Distance Learning in Paediatric Neurology

Unit 9: Metabolic, nutritional & systemic disease

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Ultimately all conditions are metabolic. In this Unit we shall concentrate on those disorders determined by primary metabolic disorders, an increasing number of which have been elucidated genetically. We shall learn how clinical acumen can increase the suspicion of a neurometabolic disorder. We shall consider the classification of these disorders and how that can help a rational approach to investigation. As usual we shall consider how information on these conditions, often complex can be relayed to the families involved.


This Unit contains 48 hours of study, divided into the following sections:

  Study hours
1. Recognition of inborn errors of metabolism 9 hours
2. Inherited white matter disorders 6 hours
3. Inherited grey matter disorders 3 hours
4. Movement disorders 15.5 hours
5. Acute encephalopathy in inborn errors of metabolism (IEM) 3 hours
6. Metabolic and genetic treatments in neurometabolic disease 4.5 hours
7. Neurological complications of system disease 4 hours
Total study hours = 48 hours


You can begin studying this Unit at any time and work through it at your own pace. There are no time limits to finish the Unit. If you spend about 4 hours per week on this course, you will complete it in about 3 months. When you complete the unit, please send it to us and we will check that all 3 star activities have been completed and will issue a CPD certificate for the number of hours shown above.

Who is this Unit for?

The Metabolic, nutritional and systemic disease Unit is particularly suitable for:

  • Specialist Paediatric Neurology trainees
  • Consultant Paediatric Neurologists to update themselves as part of their continuing professional development


The course is delivered via a dedicated website. On receipt of your application we will register you and send your username and password to access your chosen unit. All the activities and required papers are available for you to download from the course website. You will need access to the case notes of two or three children who have a metabolic disease. You will also need access to a few textbooks, which should be available to borrow from your local paediatric neurology department or medical library.

What do students say are the best things about this unit?

  • “Movement disorders” (UK)
  • “Resources, activities, videos, simply everything!” (Saudia Arabia)
  • “Acute encephalopathy in inborn errors of metabolism (IEM) was a well forming section” (Georgia)


Fees must be paid at the time of registering. You can register online and pay your fee by credit/debit card or request an invoice be sent to your place of work (you will need a purchase order number from your hospital for this option). The cost of this Unit depends on the country in which you are working.  

  • High income countries = £325 
  • Low & middle income countries = £107


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