July 2010 Volume-7 Issue-7 [Supplement 7]
(ISSN - 0973-0958)
DIAGNOSTIC DILEMMA
Neeraj Gupta
An 8 ½ years old child presented with persistent vomiting and pain in abdomen for 3-4 days.
Genital examination revealed the very small testis of neonatal size and underdeveloped scrotum. Slight hyperpigmentation was noted over the knuckles and distal interphalangeal joints.
Sodium estimations were always on the lower side of normal and there was never evidence of hyperkalemia.
What is the diagnosis?
A nine year old boy presented with sudden onset inability to move right upper limb, inability to speak and blurring of vision. The weakness progressed to the lower limb one day after the admission. Two days later he started speaking few words accompanied by facial expression and head nodding movements. MRI Brain showed acute non-hemorrhagic MCA zone and left super medial fronto parietal ACA zone infarction. Chronic right temporo parietal, occipital, frontal PCA, ACA, MCA, watershed and left frontal watershed infarcts present. What is the diagnosis?
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