Congenital tetraplegia, respiratory insufficiency, and hypoplasia of medulla oblongata.
A term infant with normal delivery presented with congenital tetraplegia and respiratory insufficiency just after birth. Magnetic resonance tomography on days 8 and 72 of life revealed an extreme thinning of the lower medulla oblongata. Endoscopy confirmed this and demonstrated the presence of vascular anomalies around the lesion which were not detectable by angiography. It is presumed that this is a malformation of the lower medulla oblongata.
Department of Child Neurology, University Children's Hospital, Basel, Switzerland.
H
H
Bode
R
R
Bubl
M
M
Rutishauser
P W
PW
Nars
D001158:Arteries / Q000473:pathology; D001238:Asphyxia Neonatorum / Q000209:etiology*; D003937:Diagnosis, Differential; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008526:Medulla Oblongata / Q000002:abnormalities* / Q000098:blood supply / Q000473:pathology; D009460:Neurologic Examination; D011782:Quadriplegia / Q000151:congenital*; D012127:Respiratory Distress Syndrome, Newborn / Q000209:etiology*