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NEUROLOGY 2009;73:e31-e33
© 2009 American Academy of Neurology
Resident and Fellow Section

Child Neurology: Past, present, and future

Part 1: History

John J. Millichap, MD and J. Gordon Millichap, MD

From the Division of Neurology, Children’s Memorial Hospital, Northwestern University Medical School, Chicago, IL.

Address correspondence and reprint requests to Dr. John J. Millichap, Division of Neurology, Children’s Memorial Hospital, 2300 Children’s Plaza, Box 51, Chicago, IL 60614 jmillichap{at}childrensmemorial.org

The founding period of child neurology occurred in 3 phases: 1) early individual contributory phase, 2) organized training phase, and 3) expansion phase. In the late 19th and early 20th centuries, individuals in pediatrics, neurology, and psychiatry established clinics and made important contributions to the literature on childhood epilepsy, cerebral palsy, and pediatric neurology. The latter half of the 20th century saw the organization of training programs in pediatric neurology, with fellowships supported by the NIH. This development was followed by a rapid expansion in the number of trainees certified in child neurology and their appointment to divisions of neurology in children’s hospitals. In recent years, referrals of children with neurologic disorders have increased, and disorders previously managed by pediatricians are often seen in neurology clinics. The era of subspecialization is embraced by the practicing physician. The present day status of pediatric neurology and suggestions for the future development of the specialty are subjects for further discussion.

Disclosure: The authors report no disclosures.






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