Doctors are providing rehabilitation exercises for young patients - Photo: HA NGUYET
Recently, doctors in the intensive care and toxicology department of Phu Tho Provincial Obstetrics and Pediatrics Hospital successfully treated a 7-year-old boy with a cerebral infarction. The patient, H.D.H., was admitted to the hospital in a state of weakness and paralysis of all four limbs, along with difficulty speaking.
It is known that 5 days prior, the child exhibited symptoms of short episodes of weakness and paralysis in all four limbs, difficulty speaking, but no fever, no headache, and normal bowel and bladder control.
The family took the child to the district health center for examination. A CT scan of the brain was ordered, but no abnormalities were detected, so the family was advised to continue monitoring the child at home.
At home, the child experiences a longer episode of weakness and paralysis in all four limbs (approximately 15-20 minutes) accompanied by difficulty speaking and urinary and bowel incontinence. However, once the episode subsides, the child can move, walk, and talk normally.
The child continued to experience weakness and paralysis in all four limbs, lasting for many hours, accompanied by difficulty breathing and speaking. The family quickly took the child to the Obstetrics and Pediatrics Hospital for examination.
Upon admission, the child had severe respiratory distress requiring oxygen support, was fatigued, had weakness and paralysis in all four limbs, muscle strength of only 3/5, difficulty speaking, no facial asymmetry, urinary and fecal incontinence, and showed signs of focal neurological deficits.
Dr. Nguyen Vo Loc, deputy head of the intensive care and toxicology department at the hospital , said that immediately after receiving the child, the hospital promptly ordered paraclinical tests to determine the cause.
The results of the child's cranial MRI showed lesions in the anterior pons. "Because this is a rare case, we consulted with experts from Hanoi Medical University Hospital regarding the imaging results and unanimously concluded that the child suffered from parenchymal infarction in the pons and brainstem," said Dr. Loc.
The child was treated for cerebral edema and given anticoagulants according to the protocol. After 5 days of treatment, the child's condition improved considerably; the child still had mild limb weakness, muscle strength reached 4/5, and was able to eat and drink. The child spoke more but with difficulty and still had urinary and fecal incontinence.
After 20 days of treatment, the child was able to walk normally, speak clearly, eat well, have normal bowel and bladder control, and had no fever, vomiting, or headache. The child was discharged from the hospital and scheduled for a follow-up appointment in two weeks.
Pay attention to the expression.
According to Dr. Loc, stroke (including cerebral infarction) is a dangerous disease that is very rare in young children. Children may exhibit symptoms such as muscle weakness, weakness in the limbs, difficulty moving, and difficulty speaking...
If left undetected and untreated, the disease can leave very serious sequelae such as speech disorders, paralysis of the limbs, half of the body, complete paralysis, inability to control normal movements, loss of bowel and bladder control, etc.
Doctors advise parents and caregivers to pay special attention to any unusual signs in children. In particular, weakness or paralysis of the limbs is often a symptom of many serious neurological diseases.
Therefore, when children show these dangerous signs, they should be quickly taken to specialized medical facilities for timely examination and treatment.
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