DYSTONIA

Dear doctor friends, Kindly, give your valuable opinion to give better life to patient. Female, 7 years old. Chief Complaints Delayed mental and physical development. Tightness of the body. Not able to hold neck and hands. Poor metabolism. Diarrhoea if she eats hot food. Salivation during day time. Stammering, speaks only 2-3 words Not able to hold pencil, writes improperly. History Delayed myelination. Sitting with support at age of 2 1/2 years Sitting without support at age of 3 1/2 yr Running without support at age 4 years. Jerks in childhood. Vitals On 27th September, 2014 Result. Normal pO2. 30. 84-100 sO2. 61. 94-98 Alkaline phosphate. 210. 20-130 Phosphorus. 6. 2.5-4.5 Physical Examination Height 3' 6" Weight 13 kg Tongue Plane pink Investigations MRI Impression Mild generalized paucity of the supratentorial white matter with diminished bulk of corpus callosum and hypomyelination. Diagnosis DYSTONIA Management Piranulin 1-0-0 Bexol 1/2-1/2-1/2 She is given below medicine also Brahmi Shankhpushpi Yeshtimadhu Chitrakadivati

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History is not taken well. To me it's a metabolic disease causing neurodegenerative features. For diagnosis a good history needed with developmental milestones and progression of symptoms. Better refer to a neurologist for detailed history and examination. There are many diseases with presentation like this.

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History is very inadequate and not systematic. No physical findings noted. Needs good history and physical exam REF TO NEUROLIGIST.

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Neurology in person opinion

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