Sequelae to hypoxic ischaemic insult

1.5 yr /f C/o convulsive attacks. Mri advised- sequelae to hypoxic ischaemic insult . Kindly advise the further planning for tt.

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Ask for developmental milestones. Check out for features of cerebral palsy. A broad spectrum anticonvulsant like valproic acid should b the rx of choice can try levetriacetam too it will give nootropic effect too

ACT in suitable doses are the main treatment to prevents further convulsions causing further damage.ACT to be continued for atleast 5 yrs .But to evaluate the cause of convulsions,?febrile or otherwise. Consult a qualified paediatrician .

NEED'S .. CLINICOPATHOLOGICAL EVALUATION WITH .. NEUROLOGISTS OPINION FOR .. FURTHER MANAGEMENT ..

Echo cardiC doppler BP diabetes

Neurologist opinion for further management

Hypoxic ischemic damage Ref to neurologists

Diabetic profile Spo2 % Consult Neurologist for needful.

LEECH History & clinical relevance: already stated by other participants in detail.

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