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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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	Specialist Answers
Question Category : Neurological problems
How can I diagnose neurofibromatosis ? (I mean number & size of lesion) ---------Thanks------------ Check Out the Answer
Question Category : Neurological problems
1)children come with the complain of excessive salivation, what is the treatment 2)Is pulsatile fontanelle is always pathological? Check Out the Answer
Question Category : Neurological problems
A 5 yrs old child was brought to the hospital with left sided facial tics, no vocal tics for 3-4 days.There was history of repeated sore throats and nasal blockage. ASO titers were >700. EEG;normal study, C.T head: basal ganglia,small calcifications. Patient improved with a 10 days course of antibiotics only. Can this patient be labeled as PANDAS(pediatric autoimmune neuropsychiatric disorder associated with streptococal infection?) Check Out the Answer
Question Category : Neurological problems
4 year old male child,came with a sudden onset of right foot drop with absolutely normal physical examination. What could be the cause? How should we approach this case? Check Out the Answer
Question Category : Neurological problems
What is the cause of excessive sweating and wetness of palms and soles in otherwise normal child? Check Out the Answer
Question Category : Neurological problems
Please can you tell me more about neurological soft signs? Check Out the Answer
Question Category : Neurological problems
A 11 month old male was brought with bulging anterior fontanelle which was noted since birth. Sometimes it appears alarmingly raised and at certain times it is slightly raised. Baby is otherwise clinically normal. neurosonogram was normal. No history of drug intake. No history of fever, no history of vomiting. Normal developmental milestones. What could be the possible diagnosis and how do we manage? Check Out the Answer
Question Category : Neurological problems
10 yr having severe headache, vomiting on and off was brought to us. Investigations like CT scan were normal, We ruled out for kochs, having specks .25, what to do next? Check Out the Answer
Question Category : Neurological problems
Hello sir, i am a 22 year old girl and i am suffering from MULTIPLE SCLEROSIS. its been about 4 years. This time a doctor advised me to use MITOXAXTRONE. But i have some doubts about it that, is it suitable and is there any surety of success after being cured using it and most importantly is there any side effects of this? and after this treatment will I be having any other treatment if I don't get well because I heard that MITOXAXTRONE is the last option and after this there is no prevailing treatment left after this....I ll b greatly thankful 2 your help..thank you. Check Out the Answer
Question Category : Neurological problems
Dear sir what are the causes of facial palsy in two months infant...? I will send the photo later. Check Out the Answer
Question Category : Neurological problems
Dear sir I have 2 questions 1.Is there any indication for plain x-ray in head injury...? 2.How can one differenciate clinically between flexor spasm and an attack of myoclonic fit as both present with sudden jerky movement plus shouting & crying in patient. with mild C.P....? Check Out the Answer
Question Category : Neurological problems
We have a 5 year old child. He started walking at around 1 yr of age but with an abnormal gait and continued to do so till 4 yrs of age though he was required to be made to stand(he was unable to get up on his own). Since 4 yrs age he is unable to walk without support, requires support and splints and knee cage to walk i.e progressive weakness involving the lower limbs. He has normal IQ, no h/o seizures. His investigations are 1)lactate, pyruvate, CPK all normal. 2) SMN and NAIP gene no deletions seen(Bombay hospital) 3)muscle biopsy(NIMHANS) S/O retarded maturation/arrest of the muscle fibers and compensatory change in the adjacent ones- SMA II 4) EMG NCV(Hinduja hosp) e/o diffuse motor axonopathy probably at the level of peripheral nerve. 5)ANA negative 6)Immunoglobulins normal. 7)Anti glycolipid antibody(Scotland)- normal 8)Hexosaminidase(KEM hosp)- normal. 9)heavy metals lead arsenic thallium and mercury all normal. 10)SMN 1 gene(sir gangaram hospital) no deletions seen on examination- there is no hypertrophy of the muscles. Fasciculation is seen in the tongue. Reflexes in the lower limbs are absent. What could be the diagnosis? Is it possible to have sma despite the SMN gene being normal? Dr. sachin damke. Check Out the Answer
Question Category : Neurological problems
A seven year old girl child born of consanguineous parents was brought with complains of difficulty in walking and frequently falls. she started walking at 1 year of age and later use to fall while walking. The severity of falling has increased over 4 years, now she complains of frequent falls and achieved toe walking as compensation to prevent falling down. Mother has noticed that toe walking has increased recently. no history of seizures. Her mental development is normal on examination lower limb reflexes are exaggerated with clonus and also lower limbs are showing spasticity and on walking there is toe walking reports awaited. Please suggest possible differential diagnosis thanking you. Check Out the Answer
Question Category : Neurological problems
A 11 month old male child comes with low grade fever, cold and cough with outdrawing of the lip left side of face specially on crying with incomplete closure of left eye lid typical of bell's palsy. His general condition was good, feeding well milestones normal, no congenital deformity such co.since 3-4days.had no.cough, cold. what is the etiology. Check Out the Answer
Question Category : Neurological problems
A 7 year old female came with fever since 5 days, vomiting 2 days and altered sensorium. She had received syp augmentin for tonsillitis. Now neck stiff+. CSF showed sugar 39, prot 108 with 10 cells 40% neutro and 60 % lympho. csf Ig G and M for TB negative and ADA levels normal. Is it pyogenic or TBM? CT shows gliotic area in it temporal lobe with suitable hydroceph in contrast studies. Check Out the Answer

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