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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause A Child To Pass Out And To Have Symptoms Like Dialated Speech Slurred And Unsteadiness?

my 13 y/o son passed out this morning at school and has areas of the morning prior to passing out he does not remember. his pupils were pin point dialated speech slurred and unsteady appeared to be dragging his rt leg rather than lift it.unable to stay awake. he was taken to local ER.after head CT blood work and EKG he was sent home with a holter monitor for 24hours. his speech is still very slow as are his movements he still babying the right as little.Should we be concerned it s more than the syncope dx he was discharged with?
Mon, 20 Apr 2015
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Pediatrician,  's  Response
A simple syncope generally does not leave back any residual problem, so I feel we need to observe the child closely and plan further investigations if needed. Did the child have any convulsion when he passed out? The normal blood counts and CT scan rules out some common possibilities, but an EEG may still help.
Another common possibility is an acute cerebellitis or infetion or swelling of a part of the brain called cerebellum. This condition often produces similar symptoms but the child generally improves spontaneously within a few weeks. No specific treatment is required.
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What Could Cause A Child To Pass Out And To Have Symptoms Like Dialated Speech Slurred And Unsteadiness?

A simple syncope generally does not leave back any residual problem, so I feel we need to observe the child closely and plan further investigations if needed. Did the child have any convulsion when he passed out? The normal blood counts and CT scan rules out some common possibilities, but an EEG may still help. Another common possibility is an acute cerebellitis or infetion or swelling of a part of the brain called cerebellum. This condition often produces similar symptoms but the child generally improves spontaneously within a few weeks. No specific treatment is required.