Cerebral Malaria Complicated by Blindness, Deafness and Extrapyramidal Tract Manifestation

P C Manyike1, C Okike2, N B Onyire1

  • 1Department of Pediatrics, Federal Teaching Hospital, Abakaliki, Ebonyi, Nigeria.

Insights

Cerebral malaria, a severe Plasmodium falciparum infection, can cause lasting disabilities like blindness and deafness. Prompt diagnosis and treatment are crucial to prevent these rare but devastating neurological complications.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Parasitology

Background:

  • Cerebral malaria is a severe complication of Plasmodium falciparum infection.
  • Neurological sequelae, including sensory and motor deficits, can be permanent and disabling.

Purpose of the Study:

  • To highlight rare neurological complications of cerebral malaria.
  • To emphasize the importance of early diagnosis and prompt treatment in endemic areas.

Main Methods:

  • Case presentation of an 8-year-old boy with severe cerebral malaria.
  • Treatment with intravenous quinine followed by chlorpromazine for extrapyramidal signs.

Main Results:

  • The patient experienced blindness, sensory-neural deafness, and extrapyramidal signs after regaining consciousness.
  • Extrapyramidal signs resolved with chlorpromazine; partial recovery of sight and hearing occurred before discharge.

Conclusions:

  • Cerebral malaria can lead to severe, though sometimes partially reversible, neurological deficits.
  • Vigilance for rare complications and timely intervention are essential for clinicians in malaria-endemic regions.

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