A boy presenting with persisting complete speech arrest, left sided weakness and dystonic posturing of left hand for 1 month, after a febrile illness of 1 day only and single episode of GTCS... Correlate the images...CT, T2MRI and MR Angio available at present...

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?KRABBE DISEASE METACHROMATIC LEUKODYSTROPHY DD MELAS
Febrile illness followed by GTCS. Left side UPPER LIMB DYSTONIC POSTURE. WORK UP WITH EEG. BLOOD TEST FOR CO--GULATION PROFILE. C.T. BRAIN RIGHT SIDE PAREITAL REGION INFARCT. DX : STROKE RIGHT PARIETAL REGION.
Hemiparesis, aphasia may be seen in MCA ischemic stroke.. But MRI s/o basal ganglia involvement so DDs would be krabbe's, MLD, tay sachs or mitochondrial ds.
basal ganglia involvement. to rule out mitochondrial disorder, neuroferritinopathy, organic aciduria etc
? ADEM.... Contrast needed..
Speech impairment and Dystonia with basal ganglia involved so we also rule out Wilson diseae
@Dr. Saumya Mittal sir, can it be Leigh? Please give your opinion...
Is there a regression? That's a significant feature
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Acute infantile hemiplegia
I agree with Dr.B.Merugi
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