Pediatric brain doctor warns cases of children infected with coronavirus, no congenital disease but has severe cerebral symptoms The lesion was found in a specific location. Finally died, advised the doctor to look at 2 symptoms
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Day 7 Apr 65 Dr. Kulset Sakphichaisakul, MD. medical professional neurological disease, epilepsy
Pediatrics and Neurology Division Queen Sirikit National Institute of Child Health Post messages via facebook Addressing the epidemic of covids in children, saying that I hesitated for a long time whether to post this about the covids. Because before the previous wave of outbreaks, admit that as a child brain doctor I rarely look at covids because children are less infected. and often have no brain symptoms can only follow reports from foreign countries
until the omikron season began to receive consultations for neurological symptoms more often in all channels from all directions I was able to take care of it until 2 weeks ago. Consulted for 2 cases of children from different provinces (6 and 8 years old) who had no underlying disease. Severe cerebral symptoms are fever, convulsions, and the same rapid and rapid drowsiness within hours to days.
After consulting, I asked to see a superficial photograph of my brain. There may not be much (the language of doctors is a swollen brain patch), but when I look at the pictures myself. As expected, There is a lesion in a specific location of the brain. is the thalamus on both sides
which if as a child brain doctor It was diagnosed with “acute necrotizing encephalopathy (ANE)” which is common in many viruses, especially influenza. The pathogenesis of the disease is not yet known. But from the information we have, it is “cytokine storm” (can’t find Thai words).
Unfortunately, these two children couldn’t be saved because the disease was really serious. because the brain has lost all its functions (Personally, I’m not sure how much early diagnosis will help.) Finally, I think this post might help increase awareness for both pediatricians. and the general public about COVID and severe brain symptoms
***I would like to reiterate that this severe symptom is very rare if compared to the total number of infections. but to increase awareness
To the doctor, fever, convulsions, along with drowsiness *repeat excessive sleepiness and sleep* will be the predominant symptoms in this condition, unlike most people with fever. and convulsions where after a seizure will regain consciousness Anticonvulsants are usually safe to control seizures. If the child has symptoms of lethargy Ask your doctor to do a brain scan and take a closer look at the location of the two thalamus (as in the picture on the right). There will be small black dots on both sides) to diagnose this condition and seek medical advice immediately. because of repatriation should be slow during this period
for the general public I can only hurry to take them to vaccinate the children. For people who have not been vaccinated Current evidence confirms that vaccines can reduce virulence.