Abe Chutorian, M.D.
Ram Kairam, M.D.
Nadeem Shabbir, M.D.
The Division of Pediatric Neurology offers a comprehensive range of
services, including inpatient and outpatient consultations, and outpatient
follow-up. The BronxCare Child Study Center provides a range of services
to families of children struggling with developmental, learning or
behavioral disorders. The Division of Pediatric Neurodevelopment
offers services for diagnosing and coordinating treatment of children
with developmental delay. Residents do a formal elective in Pediatric
Neurology. In addition, they also have the opportunity to attend the
outpatient clinics.
GOALS
To gain an understanding of the neuroanatomy, pathophysiology,
neurodevelopment, neuropathology, and management of common neurological
diseases.
To appreciate the decision-making process relative to diagnostic procedures
and understanding the interpretation of
the results of such information
To create a mindset for neurorehabilitation
To acquire the sensitivity of communicating difficult issues
OBJECTIVES
To perform complete, yet sensitive, histories and physical examinations
To learn to diagnose, appreciate the differentials, and treat such disorders
and headache and Migraine.
To feel comfortable with the pharmacology of commonly used anticonvulsants
and sedating drugs
To develop an understanding of reading urgent head ultrasounds, CT scans,
and general MRIs
To understand the role and functions of physical and occupational therapy,
speech therapy and psychiatrists
To be a part of the communications process around such issues as medication
compliance, mental retardation, cerebral palsy, brain injury, and brain
death
Primary Goals for this Rotation
Prevention, Counseling and Screening (Neurology). Understand the role of the
pediatrician in preventing neurological diseases, and in counseling and
screening individuals at risk for these diseases.
Provide specific counseling to parents and patients with neurological
disorders, addressing reducing long-term sequela from neurologic injury or
congenital CNS disorders through rehabilitation and early intervention.
Normal Versus Abnormal (Neurology). Identify whether a child is normal or
suffers from a neuropathological condition.
Describe normal neurological development, including language acquisition,
cognition, motor development, loss of primitive reflexes, and socialization.
Undifferentiated Signs and Symptoms
Evaluate, treat, and/or refer patients with presenting signs
and symptoms that may indicate a neurologic or neuromuscular disease
process.
Common Conditions Not Referred (Neurology). Recognize and manage
neurological disease conditions that generally do not require referral
Identify the role and scope of practice of neurology; recognize situations
where children benefit from the skills of specialists trained in the care of
children; and work effectively with these professionals to care for children
with neurologic disorders.
Identify the role of other specialists (e.g., neurosurgery, rehabilitative
medicine, psychology, psychiatry and neuropsychology) in the treatment of
children with common neurological disorders.
Seizures. Evaluate, manage, and refer patients with seizures.
Explain the findings on clinical history, examination, and investigation
that suggest a seizure disorder and classify the seizure as generalized
(including absence), focal, or complex partial.
Manage uncomplicated seizures using a step-wise approach that begins with
the most appropriate anticonvulsant for the type of seizure.
Neurological Pharmacology. Understand the indications for use, the side
effects, and the mode of action of commonly used neurological drugs
BRONX-LEBANON HOSPITAL CENTER
