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Question |
A 6year old Hindu male boy, a product of non consanguineous marriage, home del uneventful postnatal period, Ht:- 98 cm/ Wt:- 13 ½ Kg. presented with History and features of sudden tonic extension of neck with occasional upward gaze, duration- fraction of a second to 2 sec. several times/day. O/E no neuro deficit detected during attack. Consciousness preserved. No H/O passage urine or stool during attack. No F/H/O epilepsy or stroke. BP of the child - 97/69 mm of Hg. EEG reveals and interpreted by an adult neurologist - drug induced (pedichloryl) sleep record shows diffuse slowing mixed with fast beta activity. There is spike and slow wave pattern with lots of artifacts. Please help me in arriving at a diagnosis and treatment protocol.pt. is very poor and can not afford ct scan. Dr. Binayak Roy.
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Answer |
Rule out epelepsy, SOL and dystonia. An MRI may be needed in addition to EEG.
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