This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Janet M. Miles, MD; Enid Gilbert-Barness, MD

Am J Dis Child. 1993;147(8):907-908.

	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 was referred for evaluation of hypotonia. The infant was the product of an uneventful prenatal course and a spontaneous vaginal delivery at term. At age 1 month, the infant could lift his head and smile and startled appropriately. At a visit to the pediatrician at age 2 months, the mother expressed concern about a perceived slow development compared with his normal older siblings and poor head control. Results of examination at this time were reportedly normal, and the infant was treated for acute otitis media. Follow-up at age 3 months again revealed normal results. At age 4 months, hypotonia was noted by examination, and the infant was referred for care. Neurologic examination at this time revealed a floppy infant with decreased reflexes and tone. The weakness was more pronounced in the lower extremities. The elbows were floppy and held in flexion. Fasciculations were not definitely observed. Levels . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Pathology & Laboratory Medicine, Clinical Science Center, University of Wisconsin, Madison.

Footnotes
Accepted for publication November 4, 1992.

Reprint requests to Department of Pathology, Tampa General Hospital, University of South Florida, Davis Island, Tampa, FL 33606 (Dr Gilbert-Barness).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?