East Tennessee Pediatric Neurology
Extensive Diagnoses & Treatments for Neuro Disorders in Children
The Neurology Lab at East Tennessee Children's Hospital performs tests
for patients with seizures, hearing problems and other issues with the
brain. These patients can be referred to the neurology lab by their own
doctors or while they are patients at our hospital or by our neurologists.
Most of the time, the Neurology Lab will do an electroencephalogram (EEG)
to test the electrical impulses of your child's brain. The test takes
about an hour and a half. Your child will need to sleep during the whole
process. Our staff is well-trained to use natural methods to get your
child to fall asleep. Sedation is used in some cases in which the child
cannot fall asleep. The EEG is not painful. You will be given a prep sheet
and brochure before the day of the test so you can help your child understand
what to expect.
A child's EEG results are very different than an adult's. All lab
results are sent to pediatric neurologists at the hospital for review,
then to your child's doctor. Staff members in the lab are specifically
trained to complete these tests with children.
The Neurology Lab also does brainstem auditory evoked response (BAER) tests
to measure your child's hearing. These tests can find out if your
child has hearing loss or other problems affecting the brainstem. Children
must be relaxed and as still as possible during the test. The entire test
takes about an hour and a half.
A visual evoked response (VER) test measures the brain's reaction to
what your child sees. Electrodes will be placed on your child's head
to track their eyes' reaction to patterns, designs and flashing lights.
Each eye will be tested separately. A VER test helps diagnose nerve or
brain problems affecting vision.
The Neurology Lab completes tests to diagnose seizure disorders and epilepsy.
Family history, EEGs, CT scans and MRIs are used by physicians to create
a treatment plan for your child. No one knows exactly what causes seizures,
but the following things can make a child more likely to have seizures:
- Damage to the brain before, during or immediately following birth
- Physical defects in the brain
- Injury to the head
- Poisoning, usually with lead or alcohol
- Brain damage due to infections
- Brain tumors
- Lack of proper nutrition to the brain
Pediatric Stroke Protocol
Stroke in children is relatively uncommon compared to the adult population.
Nevertheless, it is estimated a stroke occurs in one of every 50,000 children
each year. As a result, physicians at East Tennessee Children’s
Hospital see several potential stroke cases every year. Our hospital now
has the capability to save the lives of these children because thanks
to our pediatric stroke protocol, which involves answering key questions
to quickly determine if the patient suffered a stroke, and if so, what
treatment is appropriate. The type of treatment used is based on the patient's
symptoms and the amount of time elapsed since the onset of those symptoms.
The pediatric stroke protocol we created is now being shared with other
children's hospitals nationwide. Thanks to the expertise of our neurology
staff, more pediatric providers will have the capability to properly diagnose,
treat and save the lives of pediatric stroke patients.
For more information on pediatric neurology at East Tennessee Children’s
Hospital, call (865) 523-5437.