ABSTRACT
Basal ganglia stroke secondary to mineralizing angiopathy of lenticulostriate arteries is a well-recognized clinical entity following minor head trauma in children. Recurrences are uncommon, and the majority of these recurrences occur within a few months of initial insult. We report a 2-year-old boy who developed recurrence of basal ganglia stroke after a latency of 18 months from the time of first unrecognized insult at 6 months of age. The case brings forth the need to recognize the condition of basal ganglia stroke secondary to mineralizing angiopathy considering the risk of recurrence to occur as far as 18 months after the first stroke.
Subject(s)
Basal Ganglia Cerebrovascular Disease/complications , Basal Ganglia Diseases/complications , Basal Ganglia/blood supply , Brain Injuries/complications , Brain Ischemia/complications , Cerebral Hemorrhage/complications , Craniocerebral Trauma/complications , Stroke/complications , Stroke/etiology , Vascular Calcification/complications , Basal Ganglia Diseases/diagnostic imaging , Calcinosis/diagnostic imaging , Child, Preschool , Craniocerebral Trauma/diagnostic imaging , Humans , Male , Stroke/diagnostic imagingABSTRACT
Cardiac rhythm abnormalities, including ventricular arrhythmia, atrial fibrillation and atrioventricular block, have been observed during the acute stage of dengue haemorrhagic fever. Atrioventricular or complete heart block can be fatal and may require a temporary pacemaker. We report a ten-year-old girl who presented with dengue haemorrhagic fever with sinoatrial block and atrioventricular dissociation that had a spontaneous resolution.
Subject(s)
Atrioventricular Node/abnormalities , Dengue/physiopathology , Sinoatrial Block/complications , Sinoatrial Block/therapy , Sinoatrial Node/abnormalities , Atrial Fibrillation/physiopathology , Bradycardia/physiopathology , Child , Dengue/complications , Electrocardiography/methods , Female , Heart Block/physiopathology , Humans , Treatment OutcomeABSTRACT
Intraspinal dermoids are uncommon tumours of childhood. They usually present with paraplegia, and bowel and bladder disturbances but rarely with meningeal signs. We report a 3-year-old boy with an intradural dermoid who presented with meningeal signs and masqueraded as pyogenic meningitis.
Subject(s)
Dermoid Cyst/diagnosis , Dura Mater , Meningitis, Bacterial/diagnosis , Spinal Cord Neoplasms/diagnosis , Child, Preschool , Diagnosis, Differential , Humans , Magnetic Resonance Imaging , MaleABSTRACT
Enteric fever is associated with a variety of clinical presentations and complications. Although central nervous system involvement is not uncommon in enteric fever, acute cerebellar ataxia as a presenting feature is rare. A 7-year-old boy with enteric fever who presented with acute cerebellar ataxia is reported.
