Khandelwal Rahul, Vagha Jayant D, Meshram Revat J, Patel Ankita, K Sri Sita Naga Sai Priya
Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jan 29;16(1):e53168. doi: 10.7759/cureus.53168. eCollection 2024 Jan.
This case report presents a rare occurrence of Dyke-Davidoff-Masson Syndrome (DDMS) in a 10-month-old male child, highlighting the atypical presentation of this neurological disorder in early infancy. The child initially presented with irritability, loss of appetite, and right-sided weakness following episodes of fever. A comprehensive medical history revealed the sudden onset of generalized tonic-clonic seizures, prompting further investigation. Diagnostic imaging, including CT and MRI, confirmed features consistent with DDMS, including cerebral hemiatrophy, ventricular enlargement, and calvarial thickening. Notably, the child's seizures were successfully managed with antiepileptic medication, leading to stabilized vital signs. This case emphasizes the importance of considering rare neurological disorders in pediatric patients with unusual presentations and underscores the challenges in diagnosing and managing DDMS in infancy. Further research is warranted to elucidate the underlying mechanisms, contributing factors, and optimal management strategies for DDMS in this age group.
本病例报告展示了一名10个月大男童罕见地患戴克-戴维多夫-马森综合征(DDMS),突出了这种神经系统疾病在婴儿早期的非典型表现。该患儿最初在发热发作后出现易激惹、食欲不振和右侧肢体无力。全面的病史显示曾突然发生全身性强直阵挛发作,促使进一步检查。包括CT和MRI在内的诊断性影像学检查证实了与DDMS相符的特征,包括脑半球萎缩、脑室扩大和颅骨增厚。值得注意的是,患儿的癫痫发作通过抗癫痫药物成功得到控制,生命体征得以稳定。本病例强调了在有异常表现的儿科患者中考虑罕见神经系统疾病的重要性,并突出了婴儿期诊断和管理DDMS的挑战。有必要进行进一步研究以阐明该年龄组DDMS的潜在机制、促成因素和最佳管理策略。