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Journal of the Korean Child Neurology Society 2007;15(2):220-224.
Published online November 30, 2007.
A Case of Neurogenic Shock from Intussuception Secondary to a Small Bowel Lipoma.
Se Hwa Kim, Kyung Ok Ko, Young Hyuk Lee
Department of Pediatrics, College of Medicine, Konyang University, Daejon, Korea. ksh5408@hanmail.net
For neurologic symptoms such as mental changes, the etiologies should be thoroughly looked for. Neurologic problems are primarily assessed by medical history, physical and neurologic examination, electroencephalogram, neuroimaging studies. Furthermore, cardiovascular disorders, metabolic diseases, toxic materials and psychologic problems are also evaluated. In some cases that are difficult to find the causes of mental change despite the thorough evaluation and rarely, neurologic shock caused by severe pain can bring about alterness of consiousness. The causes of leading points are discovered frequently in the intussusception in late childhood and lipoma in the small bowel can be one of leading points but it rarely occurs. We report a case of neurologic shock with mental changes from intussusception secondary to a small bowel lipoma in a 13 year-old boy.
Key Words: Mental changes, Neurogenic shock, Intussusception, Lipoma
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