While we are still uncertain the exact cause of disorder, the most common theory describes laryngomalacia as a delay in neurological function and tone of the laryngeal structures above the vocal cords. Many children with moderate to severe airway malacia will eventually see a pediatric neurologist to discuss any underlying neurological disorders. In an effort to help prepare you and your family for the appointment, Coping With LM has compiled a list of suggested questions to ask your child's neurologist.
1. Do you believe genetic testing should be done? If yes, for which genetic conditions/disorders?
2. Do you suspect CHARGE Association, Pierre Robin Sequence, 22q11 Microdeletion Syndrome (DiGeorge syndrome) or Chiari Malformation?
3. Do you suspect a seizure disorder or Panayiotopoulos Syndrome? If yes, when should I call 911?
4. Do you suspect Hydrocephalus or Ventriculomegaly?
5. Do you suspect my child has Hypotonia, a developmental delay, Cerebral Palsy, Dysphagia, or Microcephaly?
6. If Central Sleep Apnea (CSA) is present: what is the cause, treatment (CPAP, BPAP, Adaptive servo-ventilation and/or supplemental oxygen), and prognosis?
7. Do you suggest any of the following tests? If no, why not?
Sleep Study with EEG
Brain CT Scan
48+ Hour Video EEG
Sleep Deprived EEG
An Early intervention Evaluation
Brain MRI/MRV/MRA
8. How can I get in touch with you after office hours?
9. Are any specialist (pulmonologist, cardiologist, gastro) follow ups needed?
10. What hospital are you affiliated with?
11. What is your Emergency Appointment Policy? Can my baby be seen the same day I call?
12. Does your office offer an online medical portal?
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