Indian Society of Paediatric Radiology

UPCOMING EC MEETING
Upcoming EC Meeting on 06th September 2019 at Delhi

Quiz Cases 1

(Bharati Hospital, Pune)

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


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WHAT IS YOUR DIAGNOSIS ?

ANSWER