A CLINICAL CASE OF SYMPTOMATIC WRYNECK DUE TO PERINATAL ENCEPHALOPATHY
DOI:
https://doi.org/10.11603/24116-4944.2024.1.14756Keywords:
torticollis, hypoxia, cyst, child, umbilical cord, brainAbstract
The aim of the study – to share our clinical observation for the purpose of timely diagnosis and adequate therapy of symptomatic neurogenic torticollis and scoliosis in a newborn, considering the fact that this disease does not occur often.
Materials and Methods. The girl was under observation for 6 months from the moment of birth. The basic method of examining the ventricles of the brain was neurosonography, which was carried out during treatment at the age of 1, 2, 3, 6 months. Ultrasound of the abdominal cavity was performed using the "MEDISON" SA-8000 EX ultrasound machine.
Results and Discussion. The article describes a rare case of neurogenic torticollis and unstructured scoliosis in a newborn with cerebral ischemia due to umbilical cord wrapping around the child's neck and subependymal cyst of the anterior horn of the right lateral ventricle. Monitoring of the right ventricular cyst in dynamics showed its gradual reduction. Repeated neurosonography of the brain at the age of 2 months (cyst diameter - 2.5 mm) and at 3 months (cyst diameter - 1.8 mm) showed its gradual regression. The following stages of the child's development did not differ from the norm. The scoliosis disappeared, the cyst dissolved (age - 6 months).
Conclusions. Hypoxic damage to the brain, a cyst of the anterior horn of the right lateral ventricle in a newborn caused an imbalance of autonomic centers, disorders of innervation of the skeletal muscles of central genesis, which clinically manifested as a symptomatic torticollis, unstructured total scoliosis, a deficiency of the child's body weight - hypotrophy.
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