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Home / Browse Journals & Books / Journal of Pediatric Neurology and Neuroscience / Archive / Volume 5, Issue 2
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Case Report Pages 194-196
Abstract: The clinical case of an 11-year-old male patients presented, treated at the Internal Medicine Service of the Hospital Regional de Alta Especialidad del Niño Dr. Rodolfo Nieto Padrón, Tabasco for presenting weakness of the upper and lower extremities of 4 days of evolution at the time of admission, with the history that 17 days prior to the onset of weakness, he had fever and dysgeusia treated only with antipyretic. Complementary studies were carried out such as a
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Research Article Pages 190-193
Abstract: A number of reports have pointed to the apparent relationship between reduced IGF1 in pregnancies and the development of autism in the offspring. Fever due to inflammatory processes in the gravida emerges as a potential key factor in this phenomenon.
Case Report Pages 184-189
Abstract: CD59 is an inherited autosomal recessive disorder characterized by various clinical manifestations including hemolytic anemia, neurological deficit due to recurrent stroke and chronic inflammatory demyelinating polyneuropathy like picture. CD59 is a glycoprotein encoded by CD59 gene, and expressed in various body tissues. It provides protection against complement membrane attack complex. The aim of this presentation is to describe the clinical profile of a relative rare and unique condition, which has potential therapeutic approach and the diagnosis can help for genetic counseling.
Case Report Pages 175-178
Abstract: Posterior reversible encephalopathy syndrome (PRES) is a clinical syndrome associated with certain underlying conditions or medications, with a spectrum of neurologic findings and characteristic neuroimaging. We describe a case of PRES in a 3-year-old girl positive for SARS-CoV-2 with no other underlying risk factors for the development of this syndrome. We review and suggest plausible mechanisms of neurologic involvement in patients positive for SARS-CoV-2.
Case Report Pages 172-174
Abstract: ‘Spinal Cord Injury Without Neuroimaging Abnormality’ (SCIWNA) is a clinico-radiological entity characterized by clinical markers of traumatic myelopathy without neuroimaging evidence of spinal instability or fracture, which is being increasingly recognized among children with the growing application of Magnetic Resonance Imaging (MRI). A child with SCIWNA is being reported to sensitize clinicians about this entity and to highlight the key aspects that aid in its early diagnosis and effective management.
Case Report Pages 169- 171
Abstract: A patient with neurodevelopmental delay and an unremarkable prenatal and birth history presented postnatally with congenital cataracts and neuroanatomical abnormalities including periventricular calcifications, porencephaly, and cerebellar hypoplasia. Although there was initial suspicion for a TORCH infection including cytomegalovirus, further genetic testing revealed a novel COL4A1 mutation, which involves type 4 collagen alpha 1 chain, an important component of vasculature.
Research Article Pages 164-168
Abstract: Pediatric epileptic encephalopathies comprises a group of severe childhood epilepsy syndromes characterized by refractory seizures associated with progressive cerebral dysfunction, manifesting as cognitive or learning difficulties and behavioural or sensory impairments.
Research Article Pages 155-163
Abstract: The prevalence of psychosocial problems was significantly higher in the adolescents with epilepsy compared to the apparently healthy controls. Externalising problems were the most common pattern observed. No significant difference was found in the pattern of psychosocial problems between adolescents with epilepsy and apparently healthy controls. There was a significant relationship between psychosocial problems and either age
Short Report Pages 150-154
Abstract: Intellectual disability and developmental delay are common presentations encountered in pediatric clinical practice. The etiologies of these illnesses are diverse. Subtle clinical markers may act as pointers to underlying genetic etiologies in some of these conditions. Due to the increased availability of genetic tests, there is a robust role of genetic counselling in many of these conditions. However, investigations need to be judiciously advised in order to balance the anticipated gains with the expenses, more so in resource-limited settings. With this background, authors wish to report a series of cases where children had presented with various spectra of developmental delay, wherein, after clinical examination and appropriate testing, genetic diagnoses were unearthed and antenatal genetic counseling was offered.
Case Report Pages 145-149
Abstract: Coronavirus disease 2019 (COVID-19) has been associated with a variety of neurologic manifestations, including Guillain- Barré syndrome (GBS), but few pediatric cases have been reported. We would like to present a pediatric case of GBS in association with a recent COVID-19 infection that presented with an isolated clinical facial nerve palsy.
Case Report Pages 142-144
Abstract: The posterior reversible encephalopathy syndrome (PRES) is a clinico-radiological entity caused by impairment of cerebral autoregulation leading to vasogenic edema. Common etiologies include immunosuppressive drugs, autoimmune disorders and hypertension.
Case Report Pages 141-141
Abstract: A 21-year-old male with history of refractory epilepsy presented for long-term video EEG monitoring. His home antiepileptic medications were weaned off over a seven-day period. On hospital day 4, he had a right temporal electro clinical seizure with secondary generalization and a second right temporal electrographic seizure. On hospital day 8, MRI brain identified an ovoid circumscribed lesion in the splenium of the corpus callosum which had not been present on prior scans (Figure 1). This characteristic lesion is thought to be induced by a rapid reduction of antiepileptic drugs, not with toxic drug effects or seizure frequency. It requires no further investigation
Case Report Pages 140-140
Abstract: An 11-year-old Colombian female on isoniazid for recently diagnosed latent tuberculosis presented to the emergency department after a first-time, generalized tonicclonic seizure. She exhibited mild bilateral hypometria on finger-to-nose testing, lower limb ataxia on heel-to-shin testing, and dysmetria on rhythmic finger tapping. MRI brain revealed symmetric T2/FLAIR hyper intensities with diffusion restriction and apparent diffusion coefficient correlate in bilateral dentate nuclei (Figure 1A, Figure 1B, Figure 1C). It was discovered that the patient had mistakenly taken twice the prescribed dose of isoniazid for two weeks prior to presentation. Eighteen days after cessation of isoniazid, her exam returned to baseline, and MRI demonstrated resolution of the abovementioned signal changes (Figure 1D, Figure 1E, Figure 1F).
Letter to Editor Pages 138-139
Abstract: A 10.5-year-old girl presented with abnormal movements and behavioural problems for three months. Initially she used to have lip-twitching and eye-blinking when awake. After six weeks, she started having shoulder-shrugs, neck-turning, throat-clearing at a frequency of 10-20/hour, exacerbated by stress. In addition, she exhibited temper-tantrums, unprovoked crying and scholastic deterioration. She did not have unconsciousness, drop-attacks, limb weakness/tightness, bowel/bladder symptoms, fever, rash, jaundice, head-injury, toxin exposure or contributory family history. Her immunization was complete as per the National Immunization Schedule.
Case Report Pages 134-137
Abstract: The neurological complications and neuroradiological spectrum of the SARS-CoV-2 infection (COVID-19 disease) in pediatric patients are increasingly recognized, however, the pathophysiology of the central nervous system (CNS) involvement remains largely elusive. One hypothesis is that the activation of innate immunity and release of cytokines breaks down the blood brain barrier (BBB) and causes neuroinflammation. Here, I present a case of COVID-19 associated MIS-C (multisystem inflammatory syndrome
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