ABSTRACT
Locked-in syndrome is characterized by upper motor neuron quadriplegia, paralysis of lower cranial nerves, bilateral horizontal gaze palsy and anarthria, with preserved consciousness. It is due to a ventral pontine lesion following a basilar artery occlusion. We report the first Indian case report of locked-in syndrome, a 10-year old girl in whom the syndome was preceded by a ‘herald hemiparesis’. Although the exact etiology for the basilar artery occlusion could not be determined, treatment with low molecular weight heparin and warfarin was followed by partial recovery.
Subject(s)
Arterial Occlusive Diseases/complications , Arterial Occlusive Diseases/diagnosis , Arterial Occlusive Diseases/drug therapy , Basilar Artery/pathology , Child , Female , Follow-Up Studies , Heparin, Low-Molecular-Weight/therapeutic use , Humans , India , Magnetic Resonance Angiography , Neuropsychological Tests , Quadriplegia/diagnosis , Quadriplegia/drug therapy , Quadriplegia/etiology , Rare Diseases , Recovery of Function , Severity of Illness Index , Stroke/complications , Stroke/diagnosis , Stroke/drug therapy , Treatment Outcome , Warfarin/therapeutic use , Arterial Occlusive Diseases/complications , Arterial Occlusive Diseases/diagnosis , Arterial Occlusive Diseases/drug therapy , Basilar Artery/pathology , Child , Female , Follow-Up Studies , Heparin, Low-Molecular-Weight/therapeutic use , Humans , India , Magnetic Resonance Angiography , Neuropsychological Tests , Quadriplegia/diagnosis , Quadriplegia/drug therapy , Quadriplegia/etiology , Rare Diseases , Recovery of Function , Severity of Illness Index , Stroke/complications , Stroke/diagnosis , Stroke/drug therapy , Treatment Outcome , Warfarin/therapeutic useABSTRACT
Enterolithiasis, the formation of intestinal calculi due to stasis, is known to occur with abdominal tuberculosis. It has uncommonly been reported from India and only rarely in older children.
Subject(s)
Abdomen/physiopathology , Antitubercular Agents/therapeutic use , Child , Female , Follow-Up Studies , Humans , India , Intestinal Obstruction/complications , Intestinal Obstruction/drug therapy , Intestinal Obstruction/diagnostic imaging , Lithiasis/complications , Lithiasis/drug therapy , Lithiasis/diagnostic imaging , Radiography, Thoracic , Rare Diseases , Risk Assessment , Severity of Illness Index , Tomography, X-Ray Computed , Treatment Outcome , Tuberculosis, Gastrointestinal/complications , Tuberculosis, Gastrointestinal/drug therapy , Tuberculosis, Gastrointestinal/diagnostic imagingABSTRACT
Infantile haemangio-endothelioma of liver is the most common symptomatic vascular tumour of liver. A 6-month-old female was admitted for evaluation of a mass in the right hypochondrium. It extended 5 cm below the right costal margin. USG of the liver revealed multiple hypo-echoic lesions within the liver. Non-contrast CT images showed multiple hypo-attenuating masses of lower density than the surrounding liver. A postcontrast CT revealed intense enhancement of all the lesions. The findings suggested an infantile haemangio-endothelioma of the liver. On follow-up USG after 8 months near complete involution of the mass was revealed.