J-LSMS 2018 | Archive | Issues 1 to 4

JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY

RADIOLOGY CASE OF THE MONTH

Is It Truly Germinal Matrix Hemorrhage?

Nancy Emelife, MD, Adam Blanchard, MD, Juan S. Gomez, MD, Millie Yu, MS, Enrique Palacios, MD, FACR, and Jeremy Nguyen, MD

A premature female infant born at 32 weeks via cesarean-section presented with hypotonia and feeding difficulties.

Figure 1: Ultrasound of the brain, (A), (B) coronal planes and (C) left sagittal plane. Magnetic Resonance Imaging of the brain T2 weighted images, (D) coronal, (E) axial, and (F) sagittal projections.

WHAT IS YOUR DIAGNOSIS?

and difficulty coordinating sucking, swallowing, and breathing. Prenatal history was notable for a mother with dermatomyositis during pregnancy requiring steroids and opiates. At delivery prompted by preterm labor, the neonate was cyanotic and required continuous positive airway pressure (CPAP) for respiratory distress. The patient had intrauterine growth restriction and severe anemia. She was admitted to the Neonatal Intensive Care Unit, was placed on nasal intermittent positive pressure ventilation (NIPPV), and was diagnosed with mild respiratory distress syndrome and neutropenia.

Prominent Choroid Plexus: Developmental Variant

CASE REPORT

A premature female infant born at 32 weeks via cesarean-section presented with hypotonia and feeding difficulties. The infant was observed to have oral dysphagia, apraxic-like movements,

130 La State Med Soc VOL 170 JULY/AUG 2018

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