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Radiological Case of the Month
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.
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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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