Browsing by Author "Wanninayake, L."

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    Guillain-Barre syndrome of acute motor axonal neuropathy (AMAN) type associated with herpes zoster: a case report
    (BioMed Central, 2024) Wanninayake, L.; Rajapaksha, D.; Nair, N.; Gunarathne, K.; Ranawaka, U.
    Guillain Barre syndrome (GBS) following Varicella zoster is a rare presentation and has only been reported in a few cases around the world. Of the reported cases, the type of GBS is not specifed in the majority, and where specifed is of the acute infammatory demyelinating polyradiculoneuropathy (AIDP) type. We report a case of acute motor axonal neuropathy (AMAN) type GBS following herpes zoster in a 27-year-old male who presented with bilateral lower limb weakness and left sided lower motor neuron type facial nerve palsy a week after herpes zoster infection.
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    Paroxysmal kinesigenic dyskinesia – case report and brief literature review. (Case Reports)
    (Ceylon College of Physicians, 2021) Wanninayake, L.; Somarathne, A.; Nair, N.; Ranawaka, U.K.
    ABSTRACT: Paroxysmal dyskinesias are a group of rare movement disorders with several distinct varieties. Clinical history is the key to the diagnosis of the paroxysmal dyskinesias. This case report describes a patient with paroxysmal kinesigenic dyskinesia, the commonest form of paroxysmal dyskinesia. Awareness of paroxysmal dyskinesias would help physicians to recognise these rare disorders and initiate appropriate treatment without delay. KEYWORDS: Paroxysmal kinesigenic dyskinesia, Paroxysmal dyskinesia
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    Tender cervical lymphadenitis as a herald of multi-system inflammatory syndrome in COVID-19 infection of children and adolescents: a report of two cases
    (BioMed Central, London, 2022) Wanninayake, L.; de Abrew, G.; Logeshwaran, D.; Weerasinghe, C.; Gowinna, P.; Mettananda, S.; Premaratna, R.
    Background: Post-COVID-19 multisystem inflammatory syndrome (MIS) has been increasingly recognized but fever with isolated tender cervical lymphadenitis as the initial presentation has been rarely reported. We present 2 female patients one a child and the other an adolescent. Case presentation: Case 1 was a 13-year-old girl who presented with tender cervical lymphadenopathy and fever 3-weeks post-COVID-19, and then developed features of MIS 5 days later. Case 2, also female, was 18 years old. She had no history of COVID-19 infection or immunization but had a serologic diagnosis of COVID-19. She similarly presented with fever and tender cervical lymphadenopathy, and then progressed rapidly to develop features of MIS. Both patients responded well to treatment with immunosuppressants and intravenous immunoglobulin. Conclusion: Tender cervical lymphadenopathy could be the herald of multi-system inflammatory syndrome following COVID-19 infection among children and adolescents, which the clinicians must have a good suspicion about.