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Pediatric Problem Solving – Case 11
A 6-month-old boy is brought by his mother because he is floppy when placed in a sitting position. He does not seem to be interested in reaching for toys. At 4 month visit, his head support was weak and had a persistent Moro reflex.
A 6-month-old boy is brought by his mother because he is floppy when placed in a sitting position. He does not seem to be interested in reaching for toys. At 4 month visit, his head support was weak and had a persistent Moro reflex.
What is the most likely diagnosis?
A ) Duchenne muscular dystrophy
B ) Cerebral palsy
C ) Brain tumor
D ) Meningitis
Eplaination of the case.
Choice (A): points against: occurs around the age 6 to 7 years old
Choice (B): is the right choice: atonic CP
Points with: floppy, with delayed developmental milestones, persistent primitive reflexes.
Choice ( C ): brain tumour usually takes more duration in older ages.
Choice (D): no signs of inflammation, will not take this long duration as at the 4th month visit there was developmental delay, now the baby is 6 months old and is still floppy with persistent primitive reflexes
Choice (B): is the right choice: atonic CP
Points with: floppy, with delayed developmental milestones, persistent primitive reflexes.
Choice ( C ): brain tumour usually takes more duration in older ages.
Choice (D): no signs of inflammation, will not take this long duration as at the 4th month visit there was developmental delay, now the baby is 6 months old and is still floppy with persistent primitive reflexes
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