Facial weakness and ophthalmoplegia in a 4-day old infant

We present a neonate with neurologic deficits recognized at 4 days of age. A male infant was born at term via emergency caesarian section due to failure to progress and fetal decelerations. He underwent therapeutic hypothermia for hypoxic ischemic encephalopathy. Upon completion of rewarming, he was noted to have left facial palsy, abduction deficit on the left eye past the midline and nystagmus involving the right eye. Brain MRI showed a pontine stroke and CT angiogram revealed basilar artery thrombosis.
Source: Seminars in Pediatric Neurology - Category: Neurology Authors: Source Type: research