5 years 11 months old female child, 2nd issue of non-consanguinous marriage was brought with complaints of
Fever since 2 days
Multiple episodes of generalised tonic posturing since previous evening
History of decreased urine output and decreased oral intake
On Examination:
GCS: 10/15 E2V3M5
Intermittently posturing
Heart rate: 132/min
Respiratory rate: 20/min
Blood Pressure: 132/82mmHg, Peripheral pulses: feeble
Extremities: Cold
SpO2: 88% on room air, 98% on Oxygen by mask
BSL: 54mg/dl
Pupils: bilaterally reacting equally to light CNS: Intermittently posturing, Tone- increased
Reflexes: Brisk Rest Systemic Examination: Within Normal Limits
Investigations:
Hemogram- normal
Serum electrolytes- normal
Since GCS remained poor, she was intubated and shifted for MRI Brain with Contrast Provisional Diagnosis: Status Epilepticus with encephalopathy with shock with raised intracranial pressures
XVIII ANNUAL NATIONAL CONFERENCE OF ISPR 2020