A 52 year old female patient presented to emergency casualty with Acute onset quadriparesis respiratory muscle involvement in. During initial work up Serum electrolytes showed severe hypokalemia. Arterial blood gas normal anionic gap metabolic acidosis positive urine anion and examination alkaline PH in the presence of systemic acidosis. All these findings suggest Distal Tubular Acidosis. Furth...

Sir, I read with interest the recent article by Jain et al They report a child with two episodes of acute flaccid paralysis occurring at ages two and four years respectively, as a manifestation of serum sickness (related to cefadroxyl administration). However, I would like to make certain observations. Firstly, Jain et al have not presented the details of the nerve conduction studies and theref...

Mortality and morbidity rates are high among children with acute bacterial meningitis, especially in young ages. A im: to determine the most common neurologic complications during the acute phase of childhood bacterial meningitis and long term sequelae. Material and methods: A total of 277 children (aged 0-16years) were evaluated for acute neurologic complications following bacterial meningitis...

A 6 year old boy presented with meningoencephalitis and was found to have serological evidence of acute human herpes virus-6 (HHV-6) infection. He did not develop symptomatic seizures or the rash of exanthum subitum (roseola). His course was marked by severe spastic quadriparesis associated with radiological evidence of basal ganglia infarction. HHV-6 infection should be considered in any child...

A 28 year-old lady presented in OPD with complaints of progressive spastic quadriparesis. Bowel and bladder involvement was present. MRI of the cervical spine done outside revealed a well-defined oval heterogeneous T2 hyperintense and T1 hypointense intradural extramedullary mass lesion extending from upper border of C5 to lower border of D1 spinal level. Patient was planned for surgery; howeve...