September 2023 Newsletter

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September 2023 Newsletter - The Brain Wave! - https://mailchi.mp/njpni/september-2023

Push To Walk

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Swing for a cause at Push to Walk's 14th Annual Golf Outing!

Join us as we tee off to support incredible individuals living with paralysis. Together, we can change lives!

#GolfForACause #PushToWalk #ParalysisSupport #CommunityStrong

Why Pediatric Concussions Are a Major Concern and Their Impact on IQ

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Pediatric concussions are a significant concern due to their prevalence and the potential long-term consequences they may have on a child's intellectual functioning. In this article, we will explore why pediatric concussions are a major concern and examine their impact on IQ. By analyzing data from two prospective cohort studies, we aim to shed light on the long-term outcomes of pediatric concussions. Participants, aged 8-16 years, were recruited shortly after their head injury and underwent follow-up assessments at various intervals.

What is Pediatric Concussion?

A pediatric concussion is a mild traumatic brain injury that typically occurs in children and adolescents, often due to a blow or jolt to the head during sports or accidents. It can result in temporary cognitive and physical symptoms like headache, dizziness, and confusion. Prompt medical evaluation and rest are crucial for a full recovery, as repeated concussions can have long-term consequences on a child's developing brain.

Why Are Pediatric Concussions Concerning?

Pediatric concussions are concerning because they occur frequently and can have long-lasting effects on a child's brain development. Children's brains are still developing, and any injury to the brain can disrupt this process. Concussions can lead to a variety of symptoms, such as headaches, dizziness, and difficulties with concentration and memory. These symptoms can interfere with a child's ability to learn and perform well in school. It is important to seek medical attention from a neurologist concussion specialist if a child experiences a concussion, as they can provide guidance on appropriate management and monitor for any potential long-term effects on IQ and cognitive functioning.

Risk Factors and Prevalence

Pediatric concussions can be caused by various risk factors. These include age, sex, previous concussion history, and certain clinical features. Understanding these risk factors is crucial for identifying and preventing concussions in children.

Risk factors for concussion

When discussing risk factors for concussion, it's important to consider the various factors that can contribute to the occurrence of these injuries in children. Some common risk factors for pediatric concussions include: Age: Younger children, particularly those between the ages of 8 and 12, are at a higher risk due to their developing brains and limited coordination. Sex: Boys tend to have a higher incidence of concussions compared to girls. Previous concussion history: Children with a history of previous concussions are more prone to experiencing concussions. Migraine history: Children with a history of migraines are also at a higher risk of experiencing concussions. It's important to be aware of these risk factors in order to take appropriate measures to prevent and manage concussions in pediatric populations.

Prevalence of pediatric concussions

The prevalence of concussions in children is a significant issue that warrants further investigation and understanding. It is estimated that millions of children in North America are affected by concussions, making it a major concern.

Impact on cognitive abilities

Millions of children in North America are affected by concussions, but research shows that concussions do not have a long-term effect on intelligence. A study conducted on pediatric concussion and mild orthopedic injury (OI) groups found no clinically meaningful differences in IQ scores between the two groups. The study used data from two prospective cohort studies, including participants aged 8-16.99 years.

Symptoms and Diagnosis in Pediatric Concussion

In diagnosing pediatric concussion, there are often challenges due to the subjective nature of symptoms and the lack of objective tests. The variability in symptoms experienced by children can further complicate the diagnostic process, as symptoms can range from physical to cognitive and emotional. Understanding the long-term prognosis of pediatric concussion is crucial, as it can help guide appropriate management and support for children and their families.

Diagnostic challenges

Given what you already know, you might be wondering about the challenges involved in diagnosing pediatric concussions. Diagnosing concussions in children can be difficult due to several factors. First, symptoms of concussion can be nonspecific and overlap with other conditions, making it challenging to distinguish a concussion from other injuries or illnesses. Second, children may not always report their symptoms accurately or may have difficulty expressing their symptoms, especially if they are very young. Third, there is currently no definitive diagnostic test for concussion, so healthcare providers must rely on a combination of clinical assessment, symptom reporting, and medical history. Overall, diagnosing pediatric concussions requires careful evaluation and consideration of multiple factors to ensure accurate identification and appropriate management of these injuries.

Symptom variability

Due to the inherent variability of symptoms, accurately assessing and managing pediatric concussions can be a complex task for healthcare providers. One of the challenges in diagnosing pediatric concussions is the wide range of symptoms that can occur. Children may experience a variety of physical, cognitive, and emotional symptoms, including headache, dizziness, difficulty concentrating, irritability, and changes in sleep patterns.

Long-term prognosis in Pediatric Concussion

Being a parent or caregiver of a child who has suffered a concussion can be worrisome, especially when it comes to their long-term recovery and prognosis. Naturally, you may be concerned about the potential impact of the concussion on your child's future cognitive abilities, such as their IQ. However, current research offers some reassurance. A recent study on pediatric concussions discovered no evidence of clinically meaningful differences in IQ scores after a concussion, when compared to children with mild orthopedic injuries. This study was conducted with a large sample of children and utilized rigorous methodology to address previous limitations. The findings from this study suggest that there is strong evidence against reduced intelligence in the first few weeks to months after a concussion. It is important to keep in mind that IQ is just one aspect of overall cognitive functioning. Even children with concussions can still have successful long-term outcomes in multiple domains. With this information, parents and caregivers can have a better understanding of the long-term prognosis for pediatric concussion and can feel more confident in their child's recovery.

Impact on Intellectual Functioning

Pediatric concussions can have a significant impact on intellectual functioning. This was demonstrated by a study that compared IQ scores after concussion to those after mild orthopedic injuries. The study aimed to assess the long-term prognosis of pediatric concussions and their effect on intellectual functioning using IQ tests. The results of the study showed that there were small group differences in full-scale IQ and matrix reasoning. However, there were no differences in vocabulary scores. Interestingly, the study also found that IQ scores were not related to previous concussion, clinical features, injury mechanism, or symptom ratings. Bayesian models provided moderate to very strong evidence against group differences in IQ scores. Additionally, multigroup factor analysis demonstrated equivalence in IQ test structure and latent variable means between the concussion and orthopedic injury groups. Based on these findings, it can be concluded that pediatric concussion does not lead to reduced intelligence in the first few weeks to months after the injury.

Implications for Future Research

Now that you understand the impact of pediatric concussions on intellectual functioning, it's important to consider the implications for future research. The current studies have addressed the methodological limitations of previous research by combining data from two prospective cohort studies. By investigating IQ score differences between children with concussion and those with mild orthopedic injuries, researchers have found no evidence of clinically meaningful differences in IQ scores after pediatric concussion. This provides strong evidence against reduced intelligence in the first few weeks to months after concussion. However, there is still a need for further research to accurately identify at-risk children and understand the long-term effects of concussions. By exploring demographic and injury characteristics as potential moderators of IQ after concussion, future studies can contribute to our understanding of the impact of concussions on pediatric cognitive development.

Conclusion

In conclusion, pediatric concussions remain a significant concern within the purview of the New Jersey Pediatric Neuroscience Institute, given their widespread occurrence and potential implications for IQ. However, our research at the institute has yielded no substantial evidence indicating clinically significant deviations in IQ scores following pediatric concussions. These findings suggest that during the initial weeks to months post-injury, pediatric concussions do not seem to engender diminished cognitive abilities. Nevertheless, the New Jersey Pediatric Neuroscience Institute underscores the imperative for further investigation. It is essential to pinpoint children at greater risk and overcome the limitations inherent in previous studies. Ongoing research efforts are paramount to comprehending the enduring consequences of pediatric concussions, thus fostering improved strategies for prevention and management.

September is Women in Medicine Month

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Celebrating the incredible women of NJPNI this September as we honor Women in Medicine Month! These dedicated professionals are making a difference every day, breaking barriers, and inspiring us all. Here's to the women who heal, nurture, and lead in the world of medicine.

#WomenInMedicine #NJPNI #StrongWomenInScience #HealthcareHeroes

Neurological Well-Being

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At NJPNI, we believe that every child deserves the best care and support for their neurological health.

Today, we're sharing some tips to promote your child's neurological well-being! Want to learn more? Visit our website njpediatricneurosurgery.com!

Healing The Children

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Support this great cause! Visit htcnj.com to sign up for this event or become a sponser today!

10 Valuable Tips for Parents Living with Pediatric Epilepsy

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Parenting a child with epilepsy comes with unique challenges. It is important for parents and caregivers to understand the condition and provide the necessary support. In this article, we will discuss 10 valuable tips for parents and caregivers of children living with epilepsy, based on the insights provided by New Jersey Pediatric Neuroscience Institute. One important tip for parents and caregivers of children with epilepsy is to educate themselves about the condition. It is crucial to learn about the different types of seizures, triggers, and treatments available. By understanding the condition, parents and caregivers can better advocate for their child's needs and make informed decisions about their care. Additionally, it is important to communicate with the child's healthcare team and ask questions to ensure that they have access to the most effective treatments and support services.

1. Diagnosing epilepsy in children:

Diagnosing epilepsy in children may require different approaches compared to adults. Medical exams such as EEG and MRI can help in the diagnosis. It is also important to take detailed notes or videos of the seizures to aid in the diagnosis. The ultimate goal is to achieve a seizure-free state while minimizing medication side effects. In addition to medical exams, diagnosing epilepsy in children often involves a comprehensive evaluation of their medical history, family history, and developmental milestones. This is because seizures in children can sometimes be mistaken for other conditions, such as febrile seizures or movement disorders. A thorough evaluation helps to differentiate epilepsy from other causes of seizures and to determine the most appropriate treatment plan.

2. Monitoring medication:

Consult with a pediatrician and neurologist to determine the appropriate medication for your child. Understand the frequency and timing of medication administration, as well as potential side effects. It is also crucial to inform the school or daycare about the medication and educate caregivers about seizure first aid. Additionally, it is important to closely monitor your child's response to the medication and communicate any changes or concerns with the healthcare providers. Regular follow-up appointments should be scheduled to assess the effectiveness of the medication and make any necessary adjustments. It is also crucial to educate your child about their condition and the importance of taking their medication as prescribed.

3. Avoiding seizure triggers:

Monitor your child's daily activities for potential triggers. Common triggers include stress, missed medication, and lack of sleep. While infrequently flashing lights may trigger seizures, watching TV or using computers is usually not an issue.

4. Recognizing warning signs of seizures:

Different types of seizures can manifest with varying severity. It is important to recognize warning signs such as excessive staring, jerking movements, rapid eye blinking, stiffening of the body, breathing changes, loss of consciousness, and not responding to noise. If your child appears hazy or confused, it could also be a warning sign. Seizures are caused by abnormal electrical activity in the brain and can occur in individuals of all ages, including children. It is crucial for parents and caregivers to be aware of the different types of seizures and their warning signs, as early recognition and appropriate management can help ensure the safety and well-being of the child.

5. Emphasizing positivity:

Maintaining a positive attitude can significantly impact your child's mood and outlook. Stay positive and avoid discussing burdens associated with epilepsy. Provide support and encouragement, focusing on what your child can do. Help your child cope with epilepsy by fostering a positive environment. In addition to maintaining a positive attitude, it is important to educate yourself and your child about pediatric epilepsy. This will help both of you understand the condition better and manage any challenges that may arise. Encourage open communication and ensure that your child feels comfortable discussing their feelings and concerns about epilepsy. By being informed and supportive, you can empower your child to take control of their condition and live a fulfilling life despite any limitations epilepsy may impose. Remember to celebrate their accomplishments and always remind them of their strengths and abilities.

6. Watching for changes in behavior or mood:

Epilepsy and medication can affect behavior and mood. Keep an eye out for any learning problems, irritability, withdrawal from friends and family, changes in eating habits, or negative statements from your child. Trouble sleeping or other noticeable changes should also be monitored.

7. Demystifying epilepsy:

Encourage open discussion about epilepsy with your child. Educate family and friends about seizures and ensure they know how to assist in emergencies. Utilize resources from organizations like the Epilepsy Foundation to enhance understanding. Effective communication can help your child feel better about their condition.

8. Encouraging normal activities:

Allow your child to have social contact with other children and participate in approved activities. Focus on their abilities and encourage their participation. While epilepsy may have certain restrictions, it should not hinder your child from being active. Support their involvement in everyday life. In addition to encouraging social contact and participation in approved activities, it is important to educate those around your child about epilepsy and how to provide support. This includes informing teachers, coaches, and other parents about your child's condition, triggers, and appropriate responses in case of a seizure.

9. Recognizing potential changes in epilepsy:

Many children outgrow epilepsy as they reach their teenage years. Your care team may suggest stopping medication if your child has been seizure-free. It is important to monitor their progress and consult with the care team regularly. Be prepared for potential changes in epilepsy and adjust the treatment plan accordingly.

10. Taking time for self-care:

As a parent or caregiver, it is crucial to prioritize self-care and avoid burnout. Take time away from your responsibilities to recharge. Remember, your well-being directly impacts your ability to provide support to your child. Seek support from others and prioritize your personal well-being.

Conclusion:

Parenting a child with epilepsy in New Jersey requires a deep understanding, immense patience, and unwavering support. To ensure the best care and a positive environment for your child, it is crucial to follow these 10 invaluable tips. Remember to seek personalized advice and guidance from healthcare professionals at the New Jersey Pediatric Neuroscience Institute as you navigate the journey of managing pediatric epilepsy. In addition to seeking professional guidance, it is important to educate yourself about epilepsy and its management. Understand the different types of seizures your child may experience, their triggers, and the appropriate response during a seizure. This knowledge will empower you to effectively advocate for your child's needs and ensure their safety. It is also essential to create a strong support network, including healthcare professionals, therapists, and other parents of children with epilepsy. Connecting with others who are going through similar experiences can provide valuable emotional support and practical advice. Remember to prioritize self-care as well, as parenting a child with epilepsy can be physically and emotionally demanding. Taking care of yourself will enable you to better support your child and maintain a positive environment for their well-being.

The Neurosurgery Advocate

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The Neurosurgery Advocate

Summer is over but Congressional activity will soon be heating up soon!

Click Here - https://neurosurgery.read.axioshq.com/p/the-neurosurgery-advocate/bc0a4d36-c2cb-42cb-98af-aa35f0716f93?fbclid=IwAR3Z_SLwPG-LG2l-ilDH3RN4WE4s7UiiKHuCtVkeP2ab2SR3WEzPLYsEI8I

medEchat

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Schedule a virtual visit and experience healthcare on your terms! Reach out to us to learn more about this convenient option!

#TelemedicineCare #HealthcareAtYourFingertips #StayConnectedWithUs

School Lunches for Picky Eaters and Students with Poor Appetites

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Get Ready for School! Join our registered dietitian, Heather, as she dives into creative school lunch ideas tailored for picky eaters and students with lighter appetites. Let's kick off the school year with a dose of healthy eating! Secure your spot now: https://www.signupgenius.com/go/9040b4ca4ac23aafc1-school#/

#BackToSchoolBites #HealthyEatingJourney #Health

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What is Pediatric Concussion?

Why Are Pediatric Concussions Concerning?