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Carlo Bellini, MD, PhD; Mauro Oddone, MD; Ennio Biscaldi, MD; Giovanni Serra, MD
From the Servizio di Patologia Neonatale, Dipartimento di Pediatria, Universita di Genova (Drs Bellini and Serra), and the Servizio di Radiologia (Drs Oddone and Biscaldi), Istituto G. Gaslini, Genova, Italy.

Arch Pediatr Adolesc Med. 2001;155:1381-1382.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A FULL-TERM INFANT had asphyxia at 1 day of age. His weight was 3500 g; his length, 49 cm; and his head circumference, 36 cm (all parameters were between the 50th and 75th percentiles). Apgar scores were 1 and 5 at 1 minute and 5 minutes, respectively.

A tracheal intubation was performed because of asphyxia, bradycardia, and poor respiratory effort. The patient was treated with 12 hours of mechanical ventilation followed by continuous positive airway pressure ventilation for the next 3 days. Neonatal hypoglycemia was treated with intravenous dextrose, and metabolic acidosis with intravenous bicarbonate. The first day, seizures occurred lasting approximately 5 minutes. Dystonia, opisthotonos, and irritability were observed during the first week.

Brain magnetic resonance imaging indicated frontal regions of encephalomalacia and blood surrounding the left cerebellar hemisphere. On day 2, pitting edema appeared on . . . [Full Text of this Article]

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