Post-traumatic epilepsy (PTE) results from injury to the brain and presents as a recurrent seizure disorder. 1 this injury may be due to traumatic brain injury (TBI) or to an operation on the brain. Here we discuss a case of a 3 year old male child who presented with left sided deviation of the neck along with frothing from the mouth and a staring gaze. The child had a history of penetrating injury 6 months back with a metal rod which entered through the frontal bone after he fell on a railway track. At that time, the rod was removed followed by a CT scan and no major intervention was done.
Megaloencephalic leucoencephalopathy with subcortical cysts (MLC) (Van Der Knaap Disease) is an entity of neurodegenerative disease characterized by infantile-onset megalencephaly, cerebral leukoencephalopathy, and a delayed on set of slowly progressive neurologic dysfunction. MLC is distinguished from other leucoencephalopathies by its remarkably slow course of neurologic deterioration. Infantile onset macrocephaly is characteristic. Age of onset varies from birth to 25 years, with median age of 6 months. [1] We report a case of 23 months old male child with a history of fall followed by an episode of seizure and vomiting. The patient underwent a non-contrast CT scan that showed prominent bilateral cortical hypodense white matter. Further imaging with MRI was indicated to rule out white matter disease.
Thirty-seven patients underwent cholecystectomy without intraoperative cholangiography. Patients were selected using clinical and investigatory parameters. One patient had a negative common bile duct exploration. During the follow-up period of 2 1/2-3 1/2 years, all patients remained symptomatically and sonologically free of stones.
ADPKD is the most common of the hereditary diseases (1:1000). It is a systemic hereditary disorder that is characterized by cyst formation in ductal organs, particularly the kidney and liver, gastrointestinal, cardiovascular and musculoskeletal abnormalities. 1 We present a case of a 55-year-old female with ADPKD. PKD is characterised by the presence of multiple cysts (Hence, "polycystic") typically in both kidneys; however, 17% of cases initially present with observable disease in one kidney with most cases progressing to bilateral disease in adulthood. 2 It is the most common hereditary cause of End-Stage Renal Failure (ESRF). 3 It accounts for 4-10% of all cases of ESRF. 3
Intracranial hemorrhage (ICH) in children with hemophilia is not a commonly occurring event. Retrospective studies performed estimate the incidence of ICH to be 3.4%-4.0%. Signs of ICH in children clinically are difficult to assess and often result in a delay in the diagnosis. The timely diagnosis of ICH is critical for the early and intensive factor replacement therapy that the patient needs. We report a case of ICH in a child with severe hemophilia A with no family history.
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