title: Sudden impolite behavior in a polite girl: a case report.
abstract: In this case we present a previously healthy child with sudden behavioral change and acute confusional state (ACS). ACS is a neurologic emergency. The clinical manifestations of ACS are; confused affect, limited verbal response, disturbance in performing orders, some automatism, stable vital signs and absence of tonic-clonic movements and it has a wide range of differential diagnosis which should be assessed by detailed medical history, medical examination and laboratory tests. The only abnormal test found in this patient, was cerebrospinal fluid abnormality, consistent with viral encephalitis.
authors.affiliation: Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran rmhaalm@ucl.ac.uk.
authors.forename: Behdad
authors.initials: B
authors.lastname: Gharib
authors.affiliation: Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran rmhaalm@ucl.ac.uk.
authors.forename: Mahmood Reza
authors.initials: MR
authors.lastname: Ashrafi
authors.affiliation: Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran rmhaalm@ucl.ac.uk.
authors.forename: Ali
authors.initials: A
authors.lastname: Tavassoli
authors.affiliation: Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran rmhaalm@ucl.ac.uk.
authors.forename: Firozeh
authors.initials: F
authors.lastname: Hosseini
authors.affiliation: Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran rmhaalm@ucl.ac.uk.
authors.forename: Hossein
authors.initials: H
authors.lastname: Farshadmoghadam
mesh_terms: D000927:Anticonvulsants / Q000627:therapeutic use; D002648:Child; D003221:Confusion; D003937:Diagnosis, Differential; D018792:Encephalitis, Viral / Q000175:diagnosis*; D005260:Female; D006801:Humans; D012640:Seizures / Q000188:drug therapy
chemical_list: D000927:Anticonvulsants