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Diagnosis and Management of Epileptic Fits in a 12-Year-Old: A Case Study

This presentation discusses a complex case of a 12-year-old girl, Miss Sadia Aslam, who was misdiagnosed with epilepsy and received ineffective treatment. After experiencing daily epileptic seizures and a deteriorating condition, she was referred to PIMH, Lahore. A thorough examination revealed chronic granulomatous lymphadenitis, a neoplastic lesion in the left frontal region of the brain, and a diagnosis of tuberculoma causing seizures. Treatment included Anti-Tuberculosis Therapy and Carbamazepine. This case highlights the importance of accurate diagnosis in psychiatric and neurological conditions.

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Diagnosis and Management of Epileptic Fits in a 12-Year-Old: A Case Study

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  1. ORGANIC PSYCHIATRYPRESENTATION BY DR. PERVAIZ AHMAD

  2. CASE HISTORY Miss. Sadia Aslam, 12 years of age, a student of class 7th un-married, R/O Shahdara Lahore, was referred to OPD, PIMH, Lhr. by a local family Physician for expert management. Before coming to this Institute she was seen by a number of local family Physicians, who diagnosed her a case of Epilepsy and every body started some anti-epileptic drugs but she deteriorated. When she presented in the OPD of PIMH she was having Epileptic fits daily.

  3. GENERAL PHYSICAL EXAMINATION • A thin lean girl, with pale colour, rapid pulse, low grade fever and enlarged left sided cervical lymphnodes. • Tonic colonic grand mal epileptic fit.

  4. INVESTIGATIONS • Hb12.00gm% • ESR (78mm/1st HR) • Biopsy cervical lymphnodes chronic grannulomatus lymphadenitis • CT Scan brain left frontal neoplastic lesion. • MRI acute haemorrage in left frontal region. • No fundoscopic abnormality. • No Neurological deficit.

  5. DIAGNOSIS Tuberculoma causing epileptic fits. TREATMENT • ATT • Anti-epileptic drug (Carbamazepine)

  6. CONCLUSION Epilepsy is a SYMPTOM not a disease.

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