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August 1983

Radiological Case of the Month

Author Affiliations

Contributed from the Departments of Neurology (Dr Roach), Radiology (Drs Sumner and Volberg), and Pediatrics (Drs Sumner, Volberg, and Boyle), Bowman Gray School of Medicine, Winston-Salem, NC.

Am J Dis Child. 1983;137(8):799-800. doi:10.1001/archpedi.1983.02140340079020

A female infant was born after a 38-week gestation and normal labor and delivery. An ultrasound examination of her mother's abdomen two months before delivery demonstrated fetal microcephaly, but the pregnancy was otherwise uneventful. The infant's head circumference (26 cm) was far below the tenth percentile as compared with her body length and weight, which were near the tenth percentile. She had generalized petechiae and hepatosplenomegaly. Funduscopic examination showed retinal perivascular hemorrhage and exudate. Roentgenographic (Figs 1 and 2) and computed tomographic (CT) (Fig 3) findings were obtained.

Denouement and Discussion 

Intracranial Calcification With Cytomegalovirus  This infant's symptoms were suggestive of a congenital viral or parasitic infection because of the presence of microcephaly, petechiae, retinopathy, and hepatosplenomegaly. Congenital