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Hanan Fathy
 
 
•Female patient Waad Ahmed Youssof , 2 years oldfrom Elamria, admitted on 22/2/09.•
C/O:
 
An attack of disturbed sensorium, sweatingTransient loss of vision(day of admission)
 
 
Present history:
•The patientis a
known case of glycogen storage disease type III 
,she is on regular starch supplementation every six hours, the mother missed the night supplements.In the morning the mother found her child
irresponsive and with profuse sweating 
, shetried giving her her missed amount of starch but the child was unable to take oralfeeding.The mother sought medical advice at Elamria hospital
 RBS checking  revealed very low level 
, she was given I.V fluids and her blood glucose level waschecked regularly, the patient improved but she didn't`t regain full conscious andhence was referred to Elsaatby hospital,
Upon admission the patient had disturbed sensoium her blood sugar level was low
, shewas given I.V glucose for correction of hypoglycemia her condition graduallyimproved, however 
upon regaining concious the patient complained  that she can`t  see
. She remained so for over night then in the morning she regained fullconciousness and good vision.
C.T brain
during period of loss of vision : unremarkable
Ophthalmology consultation
: no gross abnormality can be seen and MRI brain wasrecommended.
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borsil

thank you very much

reply12 / 19 / 2009
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