Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : March | Volume : 12 | Issue : 3 | Page : SC01 - SC04

Cranial Neuroimaging in Infantile Tremor Syndrome: The Road Ahead

Prateek Gehlot, Rajesh Gupta, Jagdish Chandra Mandliya, Poonam Singh, Ashish Pathak

1. Associate Professor, Department of Radiodiagnosis, RD Gardi Medical College, Ujjain, Madhya Pradesh, India. 2. Associate Professor, Department of Paediatrics, Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, India. 3. Professor, Department of Paediatrics, RD Gardi Medical College, Ujjain, Madhya Pradesh, India. 4. Assistant Professor, Department of Paediatrics, RD Gardi Medical College, Ujjain, Madhya Pradesh, India. 5. Professor, Department of Paediatrics, RD Gardi Medical College, Ujjain, Madhya Pradesh, India; Post Doctoral Fellow, Global Health (IHCAR) Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden.

Correspondence Address :
Dr. Rajesh Gupta,
C-204, Chirayu Medical College Campus, Bhopal-Indore Highway, Near Bairagarh, Bhopal-462030, Madhya Pradesh, India.
E-mail: drrajesh93@gmail.com

Abstract

Introduction: Infantile Tremor Syndrome (ITS) is a self-limiting clinical state of unknown aetiology characterised by tremors, anaemia, pigmentary skin disease, regression of mental development and hypotonia of muscles in a plump looking child, mostly reported from Indian subcontinent.

Aim: To analyse the role of cranial neuroimaging in identifying aetiology of ITS patients.

Materials and Methods: This observational cross-sectional study done at Department of Paediatrics, RD Gardi Medical College, Ujjain, Madhya Pradesh, India, was conducted during the period of April 2013 to August 2014. Ten patients admitted with clinically diagnosed ITS were studied. Patient profiles, history, anthropometric measurements, general and systemic examination along with cranial neuroimaging were also studied.

Results: Out of ten ITS patients, four were males and six females. Mothers of all children were vegetarian and Hindu by religion. Severe wasting was present in four patients whereas three had moderate wasting. On cranial neuroimaging non specific cerebral atrophy of different grades was observed in all cases except one and cerebellar atrophy in one case of ITS. Reduced thickness of corpus callosum was observed in six patients and nine children had prominence of Sylvian sulcus. Out of the four children with severe wasting three had evidence of cerebral atrophy; moreover, all the three patients having moderate wasting had evidence of cerebral atrophy.

Conclusion: Different grades of cerebral atrophy, ventricular enhancement along with corpus callosum thinning have been the key findings in ITS patients. Findings support nutritional deficiencies as most probable aetiology.

Keywords

Cerebral atrophy, Neuroimaging, Tremors, Undernutrition

How to cite this article :

Prateek Gehlot, Rajesh Gupta, Jagdish Chandra Mandliya, Poonam Singh, Ashish Pathak. CRANIAL NEUROIMAGING IN INFANTILE TREMOR SYNDROME: THE ROAD AHEAD. Journal of Clinical and Diagnostic Research [serial online] 2018 March [cited: 2018 Jun 20 ]; 12:SC01-SC04. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=March&volume=12&issue=3&page=SC01-SC04&id=11240

DOI and Others

DOI: 10.7860/JCDR/2018/29522.11240

Date of Submission: Apr 25, 2017
Date of Peer Review: Aug 03, 2017
Date of Acceptance: Oct 14, 2017
Date of Publishing: Mar 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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