Encephalopathy an Atypical Presentation of Intussusception: A Case Report

  • Venma Mampilly Kerala University of Health Sciences, Kerala, India.
  • Sasikumar Manalumukkil Sankaran Kerala University of Health Sciences, Kerala, India.
  • Ramaraj Subbiah Amala Institute of Medical Sciences, Kerala, India.
Keywords: Metabolic encephalopathy, Intussusception, Pediatric emergency, Drowsy

Abstract

Background: Intussusception Encephalopathy is a pediatric emergency where a stuporous child presents with or without abdominal symptoms. Neurological manifestations of intussusception are an atypical presentation of this condition. It often misleads clinicians to other differential diagnoses of encephalopathy.

The Case: We present to you a case of an 11-month-old child presented with encephalopathy, acute in onset with underlying intussusception.

Conclusion: Intussusception encephalopathy is a pediatric emergency. It should be kept as a differential diagnosis when a child presents with complaints of acute onset of drowsiness with or without abdominal symptoms. Early diagnosis could save grave complications and improve the prognosis.

Author Biographies

Venma Mampilly, Kerala University of Health Sciences, Kerala, India.
Venma Mampilly is an intern at the Amala Institute of Medical Sciences, Kerala, India. She has published an article regarding the efficacy of a continuous glucose monitoring system in lowering HbA1c and has also been an author in a study on transgender subjects. She is currently planning to pursue her post-graduation abroad.
Sasikumar Manalumukkil Sankaran, Kerala University of Health Sciences, Kerala, India.

Professor of Pediatric Surgery

Ramaraj Subbiah, Amala Institute of Medical Sciences, Kerala, India.

Professor & Head of the Pediatrics Department

References

Kliegman RM, Behrman RE, Jenson HB, Stanton BM. Nelson textbook of pediatrics. Elsevier Health Sciences; 2007 Aug 15.

Goetting MG, Tiznado-Garcia E, Bakdash TF. Intussusception encephalopathy: an underrecognized cause of coma in children. Pediatr Neurol. 1990 Nov-Dec;6(6):419-21.

Dankoff S, Puligandla P, Beres A, Bhanji F. An unusual presentation of small bowel intussusception. CJEM. 2015 May;17(3):318-21.

Aygün F, Aydın PÖ, Emre Ş, Uzunoğlu SŞ, Saltık S, Çam H. A rare case with encephalopathy. Turk Pediatri Ars. 2016 Sep 1;51(3):169-172.

Domínguez-Carral J, Puertas-Martín V, Carreras-Sáez I, Maraña-Pérez AI, Escobar-Delgado T, García-Peñas JJ. Neurological symptoms in children with intussusception. An Pediatr (Barc). 2014 May;80(5):293-8.

Hoisington G, Bartlett W, Kelly T. Intussusception presenting as encephalopathy. Iowa Med. 1993 Mar;83(3):107-10.

Godbole A, Concannon P, Glasson M. Intussusception presenting as profound lethargy. J Paediatr Child Health. 2000 Aug;36(4):392-4.

d'Escrienne MM, Velin P, Filippigh P, Steyaert H, Valla JS, Perelman S, Dupont D. [Lethargic form of acute intestinal intussusception in an infant]. Arch Pediatr. 1996 Jan;3(1):44-6.

Singer J. Altered consciousness as an early manifestation of intussusception. Pediatrics. 1979 Jul;64(1):93-5.

Ros SP, Reynolds SL, Bhisitkul DM, Ionides SP, Handa RJ. Plasma beta-endorphin levels and childhood intussusception. J Emerg Med. 1994 Nov-Dec;12(6):767-9.

Angel MJ, Young GB. Metabolic encephalopathies. Neurol Clin. 2011 Nov;29(4):837-82.

Published
2020-04-30
How to Cite
Mampilly, V., Sankaran, S. M., & Subbiah, R. (2020). Encephalopathy an Atypical Presentation of Intussusception: A Case Report . International Journal of Medical Students, 8(1), 41-44. https://doi.org/10.5195/ijms.2020.360
Section
Case Report