RESUMEN
Brainstem auditory responses were recorded in 50 children of bacterial meningitis and age matched 50 normal children. Abnormal BAER was found in 32 (64%) patients of bacterial meningitis. These abnormalities included prolonged latency (56.2%); unilateral absent response (25%); bilateral absent response (25%) and prolonged interwave interval (25%). Follow-up could be done in 23 patients of 46 survivors. All the patients with prolonged latency either became normal or improved. In majority of the patients having absent response, the abnormality persisted. Abnormal BAER was significantly associated with age < 2 years (p < 0.02), Modified GCS Score < or = 8 (p < 0.001), Seizures (p < 0.02), raised Intracranial Pressure (ICP) (p < 0.02) and CSF sugar < 20 mg% (p < 0.05).
Asunto(s)
Potenciales Evocados Auditivos del Tronco Encefálico , Pérdida Auditiva Sensorineural/diagnóstico , Meningitis Bacterianas/complicaciones , Adolescente , Distribución por Edad , Análisis de Varianza , Niño , Preescolar , Femenino , Pérdida Auditiva Sensorineural/epidemiología , Pérdida Auditiva Sensorineural/etiología , Humanos , Incidencia , Masculino , Meningitis Bacterianas/microbiología , Valores de Referencia , Factores de Riesgo , Índice de Severidad de la Enfermedad , Distribución por SexoRESUMEN
A case of POEMS syndrome is being reported. The case had all the features which are essential for the diagnosis. Agarose gel electrophoresis revealed monoclonal band in gamma region. However, we could not establish osteosclerotic myeloma as a case of this syndrome.