An 11-Month-Old Girl with Developmental Delay  

Oleh:

Krishnamoorthy, Kalpathy S. ; Eichler, Florian S. ; Rapalino, Otto ; Frosch, Matthew P.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 370 no. 19 (May 2014), page 1830-1841.

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2014.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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The patient was born at another hospital by vaginal delivery after induction of labor at 38 weeks' gestation because of oligohydramnios. The mother had received prenatal care, including obstetrical ultrasonographic testing, the results of which were reportedly normal. Serologic screening tests during pregnancy were reportedly negative. The prenatal course was uncomplicated. The mother took ondansetron for nausea and levothyroxine for hypothyroidism and reported that there had been less fetal movement in utero as compared with her previous pregnancy. No meconium was present at delivery. The birth weight was 3.0 kg (25th percentile), the length 48.3 cm (25th percentile), and the head circumference 32.5 cm (10th percentile); the 1-minute and 5-minute Apgar scores were both 9. The newborn was admitted to the neonatal nursery. The results of newborn auditory screening were reportedly normal. Tests performed at the New England Newborn Screening Program were negative. She was discharged home on the third day of life. She reportedly fed well and developed and grew normally. She smiled, laughed, and interacted socially, but she vocalized little. At approximately 4 months of age, the infant's parents noted that she startled in response to loud sounds. At 6 months of age, she began rolling over from her stomach to her back and vice versa, reaching out for objects, and sitting with assistance. Her length was 69.9 cm (96th percentile), her head circumference 43 cm (72nd percentile), and her weight 8.5 kg (89th percentile). By 9 months, she could grasp objects and feed herself; however, her pediatrician noted that she sat only in the tripod position (back bent slightly forward, and arms placed forward with the hands near the feet). Two months later, her parents reported that she sat only briefly and then flopped over and that she had stopped reaching for objects and feeding herself. At age 11.5 months, she was referred to the neurology outpatient clinic at this hospital.

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