A Clinician's Handbook of Child and Adolescent Psychiatry by Christopher Gillberg, Richard Harrington, Hans-Christoph

By Christopher Gillberg, Richard Harrington, Hans-Christoph Steinhausen

Offering a entire evaluation of the most problems encountered via baby and adolescent psychiatrists in medical perform, this authoritative scientific guide levels from consuming, sleep and affective problems to substance abuse, gender id and sexual abuse. The process is evidence-based and emphasis is on strong scientific perform and qc of sufferer care. not like different books within the box, the authors' goal isn't to hide exhaustively all of the correct technological know-how, yet really to give in condensed shape any study findings which are major for medical perform.

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Those suffering from the rare Landau–Kleffner syndrome improve dramatically in their learning ability after surgery. In temporal lobectomy the complete removal of abnormal tissue containing the epileptogenic zone should lead to better outcome. With early onset of seizures, there is a good chance that brain plasticity will have ensured that most useful cognitive functions reside in the normal tissue. Outcome The general outcome of epilepsy varies with the type of seizures. Infantile spasms mainly occur as a result of pre-existing brain damage and therefore carry a poor prognosis.

9. However, improved control of seizures also may in some instances improve behaviour and cognitive status. Similarly, stimulant medication can result in improved learning if there is a hyperkinetic disorder, and the application of SSRI can help with depression, obsession and compulsion. Outcome Cerebral palsy itself is a chronic condition, marked by persistent physical disability of interindividually varying degree. Concomitant mental retardation and sensory impairment may have an additional impact on the course of the disorder.

However, due to the underlying disorder, the inter-ictal EEG may be abnormal. 31 Brain disorders r Migraine, especially when accompanied by benign paroxysmal vertigo, visual hallucinations, olfactory auras, d´ej`a vu, acute confusional states or transient global amnesia may be diagnosed erroneously as epilepsy. The lack of hypersynchronous epileptic discharges on the EEG, again, will allow distinction. r Factitious creating or false reporting of symptoms as in Munchhausen’s syndrome when the patient originates the symptoms or in Munchhausen’s syndrome by proxy, with a parent creating the symptoms in the child, represent very rare instances of differential diagnosis of epilepsy.

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