Author/Authors :
Gharib، Behdad نويسنده Department of Pediatrics, Childrens Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Gharib, Behdad , Ashrafi، Mahmood Reza نويسنده Department of Pediatrics, Childrens Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Ashrafi, Mahmood Reza , Tavassoli، Ali Akbar نويسنده Professor, Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran. , , Hosseini، Firozeh نويسنده Department of Pediatric Neurology, Hamadan University of Medical Sciences, Hamadan, Iran. Hosseini, Firozeh , Farshadmoghadam، Hossein نويسنده Department of Pediatrics, Childrens Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Farshadmoghadam, Hossein
Abstract :
In this case we present a previously healthy child with sudden behavioral change and acute confusional state (ACS). ACS is a neurologic emergency. The clinical manifestations of ACS are; confused affect, limited verbal response, disturbance in performing orders, some automatism, stable vital signs and absence of tonic-clonic movements and it has a wide range of differential diagnosis which should be assessed by detailed medical history, medical examination and laboratory tests. The only abnormal test found in this patient, was cerebrospinal fluid abnormality, consistent with viral encephalitis.
