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Francis J. DiMario, Jr, MD; Beverly P. Wood, MD

Am J Dis Child. 1992;146(3):351-352.

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

A 4-month-old boy presented for evaluation of congenital paralysis of the left arm. He had been the 2968-g product of a 38-week gestation. Pregnancy was complicated by poor prenatal care and maternal alcohol and intravenous cocaine abuse. The infant presented in double-footling breech position. He was delivered vaginally and had Apgar scores of 8 and 9 at 1 and 5 minutes, respectively. He was placed in a special care nursery because of hypothermia and respiratory distress, where suspected sepsis and substance withdrawal symptoms were treated.

On admission to the nursery, vital signs were as follows: rectal temperature, 35° C; respiratory rate, 70 breaths per minute; pulse rate, 140 beats per minute; and blood pressure, 55/35 mm Hg. His head circumference was 34 cm. Examination demonstrated a normal-appearing, alert infant with sternal retractions, nasal flaring, and clear breath sounds. He was diffusely hypotonic, with diminished spontaneous movements. A lumbar puncture produced . . . [Full Text PDF of this Article]

Author Affiliations
Contributed from the Department of Pediatrics, Division of Pediatric Neurology, University of Connecticut Health Center, Farmington.

Footnotes
Accepted for publication August 15, 1991.

Reprint requests to Department of Radiology, Childrens Hospital of Los Angeles, 4650 Sunset Blvd, Los Angeles, CA 90027 (Dr Wood).

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