Browsing by Author "Prasad, Prem Lochan"
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Publication Clinico-Radiological Profile of Neurocysticercosis in Children(Nepal Paediatric Society (JNPS), 2019) Prasad, Prem Lochan; Dawra, Reetika; Chandra, SurabhiAbstract: Introduction: Neurocysticercosis (NCC) is the most common parasitic disease of the nervous system caused by the larval stage of Taenia solium (also known as pork tapeworm). Clinical manifestations are pleomorphic and determined mainly by the location, number and viability of cysts as well as by the host response. Neuroimaging is the most useful diagnostic study for parenchymal disease. Methods: The study was conducted in the Paediatric Ward of a tertiary care teaching institute, Bareilly, India. The study was conducted on 50 subjects. The study was a hospital based, prospective, observational study. All admitted children between one year to 18 years and diagnosed to have neurocysticercosis were included the study. Statistical analysis was done by single and double sample proportion test. P value of less than 0.05 was considered significant. Results: Maximum numbers of patients were in age group of five-14 years. Males (62%) were more commonly affected than females. Seizure was found to be the commonest presentation of NCC. In our study majority of cases were diagnosed by CT scan. 70% of the patients enrolled in this study demonstrated ring enhancing lesions on neuroimaging. Maximum number of patients had lesions in the parietal lobe followed by frontal lobe. Conclusions: NCC is common in the age group of five to 14 years. Focal seizures were the most common presentation. Other symptoms were headache and vomiting. Vegetarians were more commonly affected than non vegetarians. Single ring enhancing lesion in parietal area was the commonest neuroimaging findings.Publication Parental Perceptions Influencing the Utilization of Early Intervention Services in Children with Developmental Delay(Nepal Paediatric Society (JNPS), 2017) Chauhan, Sandhya; Prasad, Prem Lochan; Rai, Preeti Lata; Khurana, BhawanaAbstract: Introduction: Early intervention services play a pivotal role in the management of children with developmental delays but the utilization of these is quite low. This study aims to explore the influence of parental perceptions on the utilization of these services. Material and Methods: This is a hospital based qualitative study of 31 parents having children with developmental delay in 2 or more domains who presented for the first time for diagnostic evaluation. A semi-structured questionnaire was used in the interviews, exploring various aspects of parental perceptions regarding the child’s disability and the services required for them. Results: Apart from factors like educational and socioeconomic status of parents, accessibility of the services there are other factors involved at the level of parents which influence their readiness and motivation to utilize a service, viz understanding of the total spectrum of a child’s disability by parents and how well their child care needs are fulfilled. Conclusion: The parents’ long term motivation for utilizing the services depends upon how well their idea of a futuristic goal for their child is being addressed.Publication Rare Association of Bilateral Anotia with Congenital Facial Palsy(Nepal Paediatric Society (JNPS), 2015) Bhatnagar, Ruchika; Prasad, Prem LochanAbstract: Anotia is a birth defect and is associated with facial palsy and congenital heart defect as various presentation of cardiofacial syndrome. Herein we report a case of bilateral anotia and unilateral congenital facial palsy without congenital heart disease. It may occur due to single gene abnormality, teratogenic effect of maternal ingestion of thalidomide, retinoic acid, misoprostol or maternal diabetes, dietary lack of carbohydrates and folate.