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April 1987

Radiological Case of the Month

Author Affiliations

(Contributors); (Section Editor)
Contributed from the Department of Diagnostic Radiology, Hahnemann University Hospital, Philadelphia. Dr Quiogue is now with the Department of Radiology, The Children's Hospital, Harvard Medical School, Boston. Dr Keller is now with the Department of Diagnostic Imaging, Yale University School of Medicine, New Haven, Conn.

Am J Dis Child. 1987;141(4):445-446. doi:10.1001/archpedi.1987.04460040103026

A 1220-g male neonate (estimated gestational age, 29 weeks) was born via low-forceps vaginal delivery to an 18-year-old woman (gravida 1) hospitalized for lower abdominal pain and vaginal bleeding. The neonate was limp and cyanotic at birth. His initial heart rate of 50 beats per minute increased to greater than 100 beats per minute after endotracheal intubation, mechanical ventilation, and intramuscular administration of 0.16 mg of atropine sulfate. Apgar scores were 1 and 7 at one and five minutes, respectively. Ultrasonograms of the head at 2 days of age were normal.

The neonate's hospital course was marked by hyaline membrane disease and subsequent bronchopulmonary dysplasia. On day 20, he suffered a severe hypoxic episode requiring cardiopulmonary resuscitation. Subsequently, head ultrasonograms (Figs 1 and 2) and computed tomographic (CT) scans (Fig 3) were obtained.

Perinatal asphyxia in the neonate is a well-recognized cause of brain dam

Denouement and Discussion 

Postasphyxial Total 

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