Shahar, Mohamed Arif and Ngiu, Chai Soon and Hashim, Hasnur Zaman and Tan, Hui Jang and Periyasamy, Petrick
(2011)
No coma, but expressive dysphasia with cerebellar signs: an unique presentation of cerebral malaria.
Annals Academy of Medicine Singapore, 40 (8).
pp. 382-383.
ISSN 0304-4602
Abstract
Malarial infection is not uncommonly complicated by cerebral involvement and poses significant mortality and morbidity especially in children. Similar complications may be seen in the adult population. Cerebral malaria is defined as encephalopathy that presents with impaired consciousness, delirium, and/or seizures. Neurological deficits are commonly seen as sequelae of cerebral malaria rather than as presenting symptoms or signs.
We present here a unique case of cerebral malaria with focal neurological deficits but without alteration in conscious level. Keeping rare presentations of common illnesses in mind, clinicians should consider the possibility of cerebral malaria in a patient with neurological deficits and a history of fever and travel in endemic areas.
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