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10) Lumbar puncture is contraindicated in the presence of decreased level of consciousness or focal neurological deficit.
The most common presentation is pulsatile tinnitus, headaches, focal neurological deficit, and visual disturbances.
At the time of discharge she was conscious, without any focal neurological deficit but unable to walk.
No focal neurological deficit was found on examination and fundus examination was normal.
3) Discussion Similar to previously published reports, (9), (10), (11) a considerable number of abnormal CT scans following a depressed skull fracture with no clinical focal neurological deficit were found.
He regained a Glasgow Coma Score of 14/15 within three hours and no focal neurological deficit was detected.
Section three outlines differential diagnoses and investigations for common neurological presentations such as headache, loss of consciousness and acute focal neurological deficit.
Urgent neuroimaging should be performed in the following settings: * status epilepticus without obvious cause7 * postictal focal neurological deficit which does not quickly resolve7 * a child who does not return to neurological baseline within a few hours after the seizure - the effects of emergency medication used to terminate the seizure should be taken into consideration7 * the child with suspected raised intracranial pressur Routine imaging should be performed in the following settings: * a child who is stable and has had a focal seizure of unknown cause7 * a child with other unexplained abnormal neurological findings7 * a child with significant developmental delay of unknown cause7 * children under 1 year of age with an unprovoked seizure.