12 YEARS OLD CHILD CAME WITH HISTORY OF SEIZURE , NOT WELL EXPLAINED BY ATTENDANTS BUT WHAT I CAUGHT, NATURE WAS GENERALISED TONIC NOT CLONIC WITH UPROLLING OF EYEBALLS , SIMILAR EPISODE IN PAST TWO TIMES, EVER TIME NOT EXCEEDING FIVE MINUTES NO HISTORY OF EPILEPSY IN FAMILY NO FEVER NO FOCAL NEUROLOGICAL DEFICIT ON EXAMINATION NO HISTORY OF CONSTIPATION DEVELOPMENT HISTORY NAD PERINATAL HISTORY NAD OPHTHALMOLOGIST OPINION NAD FUNDUS EEG NAD MRI BRAIN ATTACHED PVL ? HIE I HAD TALKED TO RADIOLOGIST I WAS KEEN TO SEARCH METABOLIC CAUSE OF SUCH FINDINGS OR WHITE MATTER DISEASE BECAUSE MOTHER WAS NOT GIVING HISTORY OF PERINATAL ASSAULT BUT RADIOLOGIST SAID BASAL GANGLIA INVOLVEMENT IS MUCH MORE IN KRABEE LIKE DISEASES HOW TO FURTHER APPROACH,SHOULD WE START ANTIEPILEPTIC TSH PTH REPORTS AWAITING ATTACHED MY PRESCRIPTION TOO<<@Dr. Manish Verma|profile|mverma50>> <<@Dr. Minol Amin|profile|mamin2>> <<@Dr. Sree Harsha|profile|sharsha2>> <<@Dr. Brahmananda Merugu|profile|bmerugu>> <<@Dr. Saumya Mittal|profile|smittal65>> <<@Dr. Mohd Izhar Jaweed|profile|mjaweed>> <<@Dr. Ahemad Karim|profile|ahemad>>