scholarly journals Unusual Case of Head Injury Presented with Brain Gliomas

2021 ◽  
pp. 88-92
Author(s):  
Varsha Gajbhiye ◽  
Shubhangi Patil (Ganvir) ◽  
Sarika Gaikwad ◽  
Sushma Myadam
Keyword(s):  
Head Injury ◽  
Unusual Case ◽  
Female Child ◽  
Assisted Ventilation ◽  
Facial Weakness ◽  
Us History ◽  
Horizontal Gaze ◽  
Plantar Reflex ◽  
Brain Gliomas ◽  
Tendon Reflexes

Seven years female child came with parents who gave us history that 1month back, child   during playing had fall on face and lost consciousness which remained for 30 min followed by convulsion. On examination patient was conscious, responds to command, vitals were stable, aphasia was present, pupils were equal and reactive to light bilaterally and horizontal gaze was restricted.  There was no facial weakness, Tone increase more in left upper and lower limb .Deep tendon reflexes (DTR) increase in left side.  Plantar reflex were extensors. MRI was done which shows intra axial space occupying lesion in brainstem with expansion of brainstem with hydrocephalus. Pt was inoperable and ventriculoperitoneal shunt was done for hydrocephalus. Post operatively patient was kept on assisted ventilation. Conclusion: Unusual presentation of brainstem gliomas as head injury.

Clinical Presentations, Diagnostic Criteria, and Lab Testing

2017 ◽  
Author(s):  
Nimish J Thakore ◽  
Erik P Pioro
Keyword(s):  
Motor Neuron ◽  
Simultaneous Presence ◽  
Facial Weakness ◽  
Spinal Level ◽  
Free Survival ◽  
Motor Activation ◽  
Clinical Presentations ◽  
Tongue Movements ◽  
Lateral Sclerosis ◽  
Tendon Reflexes

Amyotrophic lateral sclerosis (ALS) is the protypical motor neuron disease, which is characterized by the simultaneous presence of upper motor neuron (UMN) and lower motor neuron (LMN) signs in the same extremity or in the cranial-bulbar region. UMN signs at spinal levels include spasticity, slowness of motor activation, hyperactive deep tendon reflexes and extensor plantar responses, whereas UMN signs at the cranial level include spastic dysarthia (slow, labored, nasal); slowness of tongue movements, and hyperactive jaw, gag, and facial reflexes. LMN signs at the spinal level include muscle atrophy, fasciculations, and weakness and LMN signs at the cranial level include tongue atrophy and weakness, facial weakness, tongue and facial fasciculations, palatal weakness, weak cough, and dysphonia. ALA is fatal in 2 to 4 years, and the only medication known to prolong tracheostomy-free survival

scholarly journals An Early Presentation of a Genomic Variant of Mucopolysaccharidoses II in a Female Newborn Baby

2018 ◽  
Vol 38 (3) ◽  
pp. 190-192
Author(s):  
Ritesh ◽  
Harsh Mohinder Singh
Keyword(s):  
Missense Mutation ◽  
Sanger Sequencing ◽  
Unusual Case ◽  
Genetic Disorder ◽  
Female Child ◽  
Newborn Period ◽  
Early Presentation ◽  
Heterozygous Variant ◽  
Genomic Variant ◽  
Gene Alterations

Mucopolysaccharidoses II is a X-linked genetic disorder caused by the deficiency of lysosomal enzyme Iduronate sulfate sulfatase due to mutations of Iduronate 2-sulfatase (IDS) gene which results in accumulation of intralysosomal glycosaminoglycan. X inactivation and gene alterations are known to cause this entity in a female child. We report an unusual case of missense mutation of IDS gene in heterozygous variant with dominant expression in a female neonate presented in early newborn period with incurable severity. X- linked recessive (heterozygous) missense mutation of Exon 8 in IDS gene confirmed a case of Mucopolysaccharidoses II by Sanger sequencing.

An unusual case of penetrating head injury with excellent recovery

1981 ◽  
Vol 15 (5) ◽  
pp. 369-371 ◽  
Author(s):  
James L. Stone ◽  
Mohamad H.S. Rifai ◽  
Robert A. Moody
Keyword(s):  
Head Injury ◽  
Unusual Case ◽  
Penetrating Head Injury

scholarly journals An Unusual Case of Dengue Fever with Necrotising Pneumonia

2020 ◽  
Author(s):  
Nazeem Fathima ◽  
Balamma Sujatha ◽  
Shami RP Kumar ◽  
S Rajesh
Keyword(s):  
Computed Tomography ◽  
Pleural Effusion ◽  
High Resolution ◽  
Dengue Fever ◽  
Respiratory Symptoms ◽  
Unusual Case ◽  
Left Lung ◽  
Female Child ◽  
High Resolution Computed Tomography ◽  
Thin Walled

Concurrent bacteremia in patients with dengue fever is rarely reported. Two and a half-year-old female child with fever, cough and cold for six days presented to Emergency Room (ER) with tachypnea, tachycardia and hepatomegaly. Investigations revealed dengue fever. Respiratory symptoms probed us to investigate the case further. High-Resolution Computed Tomography (HRCT) thorax showed moderate pleural effusion with collapse consolidation of left lung and a thin walled cavity with septations and fluid in left upper lobe. Child was treated with injection meropenem and vancomycin successfully.

Complex HCP as Sequelae of Severe TBI Case Presentation

2017 ◽  
Vol 2 (4) ◽  
Keyword(s):  
Head Injury ◽  
Cyst Formation ◽  
Female Child ◽  
Normal Activity ◽  
Deep Coma ◽  
Shunt Failure ◽  
Vp Shunt ◽  
Short Period ◽  
Conscious Level ◽  
Ct Brain

Background: Post head injury HCP is not uncommon, its incidence up to 15% among all patients with TBI. The communicating type is more common in TBI than the noncommunicating type. In spite of being treatable sequelae of TBI but it may be complex one. Purpose: to report a case of complex hydrocephalus post sever TBI. Methods: Female child 6ys old presented at ER, after RTA 6months ago. GCS 7∕15, post traumatic epilepsy initial CT; brain edema. She suffering chest problems when she off MV and chest improved, CT brain; show HCP with Rt frontal hygroma, neurologically she has repeated fits and GCS 10∕15, conservative treatment. Not controlled follow up CT; disappeared hygroma and increased HCP. VP shunt inserted followed by immediate improvement. After discharge she get infection, readmitted managed conservatively , fever subside but conscious level not improved and fits not controlled , she developed distal shunt failure and CSF peritoneal pesudocyst. Distal revision was done followed by short period of improvement, then distal shunt failure and reformation of CSF peritoneal pesudocyst occurred. Lastly VA shunt was done followed by stabilization of the case improved conscious level and controlled fits and return normal activity. Results: the patient show neurological recovery from deep coma after proper management of post head injury HCP, and diversion to VA shunt instead VP shunt. Conclusion: Post head injury HCP possible cause of persistent altered neurological status. It's important to differentiating posttraumatic atrophy from posttraumatic hydrocephalus, and this need meticulous estimation of both radiological and clinical findings. Papilledema not always indicator of increased ICP.VA shunt is possible diversion with peritoneal CSF cyst formation.

Penetrating Head Injury from a Pedestal Fan Rotor Blade in a Child – An Unusual Case

2006 ◽  
Vol 42 (6) ◽  
pp. 391-394 ◽  
Author(s):  
Arun Kumar ◽  
Hukum Singh ◽  
Karam Chand Sharma
Keyword(s):  
Head Injury ◽  
Rotor Blade ◽  
Unusual Case ◽  
Penetrating Head Injury
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