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  3. Vol. 16 No. 4 (2022): Autumn
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ISSN: 1735-4668

Autumn
Vol. 16 No. 4 (2022)

Weakness and diplopia in a 4-year old boy. An unusual Diagnosis

  • Anahita Alizadeh
  • Homa Jajarmi
  • Nazanin Saeed Zand

Iranian Journal of Child Neurology, Vol. 16 No. 4 (2022), , Page 75-79
https://doi.org/10.22037/ijcn.v16i4.32888 Published 23 October 2022

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Abstract

Abstract


Ptosis, diplopia, and overall weakness in children may have serious underlying causes such as myasthenia, botulism, Guillain-Barré syndrome, and poisoning, which require a systematic and timely evaluation and proper management.(1,2,3) In pediatrics, clinical presentations may be atypical, and diagnostic overlap sometimes
makes the final diagnosis challenging. This can be addressed through taking accurate history, performing a physical exam, conducting a comprehensive assessment, and using appropriate diagnostic
algorithms


 

Keywords:
  • Children; Poisoning; lathyrus sativus
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How to Cite

Alizadeh, A., Jajarmi, H., & Saeed Zand, N. (2022). Weakness and diplopia in a 4-year old boy. An unusual Diagnosis . Iranian Journal of Child Neurology, 16(4), 75-79. https://doi.org/10.22037/ijcn.v16i4.32888
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References

1- Bharucha-Goebel DX Disorders of Neuromuscular Transmission and of Motor Neuron myasthenia gravis, Kliegman RM, Blum N J, Shah S, Geme J W ST , Tasker RC, Wilson KM, Behrman RE in Nelson Textbook of Pediatrics Elsevier 21th ed 2020; chapter 630, 3305-3307
2- Rya M M Guillain-Barré Syndrome. Kliegman RM, Blum N J, Shah S, Geme J W ST , Tasker RC, Wilson KM, Behrman RE in Nelson Textbook of Pediatrics Elsevier 21th ed 2020; chapter 634 p 3335 e
3- Sarnat HB Kliegman RM, Blum N J, Shah S, Geme J W ST , Tasker RC, Wilson KM, Behrman RE in Nelson Textbook of Pediatrics Elsevier 21th ed 2020; Toxic Neuropathies Chapter 632 p3330-3333
4- Mehndiratta MM, Wadhwa A. Electrophysiological features of Gullian Barre syndrome: Newer insights. Neurol India 2016;64:921-2

5- Zasshi Y Review [Research in Motor Neuron Diseases Caused by Natural Substances: Focus on Pathological Mechanisms of Neurolathyrism] . 2019;139(4):609-615.
[Article in Japanese] The Pharmaceutical Society of Japan
6- Singh SS , Rao SLN Lessons from neurolathyrism: A disease of the past & the future of Lathyrus sativus (Khesari dal) Indian J Med Res 138, July 2013, pp 32-37
7- Yan ZY,. Spencer P S, Li ZX, Liang YM, Wang YF, Wang CY, Li FM Lathyrus sativus (grass pea) and its neurotoxin ODAP Review Phytochemistry Volume 67, Issue 2, January 2006, Pages 107-12 Lathyrus sativus (grass pea) and its neurotoxin ODAP, Phytochemistry Issue 2, January 2006;Vol 67 Pages 107-121
8- Yadav M Lathyrus sativus - a path to Neurolathyrism Health and Medicine 2018 27 Feb

9- Wold Eamanuel YW , Hassan A, Zenebe G Neurolathyrism: two Ethiopian case reports and review of the literature J Neurol 2012; Jul, 259(7):1263-8.
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