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Updated: Feb 8, 2026

Author Spotlight: Marmoset Research - Scope and Challenges
Published on: June 9, 2023
Facial Weakness and Ophthalmoplegia in a 4-Day-Old Infant
Ioanna Kouri1, Katherine Mathews1, Charuta Joshi1
1Department of Pediatrics and Neurology, University of Iowa Stead Family Children's Hospital, Iowa City, IA.
Abstract:
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.
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