Neurology India
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Letter Review Case Reports
Left hemiparesis during esophagogastroduodenoscopy: a unique syndrome due to cerebral air embolism.
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Head injuries caused by television (TV) sets falling on small children are becoming frequent in India with increasing sales of TV sets. This report describes television tip-over injuries in eight children aged 14 months to 6 years. Symptoms and findings were varied, from only swelling of the eyes to coma. ⋯ Six of the eight children were successfully managed conservatively, one patient died on the third postoperative day, and one patient refused admission. The anatomical proportions and biomechanics of spine and body of small children make them more vulnerable to these crushing types of head injuries. As there is significant morbidity and mortality associated with these injuries, there is a need for increased awareness about these injuries among health personnel, general public, teachers, government officials and TV-manufacturing companies.
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Dengue infection is endemic in more than 100 countries, mostly in the developing world. Recent observations indicate that the clinical profile of dengue is changing, and that neurological manifestations are being reported more frequently. ⋯ In countries endemic to dengue, it will be prudent to investigate for dengue infection in patients with fever and acute neurological manifestations. There is need for understanding of the pathogenesis of various neurological manifestations.