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PEDIATRIC NEUROLOGY-NEUROLOGY SUBSPECIALITY

GOVT STANLEY MEDICAL COLLEGE HOSPITAL, CHENNAI-1


Paediatric neurology is a fast growing speciality and has seen tremendous advancement in the recent years. Nearly 10% of the children attending paediatric OPD and 25% of children in paediatric ICU will have neurological problems.
Child’s nervous system is not the same as adult one. Unlike adult nervous system which is fully developed, in children nervous system is developing and hence pattern of neurological disorders and presentation of neurological diseases are entirely different from adults.Hence to provide the best care to children with neurological problems,this rare specialty of Pediatric Neurology was started in Stanley Medical College in the year 1993 with one professor.


Faculty
Professor Prof.S.VELUSAMY MD,DM Neuro
ACTIVITIES IN PAEDIATRIC NEUROLOGY:
OUTPATIENT SERVICES:


In every OP day(Mon,Wed,Fri) about 150 children with neurological problems are seen. Children from all over Tamilnadu and from adjacent state like Andhra Pradesh attend our outpatient services.


SPECIALITY CLINIC
To provide much better focused care and service, weekly once special clinic O.P.(on Tuesdays--Paediatic Movement disorders clinic ) and on Thursdays- Paediatric Headache Clinic ) is also conducted for the benefit of poor children with neurological problems.


INPATIENT SERVICES:-
Children with longs standing neurological problems are evaluated & managed by Neurologist in pediatric neurology ward. Children with acute & critical neurological illnesses are managed in pediatric intensive care unit and general paediatric ward.

ELECTROPHYSIOLOGICAL INVESTIGATIONS DONE :
The following studies are done
1.Digital EEG
2.ENMG - Nerve conduction study
EMG study
3. Evoked potential study-BERA, VEP, SSEP
Also bedside EEG monitoring is done for sick children with neuro problems with mobile EEG machine.


BOTULINIUM TOXIN INJECTION:
Botulinium toxin injection treatment is given to children with spastisity and movement disorders.

CMCHIS:
Children with certain neurologic problems are getting benefitted by the services under Chief Minister’s Comprehensive Health Insurance Scheme.


PUBLIC AWARENESS PROGRAMMES:
In Pediatric Neurology, periodic awareness programmes and parent-doctor interactive sessions are
regularly conducted to educate and counsel the parents regarding neurological problems in their
children. Epilepsy awareness programme and Migraine awareness programmefor caregivers &
parents are regularly conducted .Public education on epilepsy is done
through animated videoes and skids .To encourage children with epilepsy, painting and drawing
competition is regularly conducted and prizes are given to them.


LIBRARY:

Library has more than 300 books on Neurology, Paediatric Neurology & Basic Neurosciences

POST GRADUATES TRAINING:
M.D Pediatrics and D.CH Post Graduate students, D.M.Neurology Post Graduate students are posted in pediatric neurology for one month. They will be trained in practical expertise and theory knowledge in Pediatric Neurology. Bedside clinical discussion is done daily for the benefit of post graduates.


UNDERGRADUATE CLASSES
Theory classes are undertaken for the undergraduate students.

ACADEMIC & SCIENTIFIC ACTIVITIES:
Periodic CME programs & symposiums for postgraduates are conducted .Guest lectures are also given. Interesting cases are presented periodically in City Pediatricians Meet, Neuro clinical meeting,Neuroradiology meeting.


ORATION:
An oration in the name of “Stanley paediatric neurology ‘ was organised in January 2016 and the oration was delivered by Prof. Dr. Harry Chughani Thakkurdas from USA

Second oration was delivered by Prof.G.Kumaresan ,former Prof. of Ped. Neurology ICH in March 2017

Third oration was delivered by Prof.N.Thilothammal, former Prof. of Ped.Neurology, ICH and Stanley medical college in july 2018

GUEST LECTURES GIVEN AT STANLEY MEDICAL COLLEGE, CHENNAI-1
Guest lecture delivered by Dr. Jeyaganesh from USA on Mitochondrial disease in 2017
Guest lecture by Dr. Rajesh iyer from PSG medical college, coimbatore on Paediatric epilepsy in 2019


GUEST LECTUERES GIVEN FROM PEDIATRIC NEUROLOGY, STANLEY MEDICAL COLLEGE
Guest lecture delivered on Paediatric epilepsy at Chettinad medical college, 2018
Acute flaccid paralysis in children-approach in Stanley Medical college,-June 2018
Served as Faculty for Master class of IAN Paed. Neurology at CMC, vellore, April 2019
CME Lecture delivered in neuro academic forum, Chennai-Feb 2019


Paper presentation&Publication
Many papers are presented in conferences. Many publications are done in indexed journals

PAPERS PRESENTED IN NATIONAL AND STATE CONFERENCES:

  1. Ring chromosome 9 syndrome with epilepsy ( IAN 2011)
  2. Musle eye brain disease(Pedicon2011)
  3. Tumefactive demyelination in a child (IAN2012)
  4. A rare case of falxmeningioma in a child(Neuropedicon2012)
  5. Tuberculous myelitis with tuberculoma (Neuropedicon2012)
  6. HHE syndrome (Neuropedicon2012)
  7. Sjogren Larson syndrome (Neuropedicon2012)
  8. Moyamoya disease-a case report (Neuropedicon2012)
  9. Incontinentia pigmenti with seizures-a case report (Neuropedicon2012)
  10. Cavernoma in a child-a case report (Neuropedicon2012)
  11. Glycine encephalopathy in child (IAN2013)
  12. Rhombencephalosynapsis with involuntary movement of head (IAN2014)
  13. Glutaric aciduria type I (Pedicon2014)

     14.Anti NMDA receptor antibody encephalitis (Pedicon2014)

  1. Niemannpick disease type C(IAN2015)
  2. Duchenne muscular dystrophy and vitaminD level (Pedicon2015)
  3. Hypomelanosis of Ito with hemimegalancephaly (Pedicon2015)
  4. Joubert syndrome- vermis hypoplasia(Pedicon2015)
  5. Neuronal ceroid lipofuscinosis(Pedicon2015)
  6. Unusual body odour-a clue to neurometabolic disorder(IAN2016)
  7. Rasmussen encephalitis( Pedicon2017)
  8. Spontaneously regressing brainstem glioma in a child(IAN2017)
  9. Hemimegalencephaly with congenital facial lipoma (ICNA2018)
  10. Congenital double elevator palsy with ptosis(ICNA2018)
  11. Gadolinium deposition in the brain (IAN2018)
  12. Slow channel Congenital myasthenic syndrome-Myocon 2019


PUBLICATIONS

Glycine encephalopathy unmasked by valproate(Journal of pediatric neurosciences Apr-June2015)
Sjogren Larsson syndrome-a rare neurocutaneous disorder(Journal of pediatricneurosciences Jan-March 2016)
Child friendly school promotes treatment adherence(Journal of school of social work July 2013)
Vertical gaze palsy-A clue to neurometabolic disorder(Stanley Medical Journal 2016)
Schizencephaly with hemiparesis(Stanley Medical Journal 2016)
Ebstein Barr virus related Opsoclonus Ataxia (Stanley Medical Journal 2016)
Asymmetric crying facies in infant of diabetic mother(Stanley Medical Journal 2016)
Behavioural problem in child with heterotopias (Stanley Medical Journal 2017)
Somnambulism in temporal lobe epilepsy(Annals of Neurology Sep 2004)
Early dropped head syndrome in ALS (Annals of Neurology,2005)
Spontaneously regressing brainstem glioma in a child(Stanley Medical Journal Jan-Mar2018)
Clinical profile of headache in children( Paripex Aug2018)
MRI in children with cerebral palsy( JEMDS 2018)
Cavum pellucidum in children with neurological disorders(JEMDS 2018)

Hypopigmented hair- a clue for neurometabolic disorder(Stanley Medical Journal 2018)

Rhombencephalosynapsis with head movements (Stanley Medical Journal 2018)

Contributions to Journal
Articles written in journal- Indian Journal of practical pediatrics
Ischemic stroke in children diagnostic approach(2014)
Epilepsy in children diagnostic approach(2014)
Developmental delay diagnostic approach(2014)
Approach to management of unconscious child(2015)
Cognitive and motor regression in children- approach- IAP textbook of paediatric neurology
Paroxysmal events in children – TANCON review


Peer reviewer for
Indian Journal of Child Health
Stanley medical journal
European journal of medical genetics


RESEARCH ACTIVITIES IN PEDIATRIC NEUROLOGY-STUDIES DONE:

 

 

  1. Intractable epilepsy in children (2012)
  2. Serum Vitamin D level in Duchenne muscular dystrophy (2014)
  3. Effect of Sodium valporate therapy in chidren with epilepsy on Thyroid function tests (2014)
  4. Clinical profile of headache in children(2018)
  5. MRI in children with cerebral palsy(2018)
  6. Cavum pellucidum in children with neurological disorders(2018)