Presentation
We present a 6-month-old male infant who presented to our emergency room with acute left-sided limb weakness and head lag 3 days after a febrile upper respiratory tract infection. [smj.org.sa]
Presents a consistent chapter organization that delivers all the content you need in a logical, practical manner. Presents a new co-editor, Thomas D. [books.google.it]
Patient presented with poor oral hygiene [Figures 4 and 5 ]. [ncbi.nlm.nih.gov]
Immune System
- Cervical Lymphadenopathy
Infections of the ears, nose, throat and paranasal sinuses often have an associated cervical lymphadenopathy. [kundoc.com]
Entire Body System
- Dentist
This system helps physicians, medical students, dentists, nurses, pharmacists, and allied health professionals identify education deficits and learn new concepts. [statpearls.com]
The main purpose of this article is to provide valuable information to pediatric dentists about the review and treatment alternatives for patients with infantile hemiplegia. [ncbi.nlm.nih.gov]
- Cyanotic Congenital Heart Disease
Cardiac Disease. Cyanotic congenital heart disease is often complicated by cerebral thrombosis, and usually occurs in children less than 2 years of age. [kundoc.com]
- Lymphadenopathy
Infections of the ears, nose, throat and paranasal sinuses often have an associated cervical lymphadenopathy. [kundoc.com]
Respiratoric
- Sputum
In 12 to 48 hours after a long bone fracture, the child presents with fever, respiratory distress and blood-tinged sputum. A few hours later, neurological manifestations develop, which may include hemiplegia. [kundoc.com]
Jaw & Teeth
- Macroglossia
Macroglossia was also noticed. Patient presented with poor oral hygiene [Figures 4 and 5 ]. [ncbi.nlm.nih.gov]
- Poor Oral Hygiene
Patient presented with poor oral hygiene [Figures 4 and 5 ]. [ncbi.nlm.nih.gov]
Musculoskeletal
- Muscle Swelling
The swelling in the muscle fiber shows the same clinical presentation, as a muscular hypertension. The neurologists confuse the notions because of lack of knowledge about the muscle swelling in muscle cells. [klinikanikonova.com]
- Shoulder Swelling
My opinion: muscle cells of the neck muscles, collar zone, back, and shoulders swell with each passing month more and more. That is why the muscles can stretch less and less. [klinikanikonova.com]
Psychiatrical
- Anger
They also suffer from behaviour issues; anger issues, cognitive function governed by that side of brain gets affected. Sometimes the hand and/or leg of affected side might be short in length compared to normal limb. [prernanayak.blogspot.com]
[…] seeing including blurred vision - having trouble maintaining bladder control - Bowel continence - having diminished sensation of pain, temperature or touch - Confusion, loss of memory or lack of concentration - Mood alterations including frustration, anger [web.archive.org]
Neurologic
- Dysphasia
LL: flexor > extensor. deep reflexes : lost. no plantar reflex - sensory system: hemi anaesthesia mb present - speech: +- aphasia or dysphasia ( if the dominant hemisphere is affected) & ( the pt is concious) - cranial nerve:. conjugAte deviation of the [quizlet.com]
There also appeared to be a reduced verbal ability, with mild dysphasia. [ncbi.nlm.nih.gov]
- Tantrums
As per the behavior assessment of the child was concerned, the patient rated to have Frankel's positive scale with outbursts of severe temper tantrums. Intra-oral examination The patient presented with mixed dentition status. [ncbi.nlm.nih.gov]
- Tonic Posturing
Startle epilepsy is provoked by unexpected sensory stimuli, mainly auditory, and reveals subsequent tonic posturing of the limbs. [ncbi.nlm.nih.gov]
- Drop Attacks
These attacks occasionally caused the patients to drop to the floor, and mild-to-moderate injuries had been sustained; they were resistant to all currently available AEDs. [ncbi.nlm.nih.gov]
The seizures may become generalised and evolve into other types of seizures, such as atonic seizures ‘drop attacks’, myoclonic seizures or infantile spasms. The seizures are often very frequent and prolonged seizures may happen. [epilepsy.org.uk]
- Rabies
Postvaccinal complications may result from immunization against smallpox, rabies and pertussis. Bacterial meningitis may be complicated by cortical vascular thromboses with a predilection for one heInisphere. [kundoc.com]
Workup
A metabolic workup was normal and stool culture for poliovirus was negative. [smj.org.sa]
EEG
- Focal Spikes
Paroxysmal discharges may consist of diffuse generalized high-voltage activity to focal spike discharges, commonly localized to the temporal or temporoparietal region of the involved hemisphere. RadiologiC studies often have diagnostic significance. [kundoc.com]
Jugular Venous Pressure
- Prominent A-Wave
In such cases the hemiparesis is more insidious in onset; there may be evidence of increased intracranial pressure, and the electroencephalogram often shows a prominent slow wave focus over the abscess. [kundoc.com]
Treatment
Finally a theoretical foundation of the synkinetic treatment is offered. [journals.co.za]
If you do decide to use any such treatment, discuss this with your physician first. There have been instances where more harm has been caused from these treatments, plus they are also expensive. [web.archive.org]
Offers practical, clinically relevant material for the diagnosis and treatment of musculoskeletal conditions. [books.google.it]
No cognitive impairment and shall cooperate with treatment. [pediatricneurosciences.com]
Prognosis
Because of its sensitivity, noninvasiveness, and accurate reflection of the cerebral blood flow distribution, 123I-IMP-SPECT is useful in the examination of acute infantile hemiplegia and in the evaluation of prognosis. [ncbi.nlm.nih.gov]
Prognosis .—As regards life, the prognosis is good, though mental impairment and some degree of paralysis remain. Aphasia is rarely ever permanent. Treatment . [henriettes-herb.com]
This patient also typifies the poor prognosis in infants presenting with acute hemiplegia, fever, and convulsions in the absence of cerebrovascular occlusion. © 1977 by the American Academy of Neurology AAN Members: Sign in with your AAN member credentials [neurology.org]
Etiology
Both sexes are equally affected when all etiologic factors are considered or when no obvious etiology can be delineated. Birth and Family History. [kundoc.com]
Ford FR, Schaffer AS: The etiology of infantile acquire hemiplegia. Arch Neurol Psychiat 18 : 323, 1927 Google Scholar 7. Perlstein MA, Hood PN: Etiology of postneonatally acquired cerebral palsy. JAMA 188 : 850, 1964 PubMed Google Scholar 8. [link.springer.com]
Serial cerebrospinal fluid viral cultures were necessary to isolate the etiologic agent (tcoxsackie A9). [ncbi.nlm.nih.gov]
The infectious and traumatic groups of acquired etiologies showed no significant difference in mean I.Q. scores. [pediatrics.aappublications.org]
Epidemiology
The epidemiology of cerebral palsy: Incidence, impairments and risk factors. Disability & Rehabilitation, 28(4):183-191. 2. Steenbergen, B, Gordon ,A.M. (2006). [cpnet.canchild.ca]
Cerebral palsy epidemiology: where are we now and where are we going? Pagina 61 - Tactile control of isometric fingertip forces during grasping in children with cerebral palsy. [books.google.ro]
Epidemiology Benign paroxysmal vertigo of childhood, sometimes considered a migraine variant, generally presents in toddlers. Acute confusional migraine generally presents in the elementary school years. [emedicine.medscape.com]
Summary Epidemiology Annual incidence is estimated at 0.9/100,000 newborns. Clinical description Onset occurs before 18 months of age. [orpha.net]
Pathophysiology
Disease Posterior Subthalamic Targets 1671 Motor Cortex Stimulation for Parkinsons Disease 1679 Tissue Transplantation for Parkinsons Disease 1691 Gene Transfer for Parkinsons Disease 1719 Intraparenchymal Drug Delivery for Parkinsons Disease 1731 1730 Pathophysiology [books.google.com]
Etiology Although the exact pathophysiological mechanism of AHC remains unclear, de novo heterozygous mutations in the ATP1A3 (19q13.2) gene, encoding a subunit of the Na+/K+ ATPase pump, have been implicated as causative for the majority of screened [orpha.net]
Pathophysiology and Etiology Although migraine and variants of migraine have long been assumed to have a vascular etiology, increasing evidence points to underlying primary neurologic causes. Some forms of migraine are genetic. [emedicine.medscape.com]
This work identifies de novo ATP1A3 mutations as the primary cause of AHC and offers insight into disease pathophysiology by expanding the spectrum of phenotypes associated with mutations in ATP1A3. [nature.com]
Thus, even as our understanding of the genetics and pathophysiology of AHC increases, there is a continued need for comprehensive longitudinal natural history studies of AHC. [journals.plos.org]
Prevention
These individuals may need a special bed to help prevent pressure sores and assist in upper body using arm bars. [web.archive.org]
The treatment performed was rehabilitation with oral prophylaxis and extractions of root stumps followed by thorough preventive regimen with periodic check-ups. [ncbi.nlm.nih.gov]