Neurology 2H

CASE 8:
Link to the patient details:

https://neerajareddysingur.blogspot.com/2021/05/general-medicine-case-discussion.html?m=1

1) What can be  the cause of her condition ?                             


the cause of her condiion could be IRON DEFICENCY ANEMIA.






2) What are the risk factors for cortical vein thrombosis?



Ans: Risk factors for children and infants include:



Problems with the way their blood forms clots


Sickle cell anemia


Chronic hemolytic anemia


Beta-thalassemia major


Heart disease — either congenital (you're born with it) or acquired (you develop it)


Iron deficiency


Certain infections


Dehydration


Head injury


For newborns, a mother who had certain infections or a history of infertility


Risk factors for adults include:



Pregnancy and the first few weeks after delivery


Problems with blood clotting; for example, antiphospholipid syndrome, protein C and S deficiency, antithrombin III deficiency, lupus anticoagulant, or factor V Leiden mutation


Cancer


Collagen vascular diseases like lupus, Wegener’s granulomatosis, and Behcet syndrome


Obesity


Low blood pressure in the brain (intracranial hypotension)


Inflammatory bowel disease like Crohn’s disease or ulcerative colitis


3)There was seizure free period in between but again sudden episode of GTCS why?resolved spontaneously  why?


                           


Ans: there was a sezuire free period due to administration of antiepileptic drugs as the effect of drugs weans off the sezures appear again followed by administration of phenobarbitone leading to spontaneous resolution of the sezuires.



4) What drug was used in suspicion of cortical venous sinus thrombosis?




Ans: heparin as CLEXANE was given to relive clot in suspission of CVST

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