Child with recurrent fever, seizures, delayed development, and fluid in brain - #18700
Hello doctor, I want to ask about my younger sibling. He is 3 years old. He cannot walk, talk, or crawl yet. His development is very delayed. He often has recurrent fever. Usually he is fine for 2–3 days, then fever comes again. When the fever is high, he sometimes has seizures and needs hospital admission. In a big hospital before, doctors said there is fluid in his brain and surgery was recommended, but my family could not afford it, so we refused. At local hospitals, doctors only give fever medicine and seizure prevention, but no long-term solution. Sometimes he vomits, but not every time he eats. We live in a small village, far from a big hospital. My questions are: 1. What condition could cause fluid in the brain, recurrent fever, seizures, and severe developmental delay? 2. Is surgery always necessary, or are there other management options? 3. What should we do now to reduce seizures and protect his brain if surgery is not possible yet? Thank you very much.
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Doctors’ responses
Hello dear See as per clinical history it can be either hydrocephalus or meningitis There can be chances of brain abscess or neurocysticirosis or parasitic infection They may require urgent treatment These are answer of your questions The above clinical conditions match with your clinical condition but exactly diagnosis depend upon Ct scan MRI Brain USG Besides surgical procedures Like ventriculostomy Meningectomy Non surgical procedures include Medication probably antiepileptic Pantop D 40 for vomiting Paracetamol 500 mg for fever Urgency of surgery depends upon diagnosis from diagnostic tests. Please share the result with neurologist and proceed for further evaluation Prefer government medical colleges for economical treatment Regards
Hello,
1. Mostly Hydrocephalus 2. Yes in most cases, surgery is necessary Medicines cannot remove brain fluid Without surgery, brain damage and seizures often worsen. Temporary medical management can reduce harm, but it is not a cure.
3. Take anti seizure medication Good nutrition and hydration Fever control and infection control
Seek government care or charity hospital , its economical
I trust this helps Thank you
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