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Pediatric Neurology

History

Established in the Year: 1978

Memorable details of history about the Institute

Paediatric Neurology Outpatient services were started at ICH & HC in 1978 by Prof. G. Kumaresan.
Paediatric Neurology ward with 10 beds was created in 1981 by Prof. D. Kamala — the first Professor of Paediatric Neurology.
Two posts of Assistant Professors in Paediatric Neurology were created in 1983 and 1987.
Electrophysiology laboratory was equipped with Digital Electroencephalography (EEG) and Electroneuromyography (ENMG) in 1998.
Additional 10 beds were allotted to Paediatric Neurology ward making it a full unit in 2008.
Paediatric Neurology OPD started functioning in the new JICA OP block since 2017.
DM Paediatric Neurology course with 2 seats per year started in 2022.

Faculty & Residents

DR. E. NEERAJ M.D (PAED), DM (NEURO)

Associate Professor of Pediatric Neurology

7 Years of experience in Pediatric Neurology, Contributed chapters and articles in books and journals, 20 publications in Indexed journals

DR. JERED LIVINGSTON M.D, DM (NEURO)

Assistant Professor of Neurology

4 Years of experience in Pediatric Neurology, Contributed chapters and articles in books and journals, 9 publications in Indexed journals

DR. C. LEEMA PAULINE M.D (PAED) , DM (NEURO)

Professor of Pediatric Neurology

25 Years of experience in Pediatric Neurology, Contributed chapters and articles in books and journals, 34 publications in Indexed journals

DR. D. KAVITHA M.D (PEDS), DCH

Assistant Professor of Pediatric Neurology

3 Years of experience in Pediatric Neurology, 2 publications in Indexed journals

Name of the Residents joined in the year 2020	Name of the Residents joined in the year 2021	Name of the Residents joined in the year 2022
-	-	-

Facility & Clinical Care

Paediatric Neurology OP services available everyday from Monday to Friday between 8.00 am to 10.30 am.
Electrophysiology laboratory services – Electroencephalography (EEG), Electromyography (EMG), and Nerve conduction studies (NCS), Repetitive Nerve Stimulation (RNS), Evoked potentials (EP) available in the department.
Neuroimaging services – in house MRI scan, CT scan, Doppler study are available at radiology department.
Complete metabolic work including Tandem Mass Spectroscopy available in biochemistry.
Twenty bedded Paediatric Neurology ward manned by qualified faculty.
Specialty clinics such as Headache clinic, Neuro-Immunology clinic, Stroke clinic, Neuromuscular clinic, Movement Disorder clinic and Neurometabolic clinic are being conducted from Monday to Friday respectively.
All childhood neurological disorders are evaluated and managed appropriately.
Training in Paediatric Neurology is given for the postgraduates in Paediatrics, Neurology, Physical Medicine and Rehabilitation and Physiotherapy.
Awareness programmes are conducted in the department for National Epilepsy day in November month annually including public awareness demonstration; activities are conducted for children followed by prize distribution.

Electrophysiology Lab

Academic Forum

Guest Lectures / Oration (Invited Guest Lectures)

S.NO	Date	Name of the Guest Lecturer	Topic of the Guest Lecture
1	17.11.22	Dr. N. Mahesh, MD DM Consultant Paed. Neurologist, KKCTH	Management of Paediatric Epilepsy – Practical Points
2	10.02.23	Dr. G. Kumaresan, MD DM Retd Prof of Paed. Neurology, ICH & HC	My Tryst with Paediatric Neurology
3	26.04.24	Prof. Dr. Birla Pavalam, MD DM Asso. Prof of Neurology, Tirunelveli Medical College	Autism Spectrum Disorders
4	17.11.24	Dr. T. Arulmozhi, DCH, DNB, DrNB (Neurology) Consultant Neurologist at Kauvery Hospital, Chennai	Clinical Approach to Seizures in Children
5	19.01.25	Dr. N. Mahesh, MD DM Consultant Paed. Neurologist, KKCTH	Fits and Funny Turns

Seminar / Symposium

S.NO	Date	Seminar / Symposium with Title
1	2.2.23	Approach to acute visual loss
2	9.3.23	Seizure semiology and localisation
3	23.3.23	Congenital Myasthenic Syndromes
4	21.4.23	Recent advances in pyogenic meningitis
5	26.5.23	Recent advances in tuberculous meningitis
6	22.9.23	Approach to foot drop
7	24.11.23	Neurological complications of hematological malignancy
8	25.1.24	CSF circulation & management of raised intracranial pressure
9	16.2.24	Approach to coma
10	24.5.24	Anti seizure medications
11	21.6.24	Approach to Global developmental delay
12	20.9.24	Acute encephalitis syndrome
13	17.10.24	Approach to ataxia
14	21.11.24	Approach to gaze palsy
15	19.12.24	Approach to neuropathy
16	29.1.25	Approach to gait disorders
17	20.3.25	Approach to myopathy
18	24.4.25	Approach to floppy child
19	26.6.25	Approach to leukodystrophy

CME / Conference

S.NO	Date	CME / Conference – Title	State or National Level
1	10.11.21	CME on Childhood Epilepsy & Management Neuroimaging in Epilepsy – Dr. Asif Julin Epileptic Syndromes – Dr. Leema	Institute
2	15.11.22	Management of Pediatric Epilepsy Seizure Mimics – Dr. Neeraj Seizure Semiology – Dr. Jered Livingston Management – Dr. Leema Pauline	Institute
3	16.11.23	Update in Pediatric Epilepsy Management Medical Management – Dr. Leema Pauline Surgical Management – Dr. Ranjith Kumar	Institute
4	25.7.24	Clinical Approach and Management of a Child with Coma Approach to a Child – Dr. Sonia ICP Monitoring & Management – Dr. Shruthi Coma: Differential Diagnosis – Dr. Shadique Multimodal Monitoring in Raised ICP – Dr. Mohinish	Institute
5	19.2.25	Recent Trends in Guillain Barre Syndrome Epidemiology & Pathogenesis – Dr. Shruthi Clinical Types and Variants – Dr. Sonia Investigations & Electrophysiology – Dr. Mohinish Management and Prognosis – Dr. Shadique	Institute
6	3.07.25	Current Trends in Status Epilepticus Break the Status Barrier – Dr. Shruthi Refractory & Super Refractory Status – Dr. Sonia Rosalind A New Hire to Put Out FIRE – Dr. Mohinish Newer Treatment Modalities – Dr. Shadique	Institute

Workshop / Training Programme Attended

S.NO	Date	Workshop / Training with Title	University / TNMSC Credits / Both if present	State or National level
1	26.5.23 to 28.5.23	Current status and recent advances in the diagnosis and management of epilepsy globally Prof. Dr. Leema Pauline attended Dr. E. Neeraj attended	5	National
2	19.8.23 to 20.8.23	EEG workshop – NESSAN – Dr. Mohnish		National
3	22.9.23	Workshop on Neurometabolic disorders Dr. Leema Pauline – faculty talk on metabolic epilepsy		National
4	25.11.23 to 26.11.23	Clinical Neurology for Postgraduates, Pune — Dr. Muhammed Shadique		National
5	7.2.24	AOCN 2024 Vellore workshop\ Sleep neurology – Dr. C. Leema Pauline attended Electrophysiology – Dr. Mohnish, Dr. Shadique attended		National
6	6.7.24 to 7.7.24	1st TAN Postgraduate Exam Prep Course mmc-image-pharmacology Prof. Dr. Leema Pauline Case discussion on Ataxia Dr. Muhammed Shadique Dr. Mohnish Dr. Sonia Rosalind Dr. Shree Shruthi
7	20.7.24 to 21.7.24	EEG workshop – NESSAN Prof. Dr. Leema Pauline Dr. Mohnish Dr. Muhammed Shadique Dr. Sonia Rosalind Dr. Shree Shruthi
8	19.9.24	Hands-on workshop on DBS – Deep Brain Stimulation Dr. Mohnish Dr. Muhammed Shadique Dr. Sonia Rosalind Dr. Shree Shruthi
9	10.5.25 to 11.5.25	Video EEG workshop (Hands-on) conducted in Sri Ramachandra Institute of Higher Education Dr. Leema Pauline Dr. Mohnish – secured 2nd place in Video EEG reporting competition Dr. Muhammed Shadique Dr. Muhammed Shadique
10	25.5.25	Pediatric Epilepsy Training: Course 1 At Sri Ramachandra Institute of Higher Education Dr. Mohnish Dr. Muhammed Shadique Dr. Sonia Rosalind
11	16.6.25 to 18.6.25	BLS, ACLS Workshop Good Clinical Practice, Good Laboratory Practice Workshop Dr. Mohnish attended

Quiz /competitions

S.NO	Date	Quiz /competitions with Title	University / TNMSC Credits / both if present	Prizes awarded to	a. Inter or Intra – Collegiate Level b. State or National level
1	28.2.23	Prof. G Kumaresan Prize Examination for Paediatric Postgraduates		Dr. Sundar Natesh Dr. Manickam Dr.Ramakrishnan	Intercollegiate level

Others: CME ATTENDED

S.NO	Date	CME / Conference with Title	University / TNMSC Credits	State or National level
1	30.9.21	National CME in Paediatric Neurology, Balaji Medical College Prof. Dr. Leema Pauline delivered a lecture on Approach to Inborn Errors of Metabolism		National
2	25.11.21	CME on Epilepsy Dr. Jered Livingston – Seizure Semiology Dr. Neeraj – Seizure Mimics & Neuroimaging Prof. Dr. Leema Pauline – Management of Childhood Epilepsy
3	28.11.21	MARINA Pedicon-2021 Prof. Dr. Leema Pauline – Seizure Mimics in Children		State
4	3.12.21, 4.12.21	11^th Annual International Conference of Clinical Neurology SHINE 2021	30	National
5	3.11.22 to 6.11.22	AOCN-IANCON 2022 Asian Oceanian Association of Neurologists and Indian Academy of Neurology New Delhi Prof. Dr. Leema Pauline Delivered a lecture on– Metabolic Epilepsies in Children	21 7.5	National
6	20.1.23 to 22.1.23	Epilepsy Winter School Dr. Leema Pauline-HOD&Professor Dr. Neeraj.E- Associate professor Dr. Mohinish– Senior Resident Dr. Muhammed Shadique– Senior Resident		National
7	7.6.23	National Paediatric Stroke Conference - Mumbai 2023 Dr. Mohinish – Thalamic Stroke Case Presentation		National
8	18.6.23	15^th National IAP-IJPP CME 2023 Prof. Dr. C. Leema Pauline delivered a talk on -Approach to a child with limp		National
9	14.9.23 to 17.9.23	Indian Academy of Neurology – IANCON 2023 Madurai Prof.Dr.C.Leema Pauline Delivered a lecture on “ Acute encephalitis syndrome mimics” Poster presentation – Intracerebral hemorrhage as initial presentation of familial HLH Dr.E.Neeraj – Associate professor attended Dr.Mohinish Platform presentation- Clinical profile, and management of paediatric autoimmune encephalitis Poster presentation- 1.Handy hints in autoimmune encephalitis 2.An iconic variant of an ionic disease Dr.MuhammedShadique Poster presentation 1.Horizontal gaze palsy with progressive scoliosis 2. Clinical profile and follow up of paediatric central demyelinating disorder		National
10	23.9.23 to 24.9.23	IAP Growth, Development and Behavioral Paediatrics GDBPCON 2023 Prof. Dr. Leema Pauline delivered a talk on Dr. Leema Pauline – Approach to Developmental Delay Dr.Mohinish , Dr.Shadique – Senior Residents attended		National
11	12.23	Tamilnadu association of neurologists – TANCON Erode Dr.Mohinish Platform : Clinical profile, followup of adeno virus associated neurological manifestation. Poster : An interesting case of ataxic hemiparesis		State
12	5.1.24 6.1.24 7.1.24	22ndNeuro update Chennai 2024 Dr. Leema Pauline Dr. Neeraj Dr. Jered Livingston Dr.Shadique – poster presentation A case of acute onset bilateral ptosis
13	24.01.24	PEDICON -Kochi 2024 PediatricNeurology workshop Prof.Dr.C.Leema Pauline delivered a lecture on “Headache in office practice”		National
14	9.2.24 10.2.24 11.2.24	Association of child neurologists conference – AOCN 2024 Prof.Dr.C.Leema Pauline delivered a lecture on “ Unusual causes of pediatric headaches” Dr.Muhammedshadique Platform presentation – Clinical profile ,management and follow up of adeno virus associated neurological manifestations Poster presentation A toddler with dystonia Dr.Mohinish Poster presentation : Clinical profile of pediatric autoimmune encephalitis		National
15	29.3.24 30.3.24	Pediatric Neuroimmunology conference 2024, PGI Chandigarh Dr.Mohinish Case prestation – Handy hints in autoimmune encephalitis Poster presentation : An interesting case of acute ataxia 4th Place in Neuro-immunology quiz programme		National
16	29.6.24 30.6.24	National Paediatric Stroke Conclave 2024 -Bengaluru Dr Mohinish Dr Shadique		National
17	6.7.24	CME in Paediatric Neurology- Apollo Hospital Madurai Prof. Dr. Leema Pauline delivered a talk on Approach to an unconscious child		District
18	14.9.24 15.9.24 16.9.24	Indian Academy of Neurology - IANCON 2024 Prof.Dr.C.Leema Pauline – Guest lecture on topic “ADEM & upate”		National
19	10.01.25, 11.01.25	NEURO UPDATE 25 chennai Dr.Leema Pauline, Dr.Neeraj attended. Dr.Shadique : case presentation on topic “ Relapsing & Remitting neuropathy”		State
20	4.1.25, 5.1.25	KANCON 2025 – Kerala association of neurology Clinical neurological teaching course for PG Dr. Mohinish, Dr. Shadique attended.		National
21	8.3.25, 9.3.25	SCORE: Sree chitra outgoing residents exam oriented course - Trivandrum Dr. Mohinish Dr.Shadique attended.		State
22	14.3.25 15.3.25	SCORE: Sree chitra outgoing residents exam oriented course - Trivandrum APNMD 25 : advances in pediatric neuromuscular disease - International symposium – IAN section Trivandrum Dr.Leema Pauline attended. Dr.Mohinish – secured 4th place in quiz competition. Dr.Shadique attended.		International
23	13.6.25 14.6.25 15.6.25	Tamilnadu association of neurologists – TANCON 2025 –Tiruvanamalai Dr.Leema Pauline Delivered a talk on ‘Pedaitric metabolic epilepsy” Dr.Mohinish 1st place in E-poster competition – certificate and cash prize. 2nd place in TAN quiz programme Platform Presentation on topic “ spectrum of non epileptic ocular movements in pedaitrics”

FORUM PRESENTATION:

S.NO	Date	Other events with Title	Details
1	21.4.23	Clinical Society Meeting	“Dancing girl with metallic eyes” – Dr. Mohinish “Eyes on Top” – Dr. Muhammad Shadique
2	23.6.23	Clinical Society Meeting	“Adeno virus related CNS manifestation” – Dr. Mohinish
3	6.8.23	Neurology Forum	Dr. Mohinish: Acute ataxia – Opsoclonus Myoclonus Infantile seizure – Menke disease Dr. Muhammed Shadique: Relapsing remitting hemiparesis Cerebral creatine deficiency syndrome
4	22.8.23	Association of Child Neurologists of India – AOCN	Dr. Muhammed Shadique – An interesting case of Miller Fisher variant of GBS
5	20.10.23	Clinical Society Meeting	“3D presentation – Dopa responsive dystonia” – Dr. Mohinish “Case of multiple cerebral abscess” – Dr. Shadique
6	17.11.23	Epilepsy awareness programme on occasion of National Epilepsy day	Conducted in the month of November every year to create awareness about epilepsy among the patients and public.
7	22.12.23	Clinical Society Meeting	A toddler with dystonia – Dr.MuhammedShadique
8	10.3.24	City Paediatric Neurologists Forum	Dr Mohinish – A case of Juvenile Dermatomyositis with Neuromyelitis Optica
9	30.3.24	Pediatric neuroimmunology conference 2024, PGI Chandigarh	Dr.Mohinish – presented an interesting case and won 4th place in quiz competition
10	14.6.24	Clinical Society Meeting	A case of relapsing remitting polyneuropathy Dr Sonia Rosalind
11	23.6.24	City Paediatric Neurologists forum	A case of relapsing remitting polyneuropathy – CD 59 related disorder – Dr. Sonia Rosalind
12	22.11.24	Clinical Society Meeting	Signals to symptoms : the missing link Dr.Shree shruthi
13	24.01.25	Clinical Society Meeting	Common disease with an uncommon presentation Dr.Shadique

Scientific Forum

Completed Projects

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Ongoing Projects

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Awards & Achievements

No Awards information available for this department.

Success Stories

Success story 1:

Six year old male child admitted during the covid pandemic with new onset seizures following two days of fever, altered behavior, insomnia, involuntary movements involving limbs,
perioral region – with normal MRI brain, normal CSF analysis, diffuse slowing in EEG, - diagnosed as Autoimmune encephalitis, diagnosis of NMDAR encephalitis confirmed by CSF autoimmune panel, successfully managed with immunotherapy. Child recovered without any sequelae.

Success story 2:

10 year old presented with acute onset of quadriparesis with bilateral papillodema – diagnosed as idiopathic intracranial hypertension. Managed successfully with lumbar puncture and antiodema measures. Child started walking independently two months later .

Success story 3:

Successful management of acute necrotising encephalopathy of childhood (ANEC) with immunotherapy in a child with an acute onset of fever, seizures and altered sensorium. Child recovered without any focal deficit.

Success story 4:

Management of acute flaccid quadriplegia with hyperammonemia, correction given, quadriplegia improved. Evaluation revealed the child to be having urea cycle disorder.

Success story 5:

4 years old presented with acute flaccid weakness of all 4 limbs. Initially worked up as a case of GBS. Serial serum potassium values were found to be low persistently despite potassium correction. Child also had hypertension. Endocrine opinion showed normal cortisol, low rennin and high aldosterone.
Ct abdomen with contrast normal. So primate hyperaldosteronisum was diagnosed. As part of treatment protocol, adrenalectomy done. Presently on follow up with no further episodes of flaccid weakness noted.

Success story 6:

2 years old girl presented with acute ataxia with areflexia. Initially diagnosed as Incomplete Miller Fisher syndrome and started on immunotherapy. USG abdomen revealed neuroblastoma. Later child developed opsoclonus. Upfront immunotherapy was started as concurrent iv immunoglobulin and methyl prednisolone.
Tumour was successfully removed by pediatric surgery department. N-myc amplification was positive, so tumour strafied as high grade. Received 4 cycles of cyclophosphamide and monthly doses of iv immunoglobulin for 1 year. Child recovered completely.

Success story 7:

8 years old girl admitted with COVID, managed for MIS-C. Had to be ventilated twice and developed recurrent lung collapse in post covid period. RNS revealed decremental response. Serum acetylcholine receptor antibody titre was high. Diagnosed as covid trigerred autoimmnune myasthenia gravis. Managed with ach esterase inhibitors, steroids and immunosupressants and underwent thymectomy.
She developed multiple episodes of myasthenic crisis despite multimodal treatment. Rituximab was tried. There were no further episodes of crisis and she is currently maintained on acetylcholine esterase inhibitor and low dose immunosuprasants.

Others

No Others information available for this department.