ABPN Child Neurology study materials
ABPN Child Neurology study resources

ABPN Child Neurology study plan

ABPN Child Neurology · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Normal Development and Growth & Neurogenetics and Congenital Malformations

  • Map gross motor, fine motor, language, and social milestones from birth to 18 years into one age-banded table, marking the threshold at which each delay becomes a referral trigger.

  • Differentiate benign developmental variants from pathologic findings by building a checklist for persistent handedness before 18 months, toe walking, asymmetric tone, and head-circumference crossing of percentile lines.

  • Classify congenital CNS malformations by embryologic timing, from dorsal induction through myelination, and attach one representative syndrome and recurrence risk to each class.

  • Construct a decision tree for the six core inheritance patterns and apply it to at least three pedigrees per pattern, including mitochondrial and imprinting exceptions.

  • Identify when to order karyotype, chromosomal microarray, targeted gene panel, or exome sequencing in a child with developmental delay with or without dysmorphism.

Your checkpoint

Produce a two-page milestone-and-red-flag reference card plus a malformation-by-embryologic-stage table, then score at least 80% on a 25-question self-written quiz over both.

Week 2

Neonatal Neurology

  • Interpret the Sarnat staging examination and therapeutic hypothermia eligibility criteria for a term newborn with hypoxic-ischemic encephalopathy, including the pitfalls of sedation and low-voltage EEG.

  • Distinguish neonatal seizure semiology from jitteriness, benign sleep myoclonus, and hyperekplexia, then select weight-based first-line antiseizure therapy for each clinical scenario.

  • Grade germinal matrix-intraventricular hemorrhage and periventricular leukomalacia on cranial ultrasound and state the imaging surveillance interval and prognosis attached to each grade.

  • Evaluate the floppy newborn with a stepwise workup that sequences sepsis, metabolic screening, spinal imaging, and neuromuscular testing rather than ordering all tests at once.

  • Explain newborn metabolic screening interpretation, bilirubin neurotoxicity risk thresholds, and the neurologic follow-up plan for an infant with an abnormal screen.

Your checkpoint

Write five neonatal case vignettes with staged diagnostic and management decisions, and defend each decision in a one-paragraph rationale citing the underlying physiology.

Week 3

Epilepsy and Seizure Disorders

  • Classify seizures and epilepsy syndromes using the current ILAE framework, separating focal from generalized onset and self-limited from pharmacoresistant courses.

  • Match antiseizure medications to seizure type, epilepsy syndrome, age, and comorbidity, stating the two most important adverse effects and the monitoring lab for each drug.

  • Recognize the classic childhood epilepsy syndromes and their EEG signatures, including infantile spasms, Lennox-Gastaut, childhood absence, benign rolandic, and juvenile myoclonic epilepsy.

  • Outline a weight-based status epilepticus protocol that sequences benzodiazepine dosing, second-line agents, and escalation to continuous infusion with ICU monitoring.

  • Read basic EEG tracings well enough to identify normal background for age, focal slowing, spike-wave discharges, hypsarrhythmia, and burst suppression.

Your checkpoint

Build a syndrome-to-EEG-to-drug matrix covering at least 15 syndromes, then pass a 30-item self-quiz on epilepsy at 85% or better.

Week 4

Neuromuscular and Peripheral Nerve Disorders

  • Localize weakness to anterior horn cell, peripheral nerve, neuromuscular junction, or muscle using distribution, reflexes, sensory findings, and progression over time.

  • Interpret creatine kinase, EMG/NCS, and genetic testing results in the context of a suspected myopathy or neuropathy, and recognize when results are falsely reassuring.

  • Differentiate Charcot-Marie-Tooth subtypes, dystrophinopathies, spinal muscular atrophy, and congenital myasthenic syndromes by inheritance, examination, and confirmatory testing.

  • Formulate surveillance plans for cardiomyopathy, restrictive lung disease, scoliosis, and contractures in progressive neuromuscular disease, with the timing of each screening test.

  • Identify the neuromuscular emergencies requiring immediate intervention, including Guillain-Barre syndrome with respiratory failure, myasthenic crisis, and SMA type 1.

Your checkpoint

Complete a 40-question timed neuromuscular block in 50 minutes, then log every missed item with a written reason for the error and the corrected fact.

Week 5

Cerebrovascular Disorders & Neuro-oncology

  • Correlate pediatric stroke presentation with arterial territory and distinguish arterial ischemic stroke, cerebral venous sinus thrombosis, and hemorrhagic stroke by onset, exam, and imaging.

  • Select the acute workup for pediatric stroke, sequencing vascular imaging, thrombophilia testing, cardiac evaluation, and metabolic screening, and state the situations in which thrombolysis or thrombectomy is considered.

  • Risk-stratify the common pediatric brain tumors by age at presentation, anatomic location, and imaging characteristics, including posterior fossa and suprasellar masses.

  • Outline management of neuro-oncologic emergencies: raised intracranial pressure, obstructive hydrocephalus, spinal cord compression, and tumor lysis risk.

  • Describe the late effects of cranial radiation and chemotherapy that require long-term surveillance, including endocrinopathy, vasculopathy, and secondary malignancy.

Your checkpoint

Create a 12-card imaging-pattern set in which each card describes a lesion in words alone, then names the likely diagnosis, the next diagnostic step, and the urgent management.

Week 6

Neuroimmunology and Neuroinfectious Diseases

  • Differentiate the acquired demyelinating syndromes, including ADEM, optic neuritis, transverse myelitis, NMOSD, and MOGAD, by clinical course, MRI pattern, and antibody status.

  • Apply the diagnostic criteria for pediatric multiple sclerosis and outline when to start, switch, or stop disease-modifying therapy.

  • Recognize autoimmune encephalitis presentations and select the appropriate antibody panels, initial immunotherapy, and escalation pathway.

  • Compare bacterial, viral, and tuberculous meningitis by CSF cell count, protein, glucose, and stains, then match each to empiric antimicrobial and adjunctive steroid decisions.

  • Manage the complications of CNS infection, including raised intracranial pressure, SIADH, seizures, vasculitic infarction, and post-meningitic hearing loss.

Your checkpoint

Write a one-page CSF interpretation algorithm and a 15-row table of antibody-mediated CNS disorders with the associated tumor risk and first-line treatment for each.

Week 7

Metabolic and Neurodegenerative Disorders & Behavioral Neurology, Headache, Sleep, and Neurotrauma

  • Organize inborn errors of metabolism by clinical presentation, including neonatal encephalopathy, intractable seizures, developmental regression, and organomegaly, and name the first-line tests for each category.

  • Distinguish neurodegenerative disorders with predominant gray matter involvement from those with white matter involvement using age of onset, course, and MRI pattern.

  • Evaluate pediatric headache by separating primary from secondary causes, applying red flags for raised intracranial pressure, and selecting acute and preventive therapy with dosing.

  • Classify pediatric sleep disorders, including obstructive sleep apnea, parasomnias, narcolepsy, and circadian rhythm disorders, and interpret basic polysomnography indices.

  • Assess concussion and abusive head trauma, including return-to-learn and return-to-play progression, imaging decisions, and mandated reporting obligations.

Your checkpoint

Draft a two-page decision aid for acute metabolic decompensation plus a 10-item headache red-flag checklist, and self-test both against five written cases.

Week 8

Epilepsy and Seizure Disorders & Neurogenetics and Congenital Malformations

  • Re-rank all ten domains by your own error rate from the practice blocks and reallocate remaining study hours to the two lowest-scoring domains, revisiting epilepsy and neurogenetics first as the highest-density material.

  • Reconstruct from memory the milestone card, malformation table, epilepsy matrix, and CSF algorithm, then correct each against your original notes to expose residual gaps.

  • Complete timed mixed blocks that force rapid switching between domains, and practice committing to an answer before reading all options to build pacing discipline.

  • Review the accumulated error log item by item, converting each missed fact into a single-sentence retrieval cue that you can self-quiz in under two minutes.

Your checkpoint

Sit two 100-question timed mixed examinations and submit a final one-page weak-area summary listing the five facts you most often miss and the plan for each.

Milestones

Week 2: Complete a 30-question developmental and neonatal block at 80% or better, and correctly interpret five written descriptions of neonatal EEG or cranial ultrasound findings.

Week 4: Score at least 75% on a 100-question cumulative timed block spanning domains 1 through 5, and write out the three weakest subtopics with the specific misconception behind each.

Week 6: Score at least 80% on a 60-question block over domains 6 through 8, and have the CSF algorithm and antibody table finished and self-tested against five cases.

Week 8: Average at least 80% across two 100-question timed mixed examinations with no single domain falling below 70%, and submit the final weak-area summary.