Case 1: Newborn Who Cannot Open Eyes
| Autor: | Tomas Havranek, Babina Nayak, Suhas Nafday, Cheng Zhang |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
genetic structures medicine.medical_treatment Horner syndrome Physical examination Pallor 03 medical and health sciences Consanguinity 0302 clinical medicine 030225 pediatrics Ophthalmology Intensive Care Units Neonatal Medicine Blepharoptosis Humans 030212 general & internal medicine Advanced maternal age Continuous positive airway pressure medicine.diagnostic_test business.industry Vaginal delivery Infant Newborn Gestational age Infant Middle Aged medicine.disease eye diseases Respiratory failure Pediatrics Perinatology and Child Health Female sense organs medicine.symptom business Dandy-Walker Syndrome Maternal Age |
| Zdroj: | NeoReviews. 21(2) |
| ISSN: | 1526-9906 |
| Popis: | A female infant is born at 40 weeks 2 days gestational age to a 52-year-old gravida 8, para 7 mother via vaginal delivery with Apgar scores of 9 and 9. The infant is admitted to the NICU for mild respiratory failure that needed continuous positive airway pressure (CPAP) support and for further evaluation of neurologic malformation diagnosed on prenatal ultrasonography. The maternal history is significant for advanced maternal age and consanguinity (first-degree cousins). The infant’s physical examination findings are significant for decreased range of motion and increased tone in all 4 extremities. In the NICU, the infant is noted to have recurrent apnea associated with abnormal rhythmic movements concerning for neonatal seizures. However, 24-hour continuous video electroencephalography (vEEG) does not demonstrate electrographic seizures and there is no correlation between cortical wave function and her inability to open eyes. Although she blinks rapidly in response to light and brisk pupillary stimulus, she does not spontaneously open her eyes on either side, for which she is evaluated by ophthalmology. There are no signs suggestive of Horner syndrome. Fundus examination by the pediatric ophthalmologist reveals the presence of an optic nerve with a large, deep cup (0.5 in the right eye and 0.65 in the left eye), minimal temporal pallor in the left eye, and unremarkable retina and macula in … |
| Databáze: | OpenAIRE |
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