RESUMEN
A shortage of board-certified developmental-behavioral pediatricians generates a bottleneck for children and families who seek autism diagnostic services. Wait time for autism evaluation commonly exceeds a year. To improve access, clinicians developed a coordinated Developmental-Behavioral Pediatrics and Pediatric Neurology autism diagnostic pathway. For a subset of children referred to neurology clinic, pediatric neurologists completed the medical part of an autism evaluation and Knights of Columbus Developmental Center psychologists or speech-language pathologists completed developmental assessments. Forty-four autism diagnostic evaluations completed through this coordinated pathway over the course of six months had shortened wait time [mean=50.89 days; range 3 to 184 days; median= 48.50 day]. Parents reported satisfaction with the autism evaluation and resources navigation process. Sustainability and scalability efforts are discussed.
Asunto(s)
Trastorno Autístico , Neurología , Pediatría , Humanos , Niño , Pediatría/métodos , Pediatría/normas , Neurología/métodos , Trastorno Autístico/diagnóstico , Preescolar , Masculino , Femenino , Accesibilidad a los Servicios de Salud/normas , AdolescenteAsunto(s)
Inmunodeficiencia Variable Común/sangre , Interleucina-12/sangre , Enfermedades Pulmonares Intersticiales/sangre , Receptores de Interleucina-2/sangre , Adulto , Azatioprina/uso terapéutico , Biomarcadores/sangre , Inmunodeficiencia Variable Común/diagnóstico por imagen , Inmunodeficiencia Variable Común/tratamiento farmacológico , Humanos , Enfermedades Pulmonares Intersticiales/diagnóstico por imagen , Enfermedades Pulmonares Intersticiales/tratamiento farmacológico , Masculino , Radiografía , Rituximab/uso terapéutico , Adulto JovenAsunto(s)
Neoplasias de las Glándulas Suprarrenales/diagnóstico , Encefalitis/diagnóstico , Pericarditis/diagnóstico , Feocromocitoma/diagnóstico , Adolescente , Neoplasias de las Glándulas Suprarrenales/complicaciones , Ataxia/etiología , Preescolar , Confusión/etiología , Diagnóstico Diferencial , Disnea/etiología , Encefalitis/complicaciones , Femenino , Humanos , Hiperglucemia/etiología , Masculino , Derrame Pericárdico/diagnóstico , Pericarditis/complicaciones , Feocromocitoma/complicaciones , Poliuria/etiologíaRESUMEN
The authors present a case of "surfer's myelopathy," a rarely described syndrome characterized by nontraumatic paraparesis/paraplegia in novice surfers and theorized to result from spinal cord ischemia secondary to surfing-related positional hyperextension. Imaging and clinical course of the youngest known affected individual are discussed, including evidence of acute spinal cord infarction on diffusion-weighted magnetic resonance imaging, a finding not previously described in the literature.
