Motwani Naresh, Afsar Suhaim, Dixit Nachiket S, Sharma Nitin
Department of Paediatrics, CM Hospital and Medical College, Bhilainagar, Chhattisgarh, India.
Department of Neurology, CM Hospital, Bhilainagar, Chhattisgarh, India.
BMJ Case Rep. 2015 Sep 29;2015:bcr2015212333. doi: 10.1136/bcr-2015-212333.
An 11-year-old boy was admitted with fever followed by convulsions. He had developed aphasia subsequent to this illness. His birth history was unremarkable, and he had normal growth and development including of language, hearing and vision. His neurological examination was normal except for aphasia. Investigations including cerebrospinal fluid study and MRI were normal. However, EEG was abnormal and the boy was diagnosed as a case of Landau-Kleffner syndrome (LKS) and treated with sodium valproate, levetiracetam and steroids. He responded well to treatment and has been on follow-up for the last 4 months. We present this case of LKS to increase awareness about early diagnosis and to highlight the importance of appropriate management for a better outcome.
一名11岁男孩因发热后惊厥入院。患病后出现了失语症。他的出生史无异常，生长发育正常，包括语言、听力和视力方面。除失语症外，他的神经系统检查正常。包括脑脊液检查和磁共振成像在内的各项检查均正常。然而，脑电图异常，该男孩被诊断为Landau-Kleffner综合征（LKS），并接受了丙戊酸钠、左乙拉西坦和类固醇治疗。他对治疗反应良好，在过去4个月一直在接受随访。我们呈现这例LKS病例，以提高对早期诊断的认识，并强调适当管理对于获得更好预后的重要性。
