The child is neither an adult miniature nor an immature human
being: at each age, it expresses specific abilities that optimize
adaptation to its environment and development of new acquisitions.
Diseases in children cover all specialties encountered in
adulthood, and neurology involves a particularly large area,
ranging from the brain to the striated muscle, the generation and
functioning of which require half the genes of the whole genome and
a majority of mitochondrial ones. Human being nervous system is
sensitive to prenatal aggression, is particularly immature at birth
and development may be affected by a whole range of age-dependent
disorders distinct from those that occur in adults. Even diseases
more often encountered in adulthood than childhood may have
specific expression in the developing nervous system. The course of
chronic neurological diseases beginning before adolescence remains
distinct from that of adult pathology - not only from the cognitive
but also motor perspective, right into adulthood, and a whole area
is developing for adult neurologists to care for these children
with persisting neurological diseases when they become adults.
Just as pediatric neurology evolved as an identified specialty
as the volume and complexity of data became too much for the
general pediatician or the adult neurologist to master, the
discipline has now continued to evolve into somany subspecialties,
such as epilepsy, neuromuscular disease, stroke, malformations,
neonatal neurology, metabolic diseases, etc., that the general
pediatric neurologist no longer can reasonably possess in-depth
expertise in all areas, particularly in dealing with complex cases.
Subspecialty expertise thus is provided to some trainees through
fellowship programmes following a general pediatric neurology
residency and many of these fellowships include training in
research.
Since the infectious context, the genetic background and medical
practice vary throughout the world, this diversity needs to be
represented in a pediatric neurology textbook. Taken together, and
although brain malformations (H. Sarnat & P. Curatolo, 2007)
and oncology (W. Grisold & R. Soffietti) are covered in detail
in other volumes of the same series and therefore only briefly
addressed here, these considerations justify the number of volumes,
and the number of authors who contributed from all over the world.
Experts in the different subspecialties also contributed to design
the general framework and contents of the book. Special emphasis is
given to the developmental aspect, and normal development is
reminded whenever needed - brain, muscle and the immune system. The
course of chronic diseases into adulthood and ethical issues
specific to the developing nervous system are also addressed.
*A volume in the Handbook of Clinical Neurology series, which has
an unparalleled reputation as the world's most comprehensive source
of information in neurology.
*International list of contributors including the leading workers
in the field.
*Describes the advances which have occurred in clinical neurology
and the neurosciences, their impact on the understanding of
neurological disorders and on patient care."
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