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Rakesh Kumar, Puja Bhagat Department of Pediatrics, Katihar Medical College, Katihar, Bihar, India ...

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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 coming with the complain with 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 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.pt 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,with sudden onset of rt foot drop with absolutely normal physical examination.Causes? approach? 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 brought with bulging anterior fontanell 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 h/o drug intake. no h/o fever,no h/o 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 mch having headache,vomiting off & on ,inv. incl ct normal,rule 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 to make difference clinically between flexor spasm and an attack of myoclonic fit as both present with sudden jerky movement plus shouting & crying in pt. with mild C.p....? Check Out the Answer
Question Category : Neurological problems
We have a child now 5 yrs age. 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
Seven year old girl child born of consangenous parents brought with complains of difficulty in walking and frequent falls. she started walking at 1 year of age later use to fall while walking the severity of falling has increased over 4 years now she complain of frequent falls and achieved toe walking as compensation to prevent being fell 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 Balle's palsy.his general condition was good feeding well.milestones normal no congenital deformity .such co.since 3-4days.had ho.coughcold.whatisthe Aietiology. Check Out the Answer
Question Category : Neurological problems
A 7 year old female came with fever since 5 days, vomiting 2 days, 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 neg 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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