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yes, intracranial hypertension can cause pressure on the brain neurons and can cause psychosis.
she may need another lumbar puncture and treatment with a course of penacillin to see if that helps.
a lumbar puncture would check the pressure around the brain and can reduce the pressure
the penicillin would treat any potential strep bacterial around the brain if it was there.
you can give just penicillin and see if that helps the symptoms. if it does, then that points more to panda's disease.
it sounds like she needs a lumbar puncture then.
you see a neurologist for a LP.
she needs to get back on acetazolamide
she still needs a lumbar puncture asap
you are welcome
best of luck to you and your daughter.
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