Influenza A H1N1 was documented and he was treated with oseltamivir. On June 8, 2009, the patient was hospitalized for worsening coordination and ataxic gait with fever and malaise. Approximately 2 weeks later, dysmetria was noted on physical examination as well as prominent sulci with mild to moderate cerebellar atrophy indicated by an MRI. In May 2009, the patient underwent eye surgery to correct esotropia. The patient also complained of slowed cognition, memory problems, and difficulties in fine motor function, including writing and occasional balance problems. In late March, the patient returned to the hospital for an evaluation by a pediatric neurologist who noted a mild, coarse tremor in his upper extremities. Due to his neurologic signs and history of concussions, the patient was diagnosed with probable postconcussive syndrome. The patient had suffered 2 previous concussions: 2 weeks earlier when he was elbowed in the temple, fell, and hit the back of his head and ∼4 months earlier during football practice.Ĭomputed tomography, MRI, and magnetic resonance angiogram of the head and neck were normal. “On February 16, 2009, a 13-year-old boy presented to an emergency department with slow, slurred speech, mood lability, and double vision.
When a disease is as rare as Sporadic Fatal Insomnia is, case studies are really the only way to understand it, and whatever symptoms we know about this disease, and what little knowledge we have of its progression, comes from these case studies.Īn excerpt from one such Sporadic Fatal Insomnia Case Study is given below, and it is worth noting that this is a case study of the youngest ever patient suffering from Sporadic Fatal Insomnia. Sporadic Fatal Insomnia: Case Studyīecause Sporadic Fatal Insomnia is such a rare condition, there are only case studies that talk about it in medical literature, and there have been no studies or explorations of this disease otherwise.
However, it is important to remember that these symptoms can easily be the symptoms of other conditions as well, and it would be very difficult to tell exactly what the symptoms of the condition are because there have been so few cases over time, and the brain abnormalities in the condition are very specific to each person. In most cases there is also the presence of Anxiety and depression. Other symptoms that may occur as a result of the dysfunction of Autonomic Nervous System may be fever, rapid heart rate ( tachycardia), high blood pressure (hypertension), increased sweating (hyperhidrosis), increased production of tears, constipation, variations in body temperature, and sexual dysfunction including erectile dysfunction. Some other symptoms of Sporadic fatal insomnia may include signs like dysfunction of the autonomic nervous system and usually symptoms of this disease tend to vary from one person to another because the specific part of the autonomic nervous system affected can be different. Abnormal movements including tremors or twitchy, jerking muscle spasms (myoclonus),.Trouble coordinating voluntary movements (ataxia).Episodes of confusion or hallucinations can eventually occur.Worsening problems with thought, cognition, memory, language, and behavior.Insomnia usually begins suddenly and can rapidly worsen over the next few months.Insomnia may first be mild, but becomes progressively worse.Progressive insomnia that usually begins during middle age.The signs and symptoms of sporadic fatal insomnia are similar to familial fatal insomnia, however, which are as follow: The causes of sporadic fatal insomnia are therefore not known, and it is much rarer than Familial Fatal Insomnia because of the lack of familial transmission. Sporadic Fatal Insomnia is a variant of a disease known as Familial Fatal Insomnia, which is caused by a Prion Related Protein Gene, and in case of sporadic fatal insomnia this gene is not the problem, which means that Sporadic Fatal Insomnia is not something that is caused by transmission by the parents. Sporadic Fatal Insomnia is a type of prion disease and it is neurodegenerative, and as yet there is no treatment for this condition.įatal Insomnia is caused by a gene that is usually transmitted from one generation to another but even so, this condition is common and the presence of the prion alone is not enough to cause the disorder.
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