Clinicoanatomical correlations in asphyxiated babies who developed spastic quadriparesis at one year of age

Bholanath Aich,Kaushani Chatterjee,Mala Bhattacharya,Nirmalya Sarkar,Suman Das

doi:10.3329/bjms.v16i1.31156

Abstract

This article describes the neurologic outcomes of 5 survivors of severe perinatal asphyxia at one year of age. All of them developed spastic quadriparesis, microcephaly, growth retardation and developmental delay. The neurologic outcomes correlated with the sites of brain injury.Bangladesh Journal of Medical Science Vol.16(1) 2017 p.174-177

Highlights

Severe spastic quadriparesis coupled with contractures, cortical blindness, profound sensorineural hearing loss (SNHL)
In Brainstem Auditory Evoked Response (BAER) and depressed background activity accompanied by lack of differentiation of normal frequencies in EEG marked the grim prognosis of the child
BAER at 3 months had revealed bilateral moderate SNHL- which had normalised by one year

Summary

Introduction

Correspondence to:Dr Suman Das, 44 Talpukur Road, Deulpara, Naihati, North 24 Parganas, PIN743165, India, E Mail- dr.sumands@gmail.com The child developed choreoathetoid movements with dystonia possibly due to deep nuclear variety of neuronal necrosis involving the Thalamoputaminal region[4]. Brainstem Auditory Evoked Response (BAER) showed persistent severe bilateral sensorineural hearing loss (SNHL). MoDQ and MeDQ scores were 30% and 25% respectively, thereby signifying severe developmental delay.

Results

Conclusion