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Hypereosinophilic syndrome causing acute hemiplegia in childhood

Nuzhat Noureen1, Muhammad Tariq Rana

  • 1Department of Paediatric Neurology, Children Hospital Complex, Multan. nuzhatrana321@yahoo.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|September 2, 2008
PubMed

Insights

Hypereosinophilic syndrome (HES) is a rare disorder causing organ damage. This case highlights HES presenting as stroke in a child, with eosinophilia as the only identified cause.

Area of Science:

  • Neurology
  • Hematology
  • Pediatrics

Background:

  • Hypereosinophilic syndrome (HES) is a rare disorder characterized by excessive eosinophils.
  • HES can lead to end-organ damage, including neurological complications.

Observation:

  • A six-year-old girl presented with sudden right-sided weakness and fever.
  • Brain imaging revealed infarction in the left internal capsule and basal ganglia.

Findings:

  • The patient exhibited significant peripheral blood and bone marrow eosinophilia.
  • No other cause for the cerebral infarction was identified.

Implications:

  • This case suggests HES should be considered in pediatric stroke evaluations.
  • Early diagnosis and management of HES are crucial to prevent severe complications.

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