Conservative management of Citrobacter diversus meningitis with brain abscess.
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Biomedical subjects
Publications and source records attributed to V L Atluru.
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Acquired hemiplegia in childhood is uncommon. All causes of stroke in adults should be considered in children, including atherosclerotic cerebrovascular disease even though it is rare. In addition, children suffer from many conditions that may result in stroke. Unlike adults, a cardiac illness resulting in stroke is extremely unusual in an otherwise healthy child. We report a case of a four-year-old child; he presented with the sudden onset of a right hemiplegia associated with supraventricular tachycardia. Cerebral angiography indicated a left internal carotid artery occlusion. To our knowledge this is the first reported case of childhood stroke with supraventricular tachycardia (SVT).
Ketoacidosis is one of the common complications of Type I insulin-dependent diabetes mellitus. Several neurologic (cerebral) deficiencies have been associated with diabetic ketoacidosis, including cerebral edema with increased intracranial pressure resulting in coma; partial and generalized seizures; and cerebrovascular occlusive disease resulting in motor and/or sensory dysfunction. Intracerebral hematomas have not been reported. A child is described who had insulin-dependent diabetes mellitus with hyperglycemic ketoacidosis who developed multiple spontaneous intracerebral hematomas. Possible mechanisms are discussed.
A newborn infant demonstrated prenatal, bilateral chronic subdural hematomas with recent hemorrhage, internal hydrocephalus, and macrocephaly at birth. Serial cranial ultrasound and computed tomography evaluations revealed progressive hydrocephalus and subdural hematomas. Following surgical evacuation of subdural hematomas the child developed tension pneumocephalus with clinical deterioration. The pathogenesis of congenital subdural hematoma and rare postoperative complication of tension pneumocephalus are discussed.
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