4th International Conference on Neurology and Brain Disorders

September 09-11, 2021

September 09 -11, 2021 | Virtual Event
INBC 2021

Balakrishnan Arivalagan

Speaker at Neurology and Brain Disorders 2021 - Balakrishnan Arivalagan
Command Hospital Air Force, India
Title : Epileptic Partialis Continua (Epc) as could be an initial presentation of HIV - A case report

Abstract:

21 yr male presented with no co morbidities presented with witnessed seizure(seminology characterized by jerky movements of left angle of mouth and left upper limb with up rolling eyeball and tongue bite followed by post ictal confusion).Managed conservatively by antiepileptic, a day later he developed repetitive involuntary clonic-myoclonic movement of left arm with facial deviation to right ,no loss of consciousness. He was then managed by sequential antiepileptics showing no significant reduction in seizure.

Examination

BMI 24.22Kg/m², General condition – Fair & stable,E4V4M6,Hypotonic and scanning dysarthria ,B/L Facial nerve palsy(Lt >Rt),EPCs present in Left upper (UL) & lower limbs(LL),Power – UL (Rt & Lt)- 4/5, LL (Rt & Lt)- 3/5,DTR – Lt Biceps and knee 3+ others 2+, B/L Plantar Extensor response +Lt cerebellar signs – Finger Nose test dysmeria + ,Heel chin dysmetria +,titubations noted

            Management:

  1. He was diagnosed as a case of HIV Encephalopathy – EPC
  2. Managed with TLE regime (ART) and  appropriate prophylaxis for opportunistic infections
  3. EPC controlled with 04 anti epileptics (Oxcarbazepine,Levitracetam,Lacosamide and Perampanel
  4. His HIV viral load reduced , CD4 levels increased to 278 cells/c.mm
  5. No EPC recurrence

Biography:

Dr. Balakrishnan Arivalagan is Final year Resident Internal Medicine in Command Hospital Air Force, Bangalore, INDIA. In July 2010- He Joined Indian Army as Captain (Medical Officer)

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