Author: Noordeen Sathakathulla / Editor: Nick Tilbury / Codes: NeuC10, NeuP8, PhC1, PhP3, SLO1, SLO7 / Published: 14/12/2020 / Review Date: 14/12/2023
An 18-year-old male is brought to the emergency department by his mother complaining of a 1-week history of worsening weakness of both lower limbs, a tingling sensation in both hands and an unsteady gait. He denies any bowel or bladder abnormalities or recent trauma.
His past medical history is unremarkable and he denies taking any alcohol or recreational drugs in the last 4 weeks.
His initial observations and GCS are stable.
On examination he has bilateral lower limb power of 4/5, an ataxic gait, decreased deep tendon reflexes, mildly decreased sensation in the lower limbs and a positive Romberg’s test. The rest of the systemic examination is unremarkable.
Module Content
Bell’s Palsy in Children
Bell's palsy is a relatively uncommon condition presenting to primary care. Despite a benign course for most children with Bell's palsy, there are a number of serious causes of facial paralysis which can be easily missed.
Acute Facial Palsy
This session looks at the assessment and management of acute facial palsy.
Hypertensive Emergencies
A hypertensive emergency is defined as the clinical situation in which there is a marked elevation of blood pressure (BP) associated with acute or progressive end organ damage, e.g. cardiovascular, renal or neurological dysfunction.
15 Comments
Interesting case. Well written Noordeen.
well written !good case thanks
Good case
I very much enjoyed this. This was well written and the learningnpoints clear, thank you.
Good reminder
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A good new one to look out for! Thank you for sharing.
Very good presentation
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Excellent
complicated but very interesting presentation. Great job. Thank you very much.
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wonderful implementation of the informations
excellent case