Pediatric & Adult Neurological Conditions

Comprehensive Neurological Care Across All Ages

Neurological conditions can affect individuals at any stage of life — from newborns and children to adolescents, adults, and the elderly. Each age group presents unique neurological challenges that require specialized evaluation and management strategies.

Dr. Chetan Padghan provides age-appropriate neurological care, addressing the full spectrum of conditions from developmental disorders in children to degenerative conditions in older adults.

Pediatric Neurological Conditions

Febrile Seizures

• The most common seizure disorder in children (ages 6 months to 5 years)
• Seizures triggered by high fever, usually during infections
• Differentiation between simple and complex febrile seizures
• Parent counseling on management and when to seek emergency care
• Assessment of risk for developing epilepsy

Developmental Delay

• Evaluation of children who are not meeting developmental milestones
• Assessment of motor, language, cognitive, and social development
• Identification of underlying neurological causes
• Coordination with developmental pediatricians and therapists
• Early intervention planning

Childhood Epilepsy Syndromes

• Benign childhood epilepsy with centrotemporal spikes (BECTS)
• Childhood absence epilepsy
• Juvenile myoclonic epilepsy
• Lennox-Gastaut syndrome
• West syndrome (infantile spasms)
• Appropriate syndrome-specific management

Headaches in Children

• Migraine evaluation and management in the pediatric age group
• Tension-type headaches
• Secondary headache evaluation — ruling out serious causes
• Lifestyle modifications and age-appropriate treatment

Other Pediatric Conditions

• Cerebral palsy — neurological assessment and management planning
• Neuromuscular disorders in children — muscular dystrophies, spinal muscular atrophy
• Tic disorders and Tourette syndrome
• Acute neurological emergencies — febrile status epilepticus, acute encephalitis
• Neurocutaneous syndromes — tuberous sclerosis, neurofibromatosis
• Learning disabilities with neurological basis

Adult Neurological Conditions

Common Conditions in Young Adults

• New-onset epilepsy and seizure evaluation
• Migraine and chronic headaches
• Multiple sclerosis and demyelinating disorders
• Neuromuscular disorders — myasthenia gravis, neuropathies
• Neurological complications of systemic diseases

Conditions in Middle-Aged Adults

• Stroke risk assessment and prevention
• Movement disorders — early Parkinson’s disease, essential tremor
• Chronic neuropathies — diabetic, nutritional, inflammatory
• Sleep-related neurological disorders
• Carpal tunnel syndrome and entrapment neuropathies

Conditions in Older Adults

• Dementia evaluation — Alzheimer’s disease, vascular dementia, frontotemporal dementia
• Parkinson’s disease and parkinsonian syndromes
• Late-onset epilepsy — often related to stroke or neurodegeneration
• Normal pressure hydrocephalus — treatable cause of gait difficulty, cognitive decline, and urinary incontinence
• Falls and balance disorders — neurological assessment and prevention strategies
• Neuropathies — diabetic, nutritional, age-related

Our Diagnostic Approach

For Children

• Thorough developmental history and milestone assessment
• Child-friendly neurological examination
• Age-appropriate investigations (EEG, MRI, blood tests)
• Collaboration with pediatricians, therapists, and educators
• Family-centered counseling and education

For Adults

• Comprehensive neurological history and examination
• Targeted investigations based on clinical assessment
• Neuroimaging (CT, MRI), electrophysiology (EEG, EMG/NCS)
• Neuropsychological assessment when indicated
• Coordination with other specialists for multidisciplinary care

Transition of Care

Transitioning from pediatric to adult neurological care is a critical period. Dr. Padghan ensures smooth transitions by:

• Reviewing complete medical history from childhood
• Reassessing diagnosis and treatment appropriateness for adulthood
• Addressing new concerns specific to adult life — driving, employment, pregnancy planning
• Establishing a long-term management plan

When to Consult a Neurologist

For Children

• Delayed milestones in walking, talking, or learning
• Seizures or episodes of staring and unresponsiveness
• Recurrent or severe headaches
• Sudden weakness, coordination problems, or gait abnormalities
• Regression of previously acquired skills

For Adults

• New-onset headaches or change in headache pattern
• Episodes of weakness, numbness, or tingling
• Memory loss or cognitive decline
• Tremor, stiffness, or difficulty with movements
• Balance problems and recurrent falls
• Seizures at any age

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Dr. Chetan Padghan provides expert neurological care for patients of all ages in Pune. Whether it’s a child’s developmental concern or an adult’s neurological symptom, schedule a consultation for comprehensive evaluation and management.