ABSTRACT
Diencephalic Syndrome (DS) is also known as Russells Syndrome. This is associated with marked emaciation, locomotor hyperactivity, vomiting, and absence of obvious neurological signs and loss of subcutaneous fat. A 15-month old child who presented with hyperactivity, loss of weight and failure to thrive since bi rth is reported. On Computed Tomography he had a large supra sellar mass with extension into the third ventricle causing gross hydrocephalus. He underwent biventricular shunting followed by microscopic near total excision of the tumor. The histopathology revealed it to be fibrillary meningioma. Although DS is uncommon it must be kept as a differential diagnosis in all children who fail to grow despite adequate intake.
ABSTRACT
Seasonal hyperacute panuveitis (SHAPU), characterized by an unusual form of unilateral severe hyper acute diffused intraocular inflammation, is one of the mysterious eye diseases of which the definite cause and treatment remains yet to be tound out. In this study, a total of six cases were included. Aqueous and vitreous samples were subjected to direct microscopy and culture (bacterial or fungal). Of the six cases included, two yielded Streptococcus pneumoniae and one Acinetobactor sp. on culture. All three culture positive samples showed pus cells in direct microscopic examination (gram stain). All cases were subjected to vitrectomy and intravitreal antibiotic and steroid injection, along with oral antibiotics and steroid. Five cases were also treated with antiviral agent. After treatment four cases showed reversal of hypotony and three cases recovered some vision.