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A Wind Tunnel for Odor Mediated Insect Behavioural Assays
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Something hazy drifting in the air….

David McCreary1, Jane McArdle2, David Minks3

  • 1Paediatrics, Sunderland Royal Hospital, Sunderland, UK davemaca1@yahoo.co.uk.

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Summary

A 7-year-old boy with autism experienced transient neurological symptoms, initially suspected as a seizure. Further investigation revealed a delayed presentation of increased tone and reflexes, suggesting a potential underlying neurological issue.

Keywords:
TIAangiographymoyamoyastroke

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Area of Science:

  • Pediatric Neurology
  • Autism Spectrum Disorder

Background:

  • A 7-year-old boy with a history of autism spectrum disorder presented with acute neurological deficits.
  • Initial symptoms included left arm weakness and facial droop, leading to a suspected seizure diagnosis.

Observation:

  • The patient's initial symptoms resolved spontaneously within three hours.
  • Electroencephalography (EEG) showed non-specific slower rhythms in the right posterior quadrant, considered normal for age.

Findings:

  • Three days post-discharge, the patient developed lethargy, vomiting, confusion, and dysphasia.
  • Recurrent examination revealed increased tone, ankle clonus, and an upgoing plantar reflex on the left side, indicative of upper motor neuron involvement.

Implications:

  • This case highlights the diagnostic challenges in pediatric neurology, particularly in children with autism.
  • The delayed onset of focal neurological signs warrants further investigation into potential underlying etiologies beyond a simple seizure.