Acute encephalopathy in a healthy 6-year-old

Acute Necrotizing Encephalopathy of Childhood [ANEC] is a rare complication of post-infectious encephalopathy

We report a six-year-old girl who presented to the emergency department with history of headache, seizure and rapid deterioration in the consciousness level, preceded by a history of upper respiratory viral infection

The neuroradiological images revealed extensive thalamic lesions bilaterally, suggestive of ANEC

The patient was treated with IV pulse steroid therapy, and the outcome was full recovery of the clinical condition

thirteen-year-old boy with undiagnosed congenital heart disease presented with brain abscess

Tetralogy of Fallot is the most common form of cyanotic heart disease and it is associated with intracerebral abscess in childhood. We report a thirteen-year-old boy with undiagnosed cyanotic heart disease who presented to the emergency department with history of fever, vomiting, headache and left sided body weakness. The neuroradiological images were suggestive of brain abscess and echocardiogram confirmed the diagnosis of Tetralogy of Fallot. An emergency craniotomy and brain abscess drainage was done and the patient showed a complete recovery of his clinical symptoms

Four months old baby boy with descending paralysis

Food-borne infantile botulism is associated with symptoms of cranial nerve palsies and descending paralysis in infants especially in the first six months of age. We report a four months old boy, who presented to our clinic with history of reduced activity, poor feeding and constipation. The serological and microbiological tests were negative for botulinum toxin but the neurophysiological study was highly suggestive of infantile botulism. The clinical condition showed gradual improvement with supportive therapy