മാഷ്

One year old girl child normal growth and development started showing this head nodding and difficulty in sitting and standing . Mother attributes everything to a fall which happened 9 days back, fall while she was sitting and playing. She noticed this problem next day onward. (consent taken from parents for publishing this for teaching purpose) No significant illness in the past. No fever during the illness or immediate past No history of any drug intake (  Possibility of drug ingestion was thought of and excluded) Only child,born at term No significant perinatal illness, Development in all fields normal till now. No family history of any neurological illness On Examination Vitals stable. She was irritable disturbed by this unsteadiness and inability to hold neck and sit straight. No pallor No lymph node No neurocuaneous markes No rash Pulse 110/mt normal volume,. BP normal for age CNS  Head nodding and unsteadiness in sitting. Trunkal ataxia.Intention tremor wh