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Neurology
A 30 month old child with changed sensorium
1 Department of Paediatrics, Leicester Royal Infirmary, University Hospitals of Leicester NHS trust, Leicester, UK
2 Department of Paediatric Neurology, Leicester Royal Infirmary
Correspondence to:
Correspondence to:
Dr A V Sridhar
Department of Child Health, Robert Kilpatrick Clinical Sciences Building, Leicester Royal Infirmary, Leicester LE2 7LX, UK; sa135@le.ac.uk
Accepted 22 September 2004
Answers on p e10
| The first 150 words of the full text of this article appear below. |
A 30 month old developmentally normal boy presented to the paediatric admissions unit, with low grade fever and lethargy for two days and progressive deterioration in sensorium over 12 hours. He had an upper respiratory tract infection a week before these symptoms. At admission he was hypotensive and required two boluses of 0.9% saline to improve his circulatory status. He had a GCS of 9/15, no meningeal signs, decreased tone in all four limbs, brisk deep tendon reflexes, and upgoing plantar reflexes. He also had blurring of both disc margins. He was initially diagnosed with viral meningoencephalitis and was treated with intravenous ceftriaxone and intravenous acyclovir. He developed a right sided upper motor neurone seventh nerve palsy on day 7. He made a complete neurological recovery after treatment, and at six months’ follow up, he remains neurologically stable.
The results of investigations were as follows. His full blood count
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A 30 month old child with changed sensorium
Postgrad. Med. J. 2005 81: e10.[Extract] [Full Text] [PDF]
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