Children with Acute Neurological Emergency

Background: The following study is about the clinical profile and outcome of patients with acute non traumatic paraparesis. It includes the aetiology, clinical presentation and the outcome of various cases of acute non traumatic paraparesis. Paraplegia or paraparesis could be defined as loss of function of both legs as a result of disease or injury of the spinal cord, spinal roots, peripheral nerves or myopathies. Acute non-traumatic paraparesis is a neurological emergency. Reversible causes of acute paraplegia can be treated successfully if diagnosed early.Methods: The observational study was done in the department of general medicine at D. Y. Patil Hospital, Navi Mumbai with sample size of 75 patients over 1 year.Results: With early diagnosis prognosis of acute non traumatic paraparesis can be improved which was evaluated over period of 3 months.Conclusions: Acute non-traumatic paraparesis is a neurological emergency. Reversible causes of acute paraplegia can be treated successfully if diagnosed early. It is important to diagnose and classify all cases into compressive and non-compressive lesions based on presenting symptoms because the management of the two differs.

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Aortic Dissection Presenting as a Neurological Emergency

Journal of the Royal Society of Medicine ◽

10.1177/014107689608900509 ◽

1996 ◽

Vol 89 (5) ◽

pp. 271-272 ◽

Cited By ~ 4

Author(s):

P Garrard ◽

D Barnes

Keyword(s):

Aortic Dissection ◽

Neurological Emergency

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Transient Ischemic Attack

10.4018/978-1-7998-7433-1.ch010 ◽

2022 ◽

pp. 157-169

Author(s):

Murat Guntel

Keyword(s):

Blood Pressure ◽

Ischemic Stroke ◽

Early Diagnosis ◽

Transient Ischemic Attack ◽

The Other ◽

Pressure Regulation ◽

Dietary Recommendations ◽

Neurological Emergency ◽

Acute Infarction ◽

Ischemic Attack

The transient ischemic attack is a neurological emergency which is a clinical view of focal cerebral, retinal, or spinal dysfunction that lasts less than an hour, without any detectable acute infarction in neurological imaging methods. TIA is a serious warning for ischemic stroke, and this risk is particularly high in the first 48 hours. Following TIAs, approximately 10-15% of patients undergo stroke in 90 days and about half of these patients suffer a stroke in the first two days. Neuroimaging and laboratory studies should be performed quickly to reveal the etiology and to reduce the risk of stroke that may develop in patients present with TIA. Therapeutic and preventive interventions should be started as soon as possible. With early diagnosis and treatment, the risk of a 90-day stroke in these patients can be reduced by 80%. In addition to antiplatelet and anticoagulant treatments, aggressive control of blood pressure, regulation of blood sugar, statin, dietary recommendations, exercise, and managing the other underlying specific conditions should be started quickly.

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