Discussions By Condition: I cannot get a diagnosis.

Critical condition: cause undiagnosed

Posted In: I cannot get a diagnosis. 0 Replies
  • Posted By: Anonymous
  • November 11, 2009
  • 00:09 PM

Kohinoor Chowdhury born on 26/03/2008 under cesarean operation without any sign of abnormality.
At 15 month age on 15.7.09 she was admitted on with sudden onset of generalized tonic clonic convulsion for 1 hour without any precipitating event. The Child had to be ultimately incubated under general anesthesia & ventilated to control the seizures. Artificial ventilation was weaned gradually over next 48 hours.
MRI had shown delayed myelination. But there is no h/o previous seizure.
EEG done after 2 Weeks was suggestive of seizure disorder.
The Child was readmitted on 02/08/09 with frank partial seizures without any precipitating event despite being on Valprin (25 mg/kg/day).Leviteracitam (25mg/kg/day) &&& weaning dose of Phenytoin. This episode was controlled with injection Lorazepam and injection Phenytoin.
She was regressing in all her developmental milestones (e.g loss oh head control, speech), progressively losing her vision for which cortical blindness was opined.
She was again admitted third time on on 01/09/09 with further episode
of partial seizure but was controlled only by pre rectal Juniz given
by family by the time she reached hospital. However her neurological
status remains unchanged with generalized hypotania, brisk deep tendon
reflexes, loss of developmental skills, visual inattention, pooling of
secretions in the throat and hepatomegaly.
She has again been admitted on 5.11.09 when she stopped breathing and is in Intensive Care Unit since then on ventilator.
The Doctors have been unable to find the actual problem and disease in the brain. Chest is infected with pneumonia.
We had lost all hope but then she has miraculously started reviving and has even opened her eyes.
No convulsions have been observed during this period. She is still on ventilator.We are completely in the dark.
Please help.
Thanks

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