This Unit should familiarise you with the commonest motor disorders of childhood and will take you through neural tube disorders, cerebral palsy and acquired motor dysfunction. For each disorder you will be taken through the case of a child, or several children, and you should try to identify similar cases in your own practice with which you have had personal involvement.
In addition, one section from the ‘Metabolic, Nutritional and Systemic Disease’ unit is provided. This covers the movement disorders determined by primary metabolic disorders, and concentrates on the more common presentations of these, their biochemical and central nervous system substrate basis, a rational approach to investigation and how best to inform the families involved of their nature. With this addition, Unit 4 becomes a comprehensive resource for learning about the spectrum of paediatric movement disorders.
COURSE CONTENT
Unit 04 Central Motor Deficits
In this section you will revise the anatomy of the central motor pathways and how they relate to the basal ganglia and cerebellum in executing motor control.
This section will enable you to add to what you should already know about motor milestones by equipping you to recognise the breadth of normal in the rate of acquisition of gross and fine motor milestones, and to appreciate when these are exceeded.
This section will give you a grasp of the incidence, classification, causes and phenotypic distribution of cerebral palsy together with the associated co-morbidities, natural history and motor prognosis.
This section will look at the assessment and management of disorders of walking and hypertonus in cerebral palsy: it aims to provide a physiological atlas and to focus on different physiological problems and their potential solutions. There will be a video to accompany this section which you might find useful.
In this section you will look at a case scenario to study the presentation and potential underlying disease processes in a young child with dystonia. You should gain an understanding of how the history and examination can guide your investigations and treatment. You will explore some of the issues relating acute perinatal hypoxic-ischaemic injury and dystonic cerebral palsy, and you will look at the classification and presentation of the genetic dystonia of childhood. During this section try to relate this information to patients you have personally managed.
Section 10 of this unit covers some broad principles of movement disorders, including dystonia. Neurotransmitter disorders which present with dystonia are also discussed in more detail in this section.
This section will enable you to recognise and be able to manage the feeding difficulties of the child with total body cerebral palsy.
This section will enable you to recognise and be able to manage the communication difficulties of the child with total body cerebral palsy. The case of the child with total body cerebral palsy described in Section 6 will continue, and his communication difficulties explored.
This section will enable you to review the epidemiology, causes, prevention and management of neural tube disorders including anencephaly, spina bifida, and caudal regression syndromes.
This section will enable you to be able to recognise, investigate, diagnose and manage acute spinal injury and its chronic sequelae.
In this section you will learn about movement disorders in childhood. You will concentrate on the more common presentations, their biochemical and central nervous system substrate basis, a rational approach to investigation, and how best to inform the families involved of their nature.
COURSE DELIVERY
The course is accessed via a dedicated website. On acceptance of your application, we will provide you with a username and password to access the website.
Each Unit is split into smaller Sections (see Course Content for details). For each section, you will download a zip file containing an Activity document and reference papers.
The Activity document leads you through each section, providing work-based activities for you to complete. You may choose to work through the Activity document on your computer or print off the materials so that you can work on a hard copy.
Each activity is designed to lead you through the topic. Sometimes an activity will ask you to read a paper and then answer questions. Other times it will ask you to consider a case. A Commentary follows each activity, to check your learning. For most units there are also a number of lectures to watch.
You will have access to the unit for 3-years from the date of enrolment. We would hope that you will work through it at a rate that is right for you, maintaining a balance between momentum and enjoyment..
CERTIFICATION
As you complete the Activity document for each section, send it by email to the BPNA. Once it has been reviewed, we will provide a certificate of Continuing Professional Development. You can download this from your BPNA personal account.
WHO IS THIS FOR?
Consultant and trainee:
- Paediatric Neurologists
- Paediatricians
ENROL
This unit is included in Bundle 3 (save 40%) High income countries. Click here to see how you could save