THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
[14-06-2025 17.07] PPM 1: Afternoon inpatient:
29F with quadriparesis, inability to walk and bed ridden since 3 months.
Had normal milestones since birth and was fine till 7 years of age when she first demonstrated abnormal behaviour in sudden running amok and often far away from home whenever she got the opportunity along with a decline in her academic prowess.
Gradually she started developing difficulty in speech and since the age of 19 become mute along with gradual paraparesis.
Current motor power is 4/5 in upper limbs and 2/5 in lower limbs along with muscle wasting but hypertonia and exaggerated reflexes. Jaw jerk is absent.
Family tree and certain deidentified phenotypic features are attached.
