Journal of Pediatric Neurology - Volume 9, issue 4 - Journals

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Cerebral sinovenous thrombosis in a child in remission from steroid sensitive nephrotic syndrome

Authors: Udani, Amish | Vijayakumar, Mahalingam | Prahlad, Nageswaran | Mahesh, Narayanan

Article Type: Research Article

Abstract: A 3-year-old male child with steroid sensitive nephrotic syndrome under remission after daily dose of steroids for relapse and on alternate day steroids developed cerebral venous thrombosis and was treated successfully. Inherited prothrombotic risk factors were evaluated and were normal. Child is kept on anticoagulation therapy and is under follow-up.

Keywords: Cerebral venous thrombosis, inherited prothrombotic risk factors, steroid sensitive nephrotic syndrome, remission

DOI: 10.3233/JPN-2012-0518

Citation: Journal of Pediatric Neurology, vol. 9, no. 4, pp. 489-492, 2011

Price: EUR 27.50

Congenital myotonic dystrophy: Detrusor muscle involvement in a child

Authors: Mundada, Vivek B. | Hildebrandt, Torsten

Article Type: Research Article

Abstract: We report a child with congenital myotonic dystrophy who presented at the age of 28 mo with marked smooth muscle involvement of the urinary tract in the form of myotonia of detrusor muscle. Congenital myotonic dystrophy is a multi-system disorder affecting skeletal, smooth and cardiac muscles. Smooth muscle involvement predominantly affects the gastrointestinal tract. Involvement of the urogenital smooth muscles causing disturbances of micturition are extremely rare and has so far only reported in adult cases. …There is little published on the effects of myotonia on the detrusor muscle affecting micturition. The involvement of the urinary system in the previously published cases was based upon history of symptoms alone and flowmetry, cystometry, and/or sphincter electromyography were normal in them. To our knowledge there have been no previous reports of CDM1 causing renal tract involvement with abnormal bladder function leading to hydronephrosis in children. Show more

Keywords: Congenital myotonic dystrophy, smooth muscles, urinary tract pathology

DOI: 10.3233/JPN-2012-0513

Citation: Journal of Pediatric Neurology, vol. 9, no. 4, pp. 493-495, 2011

Price: EUR 27.50

Thrombolysis with rt-PA for an ischemic stroke in boy treated with Fontan operation

Article Type: Research Article

Abstract: We first report the case of a 14-year-old boy, previously treated with a modified Fontan operation at the age of 2, who underwent an intra-arterial thrombolysis for an ischemic stroke with a favorable outcome. No controlled randomized trials on thrombolysis among childhood stroke have been conducted yet. This and other similar cases suggest that thrombolysis may also be safe and beneficial in pediatric patients and those cases may benefit from a prompt access to specialized stroke …centers. Show more

Keywords: Ischemic stroke, Fontan operation, thrombolysis, recombinant tissue plasminogen activator

DOI: 10.3233/JPN-2012-0516

Citation: Journal of Pediatric Neurology, vol. 9, no. 4, pp. 497-500, 2011

Price: EUR 27.50

An unusual case of bilateral reversible blindness in a child: Crucial role of imaging

Authors: Rohilla, Seema | Yadav, Rohtas K. | Rawal, Manoj | Das, Kunal | Dhaulakhandi, Dhara B.

Article Type: Research Article

Abstract: Sphenoid sinusitis is an unusual cause of blindness and may go undetected if the sinusitis is otherwise asymptomatic. Radiological studies can play a very crucial role in the diagnosis of such cases. Here we present one such case where radiologic diagnosis was critical to determining the treatment plan. A 12-year-boy developed sudden blindness and right sided hemiparesis one week after the episode of fever. Imaging studies attributed his symptoms to acute sphenoiditis and thrombus in cerebral …veins. Early institution of proper medical treatment based on correct radiological diagnosis led to reversal of his symptoms within two days. Show more

Keywords: Acute sphenoiditis, reversible visual loss, cerebral venous thrombosis

DOI: 10.3233/JPN-2012-0512

Citation: Journal of Pediatric Neurology, vol. 9, no. 4, pp. 501-504, 2011

Price: EUR 27.50