Case Report 2

Case Report

LEFT-SIDED HEMIPARESIS

Gede S Putrawan, S.KedDepartment of Pediatrics

RSUD Nganjuk

Client’s OverviewA 4-year-old boy with a several-years history of left sided

hemiparesis along with behavioral disorder (hyper activity) presented to the hospital with worsening hemiparesis and unsteadiness. Neurologic exam was positive for a mild left hemiparesis. Contrast computed tomography revealed an incomplete development of the right hemisphere on the brain and a periventricular hypodense lesion .

Patient’s father refused to hospitalize his child as his chil’s hyperactivity might cause the chaos during the process of hospitalization. The patient was suffering from severe seizures when he was 40 days, also suffering from 3 days comma. Meningitis was also discovered as the patient’s former history. 5 hours seizures occurred when he was 2,5 years old and claimed as the severest seizure.

Sensory disturbance on the right side

Speech and Language problem

Decreased analytical skill

Decreased analytical skill

SlowSensory disturbance on the

Left side

Speech problem

Behavioral Problem (Fast, Impulsive, Inappropriate)

Difficulty understanding Human

Movement Disorder

Left Sided Hemiparesis

Former History

Meningitis

Severe Seizures and 3 days comma

CT Scan

Hypoplasia on right hemisphere

Meningitis

Right Hemisphere

Damage

Left Sided Hemiparesis

Behavioral Disorder

Speaking Disorder