Abnormal Eye Findings in a 3-month-old Infant
| Autor: | Ashley Reagan, Akshaya Vachharajani, Olugbemisola Obi |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty Exophthalmos business.industry Apnea Intrauterine growth restriction Gestational age Infant Nystagmus Opsoclonus medicine.disease Anterior fontanelle medicine.anatomical_structure Pediatrics Perinatology and Child Health Medicine Gestation Humans Eye Abnormalities medicine.symptom business |
| Zdroj: | NeoReviews. 22(9) |
| ISSN: | 1526-9906 |
| Popis: | A male infant born at 32 weeks’ gestational age had abnormal eye examination findings at 3 months of age, as shown in the Video. The most likely clinical finding in this infant is: 1. Exophthalmos 2. Nystagmus 3. Opsoclonus 4. Spasmus nutans 5. Sunset phenomenon The male infant depicted in this Video was born at 32 weeks’ gestation to a woman with chronic hypertension and severe preeclampsia with multiple prenatal ultrasound scans showing abnormal Doppler flow studies and severe intrauterine growth restriction. The infant’s birthweight was at the 13th percentile and the head circumference at 1st percentile for gestational age. Screening head ultrasonography, performed on postnatal day 2 because of the small head circumference and clinical instability requiring intubation, showed bilateral severe intraventricular hemorrhages. Serial head ultrasonography showed rapid development of posthemorrhagic hydrocephalus within the first 2 to 3 weeks of age (Fig). There was also evidence of elevated intracranial pressure with the development of a bulging anterior fontanelle, increasing separation of the cranial sutures and an increasing number of apnea and bradycardia events. A ventricular access device was placed on postnatal day 25 to facilitate cerebrospinal fluid removal and provide temporary relief. A ventriculoperitoneal shunt (VP) was … |
| Databáze: | OpenAIRE |
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