Abnormal Lower Extremity Movements in a Term Infant
| Autor: | Kristi S. Wood, John S. Blanco, Ericalyn Kasdorf, Laura J. Perretta |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Dyskinesias medicine.diagnostic_test Lumbar puncture business.industry Infant Newborn Infant Reference range Physical examination medicine.anatomical_structure Lower Extremity Term Infant Breech presentation Anesthesia White blood cell Pediatrics Perinatology and Child Health Orthopedic surgery medicine Humans Neonatology business Infant Premature |
| Zdroj: | Pediatrics In Review. 42:507-510 |
| ISSN: | 1526-3347 0191-9601 |
| DOI: | 10.1542/pir.2020-001875 |
| Popis: | 1. Kristi S. Wood, MD, MSc* 2. Laura J. Perretta, MD† 3. John S. Blanco, MD‡ 4. Ericalyn Kasdorf, MD§ 1. *Division of Orthopaedic Surgery, Queen’s University, Kingston Health Sciences Centre, Kingston, ON, Canada 2. †Division of Neonatology, Maria Fareri Children’s Hospital at Westchester Medical Center, Valhalla, NY 3. ‡Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY 4. §Division of Newborn Medicine, New York Presbyterian-Weill Cornell Medical Center, New York, NY A term girl presents with concern of focal seizure activity on postnatal day 1. Her parents observed rhythmic twitching of the left lower extremity that did not cease when the extremity was held and was not suppressible. A video recording obtained at approximately 12 hours of life demonstrated more than 30 seconds of sustained myoclonic jerks and fasciculation of the quadriceps area (Video). It was reported that similar movements of the left lower extremity were previously noted a few times, starting at approximately 2 hours of age during a diaper change, but these self-resolved episodes lasted only a few seconds. After the longer documented episode, the patient was transferred to our institution for evaluation in the NICU. Video 1. Click here to view the video. Lower extremity movements as recorded by the parents on the day of birth. This patient was born via scheduled cesarean delivery for breech presentation, with Apgar scores of 8 and 9 at 1 and 5 minutes after birth, respectively. Obstetric history is notable only for frank breech positioning on all ultrasonographic images. Her physical examination findings are normal aside from external rotation of the bilateral hips with positive bilateral Barlow maneuvers. Laboratory assessment for potential infection shows a white blood cell count of 14,100/µL (14.1 × 109/L) with 8% bands, an immature to total neutrophil ratio of 0.1 (reference range |
| Databáze: | OpenAIRE |
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