A 26-day-old female term infant was brought to the emergency department (ED) due to clonic movements of the left arm and leg (Video), associated with conjugate right gaze deviation.
Born to a 29-year-old gravida 1, para 1 woman
Benign prenatal course
Prenatal maternal laboratory findings: Group B Streptococcus negative, rapid plasma reagin nonreactive, human immunodeficiency virus negative, hepatitis B surface antigen negative, rubella immune, toxoplasmosis nonimmune.
Gestational age: 38 weeks and 4 days
Vacuum-assisted vaginal delivery
Apgar scores: 8 and 10 at 1 and 5 minutes, respectively.
Growth parameters at birth: Weight 3,020 g (38th percentile), length 48.0 cm (32nd percentile), head circumference 32.5 cm (16th percentile)
On arrival at the ED, the patient presented with left-sided clonic movements and conjugate right gaze deviation. Her physical examination findings were unremarkable at a pediatric appointment 1 week before presentation. The movements had started 4 hours before coming to the...
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