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A febrile child with seizure and hemiparesis

Muhammad Waseem1, Lakshmi Atkuri, Emma Laureta

  • 1Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USA. waseemm2001@hotmail.com

Pediatric Emergency Care
|November 18, 2006
PubMed

Insights

Febrile seizures can mimic serious conditions, posing a diagnostic challenge. Cerebral venous thrombosis, though rare, can cause hemiparesis after seizures and requires prompt recognition.

Area of Science:

  • Pediatric Neurology
  • Emergency Medicine
  • Neuroradiology

Background:

  • Febrile seizures are common in children but can present diagnostic challenges.
  • Cerebral venous thrombosis (CVT) is an uncommon cause of neurological deficits in children.
  • CVT mimics other neurological emergencies like stroke, tumors, and abscesses.

Observation:

  • A case of a young child presenting with seizures, fever, and subsequent hemiparesis is described.
  • The child was diagnosed with dural sinus thrombosis.
  • Clinical presentation included signs of increased intracranial pressure and focal neurological deficits.

Findings:

  • Cerebral venous thrombosis can present with varied signs and symptoms, complicating diagnosis.
  • Hemiparesis following a seizure can be a sign of CVT.
  • The study explores a potential mechanism for focal neurological deficits in CVT.

Implications:

  • Early diagnosis and management of CVT are crucial to reduce mortality and morbidity.
  • Increased awareness among emergency physicians can improve recognition of CVT.
  • Understanding CVT's presentation is vital for effective pediatric neurological care.

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