A RETROSPECTIVE ANALYSIS OF THE HOSPITALIZED CHILDREN (AGE > ONE MONTH) DIAGNOSED WITH NEUROLOGICAL DISORDERS WITH REPEATED INCIDENCE OF CNS INFECTION

Objectives: Research was aimed at the observation of the presentation of all the neurological patients who were hospitalized in the pediatrics general ward, we also reviewed the outcomes in the research including treatment complications and investigations.

Methodology: Our research was by design patient’s retrospective analysis who were hospitalized in the duration of Sep, 2016 to Sep, 2017 at Allied Hospital, Faisalabad (Pediatrics general ward). We included all the cases with neurological issues and above one-month age; whereas, neonates and metabolic fits cases were excluded from the research.

Results: The cases of neurological illness were admitted in considerable proportion in the general pediatrics ward 67 / 687 (8.9%). CNS infection was the most common neurological problems which was observed in 42 / 67 cases (62.5%). Related reason behind the hospitalization were complicated cerebral palsy observed in 7 / 67 cases (10.4%), epilepsy in 7 / 67 cases (10.4%), febrile fit in 5 / 67 cases (7.5%) etc. Fever was most common sign which was observed without the incidence of seizures in 59 cases (87.9%). Every patient who was suspected by CNS infection was managed through antibiotics. Intravenous quinine was managed in the cerebral malaria patients.

Conclusion: Children with neurological issues were under five years of age that makes an important cause of the hospitalization with frequently observed infection. Nervous system bacterial infections were more common than protozoal or viral infections. Our outcomes will assist in the expert planning for the emergency management in the hospitals and concerned wards by the duty physicians.

Key Words: Childhood, Children, Meningitis, Encephalitis, Tuberculous meningitis, Cerebral malaria, Neurological deficits and Neurological complications.