Meningitis in an infant is a frequent cause of admission in intensive care facilities. Immunological deficiencies and anatomical abnormalities comprise a majority of patients presenting with meningoencephalitis. We present a 22-month-old male infant admitted with bacterial meningitis that was refractory to medical treatment. On further evaluation with computed topography, a meningoencephalocele was revealed involving the anterior aspect of the left nasal cavity. It is presumed that this abnormality served as a reservoir for the offending bacteria. In situations when meningitis is refractory to treatment, we propose further investigation with cranial imaging to potentially identify an encephalocele (Ref: Nicholas Suraci, Partha Chatterjee. Meningitis Associated with Meningoencephalocele. Medical Science, 2016, 20(81), 164-167).
Anton's syndrome is a neurologic condition in which patients deny their blindness despite objective evidence of visual loss. It is a rare extension of cortical blindness in which, in addition to the injury to the occipital cortex, other cortical centres are also affected. Ironically the patients confabulate and stick to their stance that they are normal.
Meningitis in an infant is a frequent cause of admission in intensive care facilities. Immunological deficiencies and anatomical abnormalities comprise a majority of patients presenting with meningoencephalitis. We present a 22-month-old male infant admitted with bacterial meningitis that was refractory to medical treatment.
Hydatid disease is a widely prevalent parasitic infection caused by cestode species Echinococcus granulosus and Echinococcus multilocularis. Infestation by Echinococcus granulosus in humans most commonly occurs in the liver 55-70% followed by the lung 18-35%. Four approaches exist in the clinical management of cystic echinoccocosis.
Inexcitable motor nerves in the initial stages of Guillain-Barré syndrome (GBS) are thought as findings of axonal degeneration and suggest a poor outcome. To describe 2 severe GBS patients with motor nerves inexcitability but a good outcome. We encountered 2 severe GBS patients with inexcitable motor nerves but a good outcome.
Three scalp swellings were being evaluated for infectious or tumorous lesion in young adults which on operation was found to be bony and thus was excised under magnification which, on histopathological examination, proved to be osteoma and fibrous dysplasia.
Despite being on the market for longer than a half a century, Ketamine occupies a very unique space in the anesthesiologist’s management preoperatively and for the management of pain. Over the past couple of decades, significant amount of research was conducted evaluating the mechanism of action specifically it’s specific function within the central nervous system.
Growing fracture of the skull (GFS) is a rare complication of head injury in infancy and early childhood which is characterized by skull fracture that enlarges with time.Growing skull fracture is recently termed as CraniocerebralErosion. They are estimated to occur in 1% of linear skull fractures sustained under 3 years of age—the most vulnerable age group (Vignes, 2007).
