica Juneja
- Professor
- Division of Genetics
- Department of Pediatrics
- Maulana Azad Medical College
- New Delhi, India
- Ch 4: Mental Retardation
- Madhulika Kabra
- Additional Professor
- Division of Genetics
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- Ch 24: Neurometabolic Disorders: An Approach
- Seema Kapoor
- Associate Professor
- Division of Genetics
- Department of Pediatrics
- Maulana Azad Medical College
- New Delhi, India
- Ch 4: Mental Retardation
- Dilpreet Kaur
- Senior Resident
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- Ch 1: Neuroradiology in Pediatrics
- RK Kaushal
- Professor and Head
- Department of Pediatrics
- R P Medical College
- Tanda at Dharamshala, India
- Onkar Khandwal
- Assistant Professor
- Department of Pediatrics
- Pt. JNM Medical College
- Raipur, India
- Ch 15: Japanese Encephalitis
- Girisha KM
- Assistant Professor and
- Consultant Geneticist
- Department of Pediatrics
- Era's Lucknow Medical College
- Lucknow, India
- Ch 26: Duchenne's Muscular Dystrophy: Genetic Counseling
- Kavitha Kothur
- Senior Resident
- Department of Pediatrics
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Ch 31: Neuropsychiatric Disorders in Childhood
- Raj Kumar
- Associate Professor
- Department of Pediatric Surgery
- Sanjay Gandhi Postgraduate Institute of Medical Sciences
- Lucknow, India
- Ch 3: Congenital Malformations of the brain
- Ch 7: Hydrocephalus in Children
- Ch 9: CNS Tumors in Children
- GK Malik
- Professor
- Division of Neonatology
- Department of Pediatrics
- King George Medical University
- Lucknow, India
- Ch 13: Neonatal Bacterial Meningitis
- Ch 17: Hypoxic-Ischemic Encephalopathy
- Ch 22: Neonatal Seizures
- Jhuma Mandal
- Senior Resident
- Department of Pediatrics
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Ch 8: Raised Intracranial Pressure (RICP)
- Pariyarath Ramesh Menon
- Senior Resident
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- Ch 18: Neurocysticercosis
- OP Mishra
- Reader and Head
- Department of Pediatrics
- Institute of Medical Sciences
- Banaras Hindu University (BHU)
- Varanasi, India
- Ch 23: Neurocutaneous Syndromes
- Sachin Mittal
- Senior Resident
- Department of Pediatrics
- Sri Guru Ram Das Institute of Medicine
- Amritsar, India
- Ch 19: Landry Guillain-Barré Syndrome
- Ch 21: Febrile Seizures
- Rajesh Ramachandran Nair
- Pediatric Neurologist
- Kozhikode Medical College Hospital
- Kozhikode Kerala, India
- Ch 34: Coma
- Manish Narang
- Lecturer
- Department of Pediatrics
- University College of Medical Sciences and GTB Hospital
- Delhi, India
- Ritu Paul
- Specialist
- Charak Palika Hospital
- New Delhi
- Ch 4: Mental Retardation
- Rajniti Prasad
- Lecturer
- Department of Pediatrics
- Institute of Medical Sciences
- Banaras Hindu University (BHU)
- Varanasi, India
- Ch 23: Neurocutaneous Syndromes
- Munni Ray
- Clinical Research Fellow
- Department of Neuropsychiatry for Children and Adolescents
- Medical University of Vienna
- Vienna, Austria, Europe
- Ch 12: Bacterial Meningitis
- Ch 31: Neuropsychiatric Disorders in Childhood
- Akhilesh Kumar Roy
- Assistant Professor and Consultant
- Pediatric Surgeon
- Department of Surgery
- Era's Lucknow Medical College
- Lucknow, India
- Ch 11: Tuberculous Meningitis: Surgical Aspects
- Vishal Salota
- Senior House Officer
- Department of Anesthetics and ITU
- Old Church Hospital
- Essex, United Kingdom
- Ch 2: Pain Relief in Children
- Naveen Sankhyan
- Senior Resident
- Department of Pediatrics
- Indira Gandhi Medical College
- Shimla, India
- Ch 5: Craniosynostosis
- D Shivpuri
- Professor
- Department of Pediatrics
- SMS Medical College
- Jaipur, India
- Ch 28: Childhood Stroke
- Arvind Singh
- Staff Grade
- Department of Anesthetics and ITU
- Old Church Hospital
- Essex, UK
- Ch 2: Pain Relief in Children
- Utpal Kant Singh
- Professor and Head
- Department of Pediatrics
- Nalanda Medical College
- Patna, India
- Ch 23: Neurocutaneous Syndromes
- Shivani Singh
- Specialist Registrar
- Cambridge Deanery
- Welwyn Garden City
- United Kingdom
- Ch 23: Neurocutaneous Syndromes
- KL Srivastava
- Professor and Head
- Department of Pediatrics
- Era's Lucknow Medical College
- Lucknow, India
- Ch 11: Tuberculous Meningitis: Surgical Aspects
- Ch 26: Duchenne's Muscular Dystrophy: Genetic Counseling
- Rajni Sudan
- Senior Resident
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- Anu Thukral
- Senior Resident
- Child Neurology Division
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- Ch 20: The Child with Acute Seizures
- Ch 25: The Floppy Child: An Approach
- Anoop Verma
- Consulting Pediatrician
- Swapnil Research Center
- Raipur, India
Way back in 2001, close on the heels of the release of the last RAP Special Vol on Pediatric Neurology, wrote Prof. PM Udani, the doyen of pediatrics in India: “A splendid work, providing state-of-the-art chapters on topical issues in child neurology… Do target another equally fine volume in the field after some years.” We have done exactly that. How we wish Prof. Udani was around to see this new volume!
The 18th Special Volume of the noted international series, Recent Advances in Pediatrics, first launched in 1991 and now concurrently in the 17th Annual Volume (RAP 17: Hot Topics) and 19th Special Volume (RAP Special Vol 19: Developmental and Behavioral Pediatrics), aims at covering key topical issues concerning pediatric neurology. The 34 state-of-the-art chapters covered by as many as 46 experts drawn from India and abroad attempt to review the depth and breadth of knowledge in the field of pediatrics with special reference to its applicability in the Indian subcontinent.
Each and every chapter is remarkable by its excellence, providing a stimulating and, not infrequently, even provocative, matured and informed update. Understandably, such an approach is befitting when the goal is not only to inform but also to motivate discussion, interaction, research and innovation.
In keeping with the professed policy of the series, multidisciplinary approach with an eye on future continues to occupy pride of place in this volume too.
We wish to record our indebtedness to our distinguished contributors for providing excellent state-of-the-art chapters in various aspects of adolescence. They were also gracious enough to repose confidence in our editorship. Without their understanding and cooperation, this volume wouldn't have seen the light of the day.
Thanks are also due to the Advisory Editorial Board for providing inputs and advice in various editorial matters and peer reviewers for not only providing us the benefit of their critical expertise but also for the promptness in responding to our requests for speedy action.14
Our daughter, Dr. Novy, and son, Er. Manu, voluntarily provided all sorts of assistance in taking the project to its logical conclusion.
Jaypee Brothers Medical Publishers (P) Ltd and their staff deserve our thanks for the skillful production qualities of the book.
Suraj Gupte
Academic Editor
Shamma-Bakshi Gupte
Executive Editor