Desafíos diagnósticos y terapéuticos en un paciente pediátrico con anencefalia, hidrocefalia y epilepsia: Reporte de caso

Abstract

Introduction: A 5-month-old female patient with an intrauterine diagnosis at 5 months of anencephaly plus hydrocephalus with a poor prognosis. Obtained by caesarean section at term. She stayed 4 days in pediatric intensive care and was then discharged. He attended due to a clinical picture characterized by a convulsive crisis at 7:00 p.m. and 8:00 p.m. She was hospitalized for 22 days presenting macrocephalus, tension hydrocephalus, external ventricular drain in place, gaze at the rising sun, spontaneous eye opening. She is under sedation and analgesia with infusion of midazolam and fentanyl, connected to mechanical ventilation through an endotracheal tube. Case report: present a complex clinical case where the patient presents anencephaly plus hydrocephalus and epilepsy without evidence of cerebral lobes. Conclusion: Anencephaly, hydrocephalus and epilepsy are serious neurological conditions, due to the significant impact that can be present in the life of the person suffering from these medical conditions. It is extremely rare that the patient presents epilepsy and each time the episodes are more violent until the loss of consciousness.