Swaiman 39;s Pediatric Neurology 7th Edition

[Eustolia Pennycuff]

KenSwaiman was a visionary who has played a universally recognized, pivotal and remarkable role in the development of child neurology. He initiated the founding of the Child Neurology Society, the Professors of Child Neurology and the Child Neurology Foundation, and the publication of what is regarded as the primary textbook in the field, Pediatric Neurology: Principles and Practice. He began the journal, Pediatric Neurology, one of the major pediatric neurological journals and served as its editor from 1984-2012. For these and many other accomplishments, Ken was honored by the Child Neurology Society at the 2017 Legacy Reception [1].

During his tenure at Minnesota, Ken trained over 80 child neurologists and he felt that contact with his residents was one of his prime motivating forces for beginning all of the organizations that he started. He felt that the role of teacher and mentor was the most important responsibility that a faculty member can have. His trainees came from all over the world and went on to provide continuing education in the U.S. and in their home countries.

Child Neurology Society. The first Accreditation Council for Graduate Medical Education (ACGME) specialty board devoted to individuals with neurological and psychiatric disorders, the American Board of Psychiatry and Neurology (ABPN), was established in 1934. Another 34 years elapsed before Child Neurology was recognized as a distinct neurology subspecialty (American Board of Psychiatry and Neurology, with Special Competence in Child Neurology, 1968). Having long recognized the uniqueness of child neurology, Ken gathered together a small group of senior Midwest pediatric neurologists in 1971 and the following year, he founded the CNS (1972), holding the first meeting at the University of Michigan. There, the Society was incorporated, by-laws were created, an Executive Board was formed, and plans were made to hire administrative staff. The formation of the CNS was a major force in the expansion of Pediatric Neurology training programs, and many more medical students and residents decided to pursue a career in pediatric neurology.

Professors of Child Neurology. The Association of University Professors of Neurology (AUPN), one the principal organizations involved in the training of neurologists, held its first meeting in 1968 to address training, legislative, workforce and research funding issues and to serve as a liaison with many organizations. Realizing the importance of having a parallel organization for academic child neurologists, Ken founded the PCN with the help of Bruce Berg (1978), with Ken serving as its first President. The PCN meets at the CNS annual meeting and serves many roles including support of training programs, program directors, coordinators and residents, as well as serving as the interface with multiple other organizations (CNS, ACGME and ABPN). Ken was a tireless advocate for improving the quality of pediatric neurological education, the advancement of the field, and the means to increase the knowledge and capability of pediatric neurologists.

Ken and his wife of 35 years, pediatric neurologist Phyllis Sher, alternated their residences between Minneapolis and Tucson. Phyllis was a past member of the Executive Committee of the CNS, taught at the University of Miami Medical School, the University of Minnesota Medical School and did research at the NIH. While in Arizona, she taught at the University of Arizona School of Medicine, returned to her artistic background and is an accomplished painter. Ken received unswerving support from Phyllis during his last of several illnesses, sharing their deep love as Ken reflected on his life, a life so well lived. In addition to Phyllis, Ken is survived by children, Lisa Swaiman (Jim Grossman), Jerrold Swaiman, Barbara Swaiman (Mark Franklin), and Dana Hoberman (Bruce); and grandchildren, Isaac Swaiman, Sarah Grossman, Ethan Swaiman, Danielle Swaiman, Sawyer Franklin, Ryan Franklin, Jordan Hoberman and Benji Hoberman; and great grandson Everett Swaiman.

Dr. Kenneth Swaiman dedicated his life and career to bettering the lives of children with neurologic conditions and their families. His legacy in the pediatric neurology field is unprecedented and his impact is universally recognized.

I cannot remember a CNF function where Dr. Swaiman and his wife of 35 years, pediatric neurologist Phyllis Sher, did not attend and act as gracious ambassadors of our mission to all who would listen. A beautiful couple, the two of them epitomize deep commitment to the child neurology community.

Our story with Dr. Swaiman is just a small piece of the larger mosaic of his life. During his career, he belonged to 20 professional organizations, served on 15 editorial boards of major scientific journals, and trained over 80 child neurologists during his academic tenure. He initiated the founding of the Child Neurology Society and the Professors of Child Neurology, and the publication of what is regarded as the primary textbook in the field, Pediatric Neurology: Principles and Practice. He also began the journal, Pediatric Neurology, one of the major pediatric neurological journals, and served as its editor from 1984-2012. Dr. Swaiman was an unstoppable force and has forever changed the trajectory of the child neurology field.

Since 1975, Dr. Kenneth Swaiman's classic text has been the reference of choice for authoritative guidance in pediatric neurology, and the 6th Edition continues this tradition of excellence with thorough revisions that bring you fully up to date with all that's new in the field. Five new sections, 62 new chapters, 4 new editors, and a reconfigured format make this a comprehensive and clearly-written resource for the experienced clinician as well as the physician-in-training.

Hypertension is called the silent killer and vital organs such as the brain, eyes,kidneys and the heart are the targets. Seizure, central nervous system (CNS)hemorrhage, and cerebrovascular accident (CVA), blindness and heart attacksare the end points.The prevalence of hypertension in children is much less than adults, but evidencereveals that the source of hypertension in adulthood goes back to childhood. In70-80% of cases hypertension is due to renal diseases. In children, hypertensiveencephalopathy (HE) may be the first manifestation of renal diseases. Seizure isone of the most common manifestations of HE.In this article, definitions, etiology, pathophysiology and finally the acute andchronic managements of HE will be discussed.

Hyperglycemia may occur in the patients affected by any kind of critical illness.This complication makes an adverse effect on the clinical outcome of thesepatients by causing polyneuropathy and myopathy. It has been recently shownthat treatment of hyperglycemia with insulin administration significantly reducesthe prevalence of critical illness polyneuropathy and myopathy (CIPNM) andon the other hand reduces the demand for long-term mechanical ventilation inthe patients admitted to the ICU for more than 1 week. The aim of this studywas to determine the therapeutic effect of insulin in reducing the incidence ofCIPNM in the pediatric intensive care unit (PICU).

In this study, we recruited 30 patients admitted to the PICU of Tabriz PediatricHospital. The incidence of CIPNM following hyperglycemia was evaluated inthese patients. The patients were categorized into two groups. In the case group,blood sugar was controlled in the range of 140-180mg/dl by administration of0.05 unit per kilogram body weight of insulin as drip protocol in an hour and inthe control group, placebo was used. Consequently, the incidence of CIPNM,duration of PICU and duration of mechanical ventilation were comparedbetween the two groups.

In this study, 38 inpatient children aged 6 mo-15 years with refractory serialseizures were treated by first line antiepileptic drugs and then randomlytreated with either intermittent intravenous diazepam in the neurology ward orintravenous midazolam in PICU.

Fourteen (70%) diazepam group patients and 13 (72.2%) midazolam grouppatients had good response to treatment, there was no significant differencebetween the two groups. Four midazolam group patients and two diazepamgroup patients needed mechanical ventilation and were intubated duringtreatment, with no significant difference between the two groups. Durationsof mechanical ventilation and PICU and hospital stay were not significantlydifferent between the two groups.

Migraine is a disabling illness that causes absence from school andaffects the quality of life. It has been stated that headache may representan epileptic event. EEG abnormality is a prominent finding in children with migraine. The aim of this study was to evaluate EEG abnormalities in children with migraine.

Two-hundred twenty-eight children were enrolled into the study. Evaluation and following of cases was performed by one physician, paraclinical tests were used to increase the accuracy. The study wasconducted under the supervision of pediatric neurology masters and theselected cases were from different parts of the country.

Migraine is a disabling illness that causes absence from school andaffects the quality of life. It has been stated that headache may representan epileptic event. EEG abnormality is a prominent finding in childrenwith migraine. The aim of this study was to evaluate EEG abnormalitiesin children with migraine.

Two-hundred twenty-eight children were enrolled into the study.Evaluation and following of cases was performed by one physician,paraclinical tests were used to increase the accuracy. The study wasconducted under the supervision of pediatric neurology masters and theselected cases were from different parts of the country.

In a descriptive cross-sectional study, noncontrast brain CT scan of 150 consecutive1-18 year old epileptic children whom were referred to pediatric neurology clinic ofShahid Sadoughi University of Medical Sciences, from May 2008 to October 2010 inYazd-Iran, evaluated.

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