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[Neurological symptoms in children with intussusception]
J Domínguez-Carral1, V Puertas-Martín1, I Carreras-Sáez1
1Sección de Neurología Pediátrica, Hospital Infantil Universitario Niño Jesús, Madrid, España.
Anales De Pediatria (Barcelona, Spain : 2003)
|October 10, 2013
Summary
Intussusception can present with neurological symptoms like lethargy in children. Early recognition of these atypical signs is crucial for timely diagnosis and treatment, improving outcomes.
Area of Science:
- Pediatric Surgery
- Pediatric Gastroenterology
- Pediatric Neurology
Context:
- Intussusception is a bowel obstruction where symptoms are often non-specific.
- The classic triad of symptoms is infrequent, leading to diagnostic challenges.
- Altered consciousness can be the sole indicator of intussusception.
Purpose:
- To determine the incidence and characteristics of neurological symptoms in pediatric intussusception.
- To describe patients with atypical presentations of intussusception.
- To highlight the importance of neurological signs in diagnosing intussusception.
Summary:
- A retrospective review of 351 children with intussusception identified neurological symptoms in 4.27%.
- Lethargy was the most common neurological symptom, followed by hypotonia and fluctuating consciousness.
- A significant proportion of these children required surgery, indicating a severe presentation.
Impact:
- Intussusception should be considered in pediatric emergencies presenting with neurological changes, even without classic symptoms.
- Prompt diagnosis based on neurological signs can prevent intestinal ischemia and improve patient prognosis.
- This study emphasizes the need to include intussusception in the differential diagnosis for pediatric patients with unexplained neurological symptoms.
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