Citation

Shahar E, Keidan I, Brand N, Frand M, Barzilay Z. J. Burn Care Rehabil. 1991; 12(1): 54-57.

Affiliation

Child Neurology Unit, Chaim Sheba Medical Center, Tel Hashomer, Israel.

Copyright

(Copyright © 1991, Lippincott Williams and Wilkins)

DOI

unavailable

PMID

2022683

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 amantadine 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.

Language: en