Conversation: The conversation between human and AI assistant.
[|Human|] My son is 1.5 month old. Weight 3.3 KG, Height 54 cm.He got blood infection (Septicemia) on 2nd day of his birth and became hypoglycemic and got convulsion on 3rd day. His level of Calcium in blood was also low 6.9 mg/dl Treatment he got: 1. Meropenem for 12 days 2. Phenobarbital for 2 days Doctor withdrew phenobarbital on 5th day and convulsion stopped. Doctor released Nuhayed on 15th day. He was cured then. From 28th day very little jerking was seen in his left leg. It was approx 5-6 times per day. Then gradually it increased day by day. Now both hands and legs and also head jerk several times in a day. It seems less when he is in deep sleep and fully awaken. In time of breast feeding and before going to sleep he jerks more and strongly. Treatment he is getting: 1. Phenobarbital 30mg (1/4+0+1/4) 2. Folic acid (1/4+0+0) from 32nd day till today. His EEG report is notrmal.His USG report says, The appearances of the Cerebral Hemispheres & Sulci s, areas of basal ganglia & Moderate interhemispheric fissure collection are suggestive of possible changes due to (?) on going intra-carnial infection. No considerable improvement yet. Would you please advise.
[|AI|]  The important thing to know is doing he had a documented intracranial infection ? Meaning : did they do Lumber puncture ? And what was the results of the analysis and culture of the cerebrospinal fluid? Early convulsions in meningitis usually suggest a good prognosis unless it was a devastating bacterial meningitis which can affect the vision, hearing and can cause mental retardation as well, and sometimes is associated with convulsions .EEG can be normal in 30 % of patients who has convulsions, and it doesn't exclude it .the most important next step is doing MRI scan of the brain, to exclude congenital malformation, inflammatory changes following meningitis. A video showing these Jerks is very important in diagnosis, because some infants can exhibit Benin myoclonus Jerks during sleep and is considered normal. So the following is needed : - brain MRI - video documenting the Jerks. - if a documented meningitis was there, then should do hearing test (aquatic emission) I hope this was helpful