Facial Weakness and Ophthalmoplegia in a 4-Day-Old Infant

Ioanna Kouri, Katherine Mathews, Charuta Joshi

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


We present a neonate with neurologic deficits recognized at 4 days of age. A male infant was born at term via emergency cesarian 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 magnetic resonance imaging showed a pontine stroke, and computed tomography angiogram revealed basilar artery thrombosis. He was treated with enoxaparin for 3 months, followed by low-dose aspirin. The mechanism of the stroke remains unclear, and there is limited evidence to guide management.

Original languageEnglish (US)
Pages (from-to)63-66
Number of pages4
JournalSeminars in Pediatric Neurology
StatePublished - Jul 2018
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology


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