Focal neurological signs in cerebral malaria accounted for by preceding neurological damage.
In 1987 at Port Moresby General Hospital, Papua New Guinea, two out of 103 adults with a final diagnosis of cerebral malaria had focal neurological signs noted on admission. In both cases the focal signs could be explained by documented prior neurological disease with residual focal damage. Focal neurological signs in patients presenting with malaria should prompt careful investigation to exclude other active neurological disease. Where no additional diagnosis is evident a history of past neurological damage may become apparent to explain the focal nature of the malaria presentation.
Port Moresby General Hospital, Papua New Guinea.
B J
BJ
Currie
V L
VL
Krause
D000328:Adult; D001927:Brain Diseases / Q000150:complications / Q000209:etiology*; D003243:Consciousness; D005260:Female; D006429:Hemiplegia / Q000150:complications; D006801:Humans; D008288:Malaria / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D010219:Papua New Guinea; D011803:Quinine / Q000627:therapeutic use; D012640:Seizures / Q000209:etiology
D011803:Quinine