Neuroregression - Pediatric Oncall

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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Question
Q.1) A 15 month old male child with uneventful birth history and normal development till 9mnt of age, now cannot walk independently, cannot stand holding objects for a sufficient time and cannot say words except babblings. On neurological exam., no significant hypotonia, neither spasticity detected. How to proceed for management?(Baby is vegetarian). Q.2.How long to continue antiepileptics in children if remain free from seizure?
Answer
Since the child has neuroregression, one would need to evaluate the cause. An MRI brain would be useful. Since you have mentioned about vegetarian diet, infantile tremor syndrome should be ruled especially if the child is not taking vegetables. The duration of anticonvulsants depends on the cause of seizures. For infective etiologies such as pyogenic meningitis, if the child has been seizure free for more than 3 months and EEG is normal, it can be slowly tapered off. For patients with epilepsy, anticonvulsants need to be given for at least 2 years after last seizure. Stopping the ACT would depend on the EEG and clinical picture. Back to All Questions

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