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7 year old male child was brought to the clinic by his parents for complaints of irritability. He was a known case of Cerebral palsy with cortical blindness. The child would always be irritated and restless and would not be comfortable in any position. The only thing that made him comfortable was music that was familiar to him. On listening to it, he would keep quiet.
- He did not have any co-ordination and
- He had no control over his urine and stools
- He could not crawl or walk
- He had no vision
- He could make out between bright and dark objects but couldn't comprehend
Whenever his favourite television programme would be telecast, he used to move his neck and his legs. When in a happy mood he would be on his own and would make noises, shout and laugh. He would also sing in his own way and would like to be appreciated. The child would feel nice when other children would come home to play with him and preferred to be in big, open spaces.
Besides the above symptoms he was very sensitive to noise, especially any sudden noise like the pressure-cooker whistle; he would get scared of it. When angry, he would express his displeasure and if not attended at such times, then he would bite the person.
The patient was very attached to his father and would listen only to him.
During the pregnancy, his mother had hypertension from the second month onwards. She was very unhappy, sad and lonely and had not accepted the pregnancy.
The child was fond of pickles, ice-cream and crispy salty things. He was sensitive to heat in general. He would not feel much thirst. During urination, he would pause after he had voided a part of it. There was lot of drooling of saliva during sleep. He had 2 patches of hair loss on the scalp.
Ophthalmic examination revealed that he could not fixate or follow light in both eyes. Pupils were brisk in both the eyes. Torch light examination of the anterior segment was normal in both eyes. Digital tensions and fundus examination was normal in both the eyes. The child was diagnosed as having visual agnosia due to cortical blindness. Poor visual prognosis was explained to the parents.
CT scan of Brain revealed hypoxic encephalopathy and Sub-arachnoid hemorrhage.
On examination, his body was seen to be laxed and thinned out. He had a small and irregular shaped head and had persistent drooling of saliva.
Based on the above history, he was prescribed Bufo 30. A week later, mother reported that drooling of saliva was lesser and his stools had improved. He was also sleeping better. Another 2 months of continued treatment saw him improve further; his understanding had improved, drooling of saliva was lesser and restlessness was better. He had also started developing hair in the bald patches of his scalp. In another month's time, he was better toilet-trained. The treatment was continued on similar lines and his Therapist remarked that he was responding better to the Physical therapy now. He had started crawling now and had become more social ha before. He even attempted to speak a few words. Overall, he was doing much better than before and the medication was continued for some more time till he got further better.
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