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November 2011 Volume-8 Issue-11 [Supplement 11]
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Pediatric Oncall
 
November 2011 Volume-8 Issue-11 [Supplement 11]
(ISSN - 0973-0958)
 
DIAGNOSTIC DILEMMA
An 8 years old girl had a right sided focal convulsion 5 months back. MRI brain at that time was suggestive of well defined ring enhancing T2 hyperintense conglomerate lesions in left high parietal region with surrounding perilesional edema suggestive of neurocysticercosis. She was given Albendazole for 28 days and steroids in tapering doses. She was continued on Carbamazepine. She was alright for next 3 months when she again had a focal convulsion. At that time MRI showed same size lesion with no change as compared to previous scan. Her CSF was normal, CSF TB PCR was negative, She was started on 4 drug AKT in view of persistent granuloma. Currently the child has completed 2 months of ATT and is otherwise asymptomatic.

Is the child having neurocysticercosis or tuberculoma?


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PATIENT EDUCATION MATERIAL
Dr Ira Shah
Floppy Infant : Read about the symptoms of floppy infant, it's causes, treatment, recovery.

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QUESTION OF THE DAY
Is it necessary to give purgative with pyrantel palmoate or levamisole to expel paralysed worms.

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IMAGE GALLERY
Vinayak Kodur, Rajesh Kulkarni, Chhaya
Valvi, Aarti Kinikar


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