Dr. Faisal Abdul Karim Malim
Pediatrics
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
My 18 months old kid is having a problem of a blood clot in the central vein of the brain and also having meningitis fever. Here, the doctors are using Heparin IV, syrup Epival, tablet Debritone, Panadol syrup and some other medications. But, my son is continuously going to bad condition. He is always sleeping. He opens only his right eye, but not recognizing us. He is not responding to our voice. He used to cry and having milk with some difficulty as he got fits once. Before five months, he got fits for one complete day, and his right side of the face was almost paralysed. Some doctors suggested surgery initially, but we followed up with medication. Then, he recovered, and right side started working to nearly 60%. Now, they also use Mannitol in IV. The doctors say that it will take a long time to recover. I need your suggestions. Also, he has got a swelling on the right shoulder and arm. Will he become normal?
Hi,
Welcome to icliniq.com.
Sorry to hear about your child. There are a few points here I would like to mention.
1. There is a history of fits before five months, which was suggesting that there may be some abnormalities in the brain. It would require evaluation with imaging, and probably surgical intervention, which was not done.
2. The disease process remained, but the clinical condition improved initially and then suddenly deteriorated. This is because previously there must have been a small clot, which then got dislodged into smaller regions of the circulation of the brain.
3. The medicines going on are to the best of my knowledge, but I would still advise you to take an opinion of a neurosurgeon also as to if any surgical intervention is required or not. Mostly any surgeon would refuse to operate in such a critical condition, but it is better to take an opinion.
4. As per what you are describing the child seems to be in a critical condition and the exact outcome of the medicines and treatments that are going on cannot be ascertained as it involves the brain and the child is already very critical.
5. The saddest part of the story is in about 50% of such cases, even if the child makes it out safely depending on the amount of damage suffered by the brain the child may still have some form of disability. This is because in your history you have mentioned that the child faced fits for one complete day.
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Pediatrics
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