Neuropsychiatric manifestations of typhoid fever.

Various neuropsychiatric syndromes in typhoid fever were seen in nine patients of multiple drug resistant (both in vitro and in vivo) Salmonella typhi infection of a total of 270 suspected cases in the last two years. All but one patient received oral norfloxacin (400 mg 12 hourly) for two weeks with complete recovery, while the other patient died. Bacteremia and toxemia seem to be the only common factor responsible for neuropsychiatric complications.

Eating epilepsy.

Seventy eight cases of eating epilepsy seen from December 1982 to June 1989 are reported. Mastication of food produced seizures in 77 cases (98.72%) and swallowing in one (1.28%). Complex partial seizure was found in 76 cases (97.44%). Electroencephalogram was abnormal in 25 cases (32%).

Osteoblastoma. Cause for wry neck.

A 14 year old boy with a relatively uncommon benign osteoblastoma of C5, C6 vertebrae presenting with wry neck is described with a brief review of literature.

Myelomyopathy and thyrotoxicosis.

A thirty year female patient presented with features of thyrotoxicosis, myopathy and cervical myelopathy of one year duration. Her cervical metrizamide myelogram was normal. On antithyroid therapy muscle weakness and features of myelopathy improved over three months follow up.