Uncommon neurologic complications of burns in infants: A parkinsonian extrapyramidal disorder and massive cerebral infarction

Eli Shahar*, Ilan Keidan, Natan Brand, Mira Frand, Zohar Barzilay

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

We report uncommon neurologic complications of moderate to severe burns in two infants aged 13 and 19 months, respectively. The first patient suffered a 25% total body surface area burn to her lower limbs; 3 days later she became mute and irritable, with increasing rigidity of limbs and trunk. Her face was expressionless and she also had mild dysphagea. Muscle-stretch reflexes were brisk and accompanied by episodes of coarse jitteriness. A diagnosis of an extrapyramidal parkinsonian disorder was made. The infant was treated with amantadme hydrochloride, and she recovered completely over a period of 2 months. The second infant was admitted with an extensive burn to his trunk and limbs; 3 days later he became comatose and had intractable seizures, which were more prominent over his right side. Dysphasia and right-sided hemiplegia became apparent; these conditions were and remained permanent, accompanied by focal seizures and a marked cognitive delay. Although relatively uncommon, central nervous system involvement may be a hazardous complication of burns in infants, who thus represent a high-risk group.

Original languageEnglish
Pages (from-to)54-57
Number of pages4
JournalJournal of Burn Care and Rehabilitation
Volume12
Issue number1
DOIs
StatePublished - 1991

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