19F SEIZURES SCONDARY TO NEUROCYSTICERCOSIS (8 MONTHS )

This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input.

This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome.

I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan

The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted. 

Patient came with chief complaints of headache and nausea since 2 days 

HOPI:

Patient was apparently asymptomatic 

Then the Patient developed headache which is frontal , associated with nausea ,non radiating , intermittent type

 H/O vomiting , 1 episode today after coming to the hospital , food as content, non bilious, non projectile 

In the course of hospital , she developed 2 episodes of seizures , each lasted for 2 minutes , generalized tonic clonic , with frothing, post ictal confusion , no tongue bite, no uprolling of eyes and gained consciousness after 1 min 

No H/O SOB , chest pain ,palpitations, sweating , orthopnea , pnd 

No h/O fever ,cough, cold 

No H/O blurring of vision 

No H/O burning micturition, loose stools , abdominal pain 

Past history :

Known case of neurocysticercosis 8 months back because of which she developed 3 episodes of seizures . She didn't have any episode of seizure since then . 

N/K/C/O DM, HTN, CAD, CVA, TB ,asthma , thyroid disorders 

Personal history:

Occupation- sales girl

Mixed diet 

Appetite - decreased 

Bowel and bladder movements are regular 

General examination:

Patient is conscious , coherent, cooperative 

No signs of pallor , icterus , clubbing, cyanosis , lymphadenopathy, edema 

Vitals -

Temp- afebrile 

BP- 110/70 mmhg

PR - 84bpm

RR- 17 cpm 

CVS- S1, S2 heard , no murmers 

RS - BLAE + , NVBS

P/A- Soft , NT

CNS - No FND

DIAGNOSIS :

SEIZURES SECONDARY TO NEUROCYSTICERCOSIS 

INVESTIGATIONS:

 

Chest Xray :

MRI brain :