Case of June 2016

 

For completion of the online quiz, please visit the HKAM iCMECPD website: http://www.icmecpd.hk/


Clinical History:


A baby girl was delivered via LSCS due to pathological cardiotocography, at 41 weeks of gestation. The birth weight was 3.27kg. The umbilical cord was seen round the right foot, but not round the neck. The Apgar score was 6, 7 and 10 at 1, 5 and 10 minutes respectively. There were several episodes of seizures on the first few days of life, presented with twitching of upper and lower limbs and abnormal eyeblinking. There were also few episodes of transient breath holding with desaturation.  CT and MRI brain were arranged when she was 3 days old. Follow-up MRI brain was performed when she was 25 days old.


CT scan

CT ScanCT Scan


MRI scan on 3 days old

DWI ADC
DWI ADC
DWI ADC

MRI scan on 25 days old

T1W T2W
T1W
T2W
T1W
T2W