Stephen Nelson and Mona Dionisio Nelson
Tulane University School of Medicine, USA
Scientific Tracks Abstracts: J Microb Biochem Technol
Encephalopathy (altered mental status) is a common presenting complaint in children. The differential is broad, but includes a variety of infectious causes, such as: infectious or post-infectious; immune; drug induced; postictal. The work-up of children with encephalopathy requires a thorough and thoughtful approach, since, in some cases have available treatments where outcome is impacted by timeliness of diagnosis. The use of diagnostic tests such as neuroimaging (CT, MRI), lumbar puncture and EEG will be discussed, as well as the various laboratory testing that can help to clarify the diagnosis. Given that the initial presentation may be similar in cases with vastly different etiologies, it is important to keep a broad differential diagnosis, and ensure that testing includes all possible etiologies. Additionally, the treatments should initially include coverage for life-threatening conditions, and then be tailored to the most likely diagnosis as more information becomes available. Real patient cases will be presented to illustrate the above points.
Stephen Nelson works at Tulane University School of Medicine in New Orleans, Louisiana, where he is a Chief of Pediatric Neurology, Associate Professor of Pediatrics, Neurology, Neurosurgery, and Psychiatry. He is also Medical Director of the Tulane Center for Autism and related disorders. He has completed his BS in Biology from California State Polytechnic University of Pomona, graduating Valedictorian and summa cum laude. This was followed by a PhD in Biomedical Sciences from UCR, and then an MD from UCSD. He then completed his Pediatrics Residency at Wilford Hall Medical Center and also a Pediatric Neurology Fellowship at Stanford University. He is the Chief of Pediatric Neurology at Keesler Air Force Base followed by Program Director of the Pediatric Neurology Fellowship, and Director of Child Neurology, at USUHS.
E-mail: slnelson@tulane.edu