- Shreya is a 2.5 year old female who presented with an enlarged head, vision loss, and seizures for the past 2 years and 4 months. - She developed a fever at 2 years and 4 months old which led to her first seizure, and she has experienced seizures whenever given a head bath since then. - scans were performed at another hospital which showed abnormalities and she was referred for further evaluation and potential surgery.

1. General case

2. history
• Name: Shreya
• Age : 2.5yrs , sex: female
• From: Shimoga
• Informant: mother, Reliability : good
• Came to RAPCC 15days back with
• Chief complaints:
• enlarged head , loss of vision , seizure since
2yrs4months

3. History of presenting illness
• Child was apparently normal 2yrs4months back when she
developed fever for which the mother gave paracetamol
tablet. Fever decreased but spiked up again on the 8th day
with one episode of seizure. There was no frothing of saliva
or biting of tongue. The hands and legs became stiff which
normalized within 2-3 minutes. Baby was admitted in the
ICU at a local hospital ,treated and was discharged on
medications for seizure, a tablet and syrup.
• Every time the mother gives the child head bath, she
develops seizure.
• History of loss of vision since 2yrs 4 months.
• The child does not recognize the mother and no social
smile present.

4. • No other episodes of fever. No history of vomiting.
• No history of difficulty in feeding .
• When the child did not improve, mother took her to
manipal hospital 2months back where scans were done
and mother was told an operation would be required.
She was referred to RAPCC.
• No history of difficulty in chewing.
• No history of lateral gaze palsy.
• No history of hearing deficit, drooling of saliva, nasal
regurgitation .
• History of difficulty in wearing napkins.

5. Birth history
• Antenatal history: primigravida
Ist trmester:Concieved spontaneously.
No history of fever with rash, burning
micturition.
No history of exposure to radiation or intake of
drugs.
Ultrasound scan not done.

6. 2nd trimester: quickening felt at 6th month.
No history of fever with rash.
No history of GDM, PIH.
One USG scan done-nnormal
3rd trimester:
No history of GDM, PIH.
USG scan done-normal.

7. • Full term delivery.
• Elective caesarian section due to decrease in
fetal movements.
• Baby cried immediately after birth.
• Birth weight:2.75 kg
• Meconium and urine passed within 24hrs.
• Breast feeding initiated after 4hrs of delivery.
• No postoperative complications.

8. Developmental history
• Gross motor- head control not achieved
• baby cannot sit with support
• Fine motor- grasp reflex present.
• Language and communication: bysyllables
(amma) only word spoken.
• Social: no social smile
• does not recognise the mother
• Inference: global deveopmental delay

9. Immunization history
• Immunized for age
• Last vaccine taken: 1.5 yrs- DPT booster and
OPV.
• Dietary history:
• Exclusive breast feeding till the age of
5months.
• Weaning : 5th month, cerelac given.
• Presently eats from the family pot.

10. calories protiens
8am 5buiscuits+ I cup 100+ 130= 230 0+7=7
milk(200ml)
10am ½ dosa 60 1.5
1pm 1 cup rice+I cup 175+50=225 4+ 2=6
curry
3pm 1 fruit 50 0.5
5pm 5buicuits +1cup 100+130=230 0+7=7
milk
7pm I cup rice+ 1 cup 175+50=225 4+2=6
curry
9pm 1cup milk 130 7
total 1150 35
required 1150 19.5
Inference: no deficit

11. Family history
• Child born out of consanguinous marriage

12. Socio economic history
• 5 members in the family
• 3rooms, no over crowding
• income rs 4000/month
• Belongs to lower middle class family according
to Modified Kuppuswamy scale.