മാഷ്

11 year old girl who was healthy till one week back had low grade fever followed by focal seizures on right side on same day. Seizure lasted five minutes. She regained consciousness but seizure recurred after few hours. Fever subsided with one dose of paracetamol and lasted one day only. No past history of significant illness, No contact with Tuberculosis ,  no history of ear discharge,  No history of  head trauma. Born our of non consanguineous marriage,Antenatal ,natal postnatal period uneventful. Development all normal, Immunized update. No family history of any neurological disorders. On admission   Altered sensorium. EMV 10 breathing normal, BP 110/70 ,pulse 80/min,afebrile. No skin bleeds,skin  rash,No  jaundice. Eye movements normal ,pupils normal size and reaction fundus normal. other Cranial nerves normal. Motor system ,power normal ,tone lower all limbs reflexes sluggish ,plantar up going. No signs of meningeal irritatio...