15 years old female nigerian was well 10 years back when she developed fever with headache 5 years back and subsequently devloped right hemiperesis with facial palsy and contracture of right hand.mri shows gliosis and encephalomalacia of periventricular and basal ganglia and pons region .doppler of lower limb is normal .2d echo shows mild mvp with mild mr.she has a Hb of 9.3 gm.and serum sodium of 130.she is aphasic but of normal intelligence.weakness is present in both upper and lower limbs.and there is autoamputation of both lower limb fingers which started after the incidence of fever. Guide me about the probable diagnosis and line of investigations.birth history is normal.
Join the community and view the full post,
write comments and share this post.
🩺 India's Largest Platform for Doctors
✅ 5,10,000+ Verified Doctors
💬 60,000+ Clinical Discussions
More related to above
Identify This Pattern of Necrosis
Consulting Physician
1m ago
18
From Back to Face: The Mystery Rash in a Toddler
Consulting Physician
4m ago
17
1
Consumer Court Enhances Compensation After Misdiagnosis Causes Total Vision Loss in Child
Consulting Physician
29m ago
285
Occupational Pesticide Exposure Linked to Higher ALS Risk
Family Medicine
1h ago
137
Consensus Recommendations for CTCL in Patients With Atopic Dermatitis Receiving Dupilumab
Dermatology
4h ago
541
15,407 Suspicious Claims Under AB-PMJAY & MJPJAY: Maharashtra Orders SIT Probe
Anesthesiology
4h ago
557