An 11-Year-Old Boy with Seizures and Fatigue

Initial laboratory evaluation show hemoglobin 4.5 g/dL, white blood cell count 10,000/mm3 with 83% neutrophils, 17% lymphocytes; platelet count 81,000/mm3. Viewing the elephant from my limited perspective, a presenting complaint of seizures in a previously healthy child, three categories of etiology...

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Bibliographic Details
Published in:Pediatric annals 2012-11, Vol.41 (11), p.448-451
Main Authors: Listernick, Robert, Nordli, Doug, Tanz, Robert, Stamos, Julie Kim, Greene, Maria, Liem, Robert, Kiesau, Yana
Format: Article
Language:English
Subjects:
Adenomatous Polyposis Coli - diagnosis
Adenomatous Polyposis Coli - physiopathology
Blood
Child
Clinical Diagnosis
Colorectal cancer
Communicable Diseases
Etiology
Fatigue
Fatigue - etiology
Humans
Malaria
Male
Medical Evaluation
Pediatrics
Physical Examinations
Seizures
Seizures - etiology
Treatment Outcome
Tumors
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Summary:Initial laboratory evaluation show hemoglobin 4.5 g/dL, white blood cell count 10,000/mm3 with 83% neutrophils, 17% lymphocytes; platelet count 81,000/mm3. Viewing the elephant from my limited perspective, a presenting complaint of seizures in a previously healthy child, three categories of etiology come to mind: idiopathic, acute symptomatic (seizures occurring as a result of a new insult such as sepsis), and remote symptomatic (new seizures due to a past event/insult). Alternately, they may be arising from the right parietal-occipital region. Since his neurologic exam is normal, I would bet the latter because it's easier to hide a lesion there to the untrained eye.
ISSN:0090-4481
1938-2359
DOI:10.3928/00904481-20121022-04