Annals of Indian Academy of Neurology
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Year : 2007  |  Volume : 10  |  Issue : 1  |  Page : 49-51

An interesting case of hemiplegia in a child

1 Department of Neurology, Medical College, Thiruvananthapuram, Kerala, India
2 Department of Pathology, Medical College, Thiruvananthapuram, Kerala, India
3 Department of Cardiology, Medical College, Thiruvananthapuram, Kerala, India

Correspondence Address:
Sadanandavalli Retnaswami Chandra
Sarayu, Chirakkara Temple Lane, Kaimanam, Thiruvananthapuram, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-2327.31486

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Hemiplegia in children occurs due to several causes. We report an interesting case who presented with prolonged fever, native valve endocarditis and infection triggered Macrophage activation syndrome. Macrophage activation syndrome (Hemophagocytic Lymphohistiocytosis syndrome) is a rare, potentially fatal inflammatory response syndrome characterized by fever, pancytopenia, rash, falling ESR, increased ferritin, increased triglycerides and hypofibrinogenemia. Central nervous system involvement is frequent with, seizures, irritability, stiff neck, cranial nerve palsy, ataxia and coma.

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