Background Bobble-head doll syndrome is a rare and unique movement disorder most commonly affecting children younger than 5 years of age. It is characterized by continuous or episodic movement at the frequency of 2–3 Hz. The exact mechanism of bobble-head doll syndrome has not been elucidated. Endoscopic ventriculocisternostomy is the optimal treatment option. In a literature review, there were less than 75 cases of bobble-head doll syndrome with suprasellar arachnoid cyst. Case presentation We report a case of a 1.5-year-old Asian-Syrian girl who presented with a history of excessive head nodding for 3 months that increased with walking, emotions, and stress; decreased during periods of concentration; and was absent during sleep. On physical examination, she was alert and normal, with no medical history. Laboratory assessment and ophthalmological examination were normal. Cranial magnetic resonance imaging demonstrated a well-defined thin-walled suprasellar arachnoid cyst measuring 3 × 5 × 7 cm that obstructed the foramina of Monro, with resulting hydrocephalus ventriculomegaly. The patient underwent endoscopic cystoventriculostomy and cystocisternostomy for the suprasellar arachnoid cyst. During the 6 months of follow-up, the head bobbing disappeared completely, and her growth was normal. Conclusion Despite the rareness of bobble-head doll syndrome, it is considered an important condition that must be investigated early to detect the cause and treated promptly to avoid potential complications.
Background: Low birth weight is a public health problem of global prevalence with a significant impact on health in childhood and adulthood. Objective: The purpose of the current study is to determine the prevalence and risk factors of low birth weight in neonates born in Tishreen University Hospital-Latakia. Methods: In an Observational analytical cross-sectional study design included 711 neonates born at Tishreen University Hospital in Latakia over 1 year period from January 2020. Questionnaires were administered after the birth of the infant included gender, gestational age, order of pregnancy, maternal age, weight, work, education, Parental relationship, history of low birth weight, chronic disease, pregnancy complications, birth defects. Results: The results showed that the prevalence of low birth weight was 13.4%. There was a significant relationship between low birth weight with the Preterm, complications during pregnancy, Mother's age (<18, ≥35 years), previous of Low birth weight, and smoking during pregnancy. The preterm (OR=9.6), complications during pregnancy (OR=4.5), mother's age (<18, ≥35 year) (OR=3.2), previous of LBW (OR=2.9), and smoking during pregnancy (OR=2.5) were the most factors associated with low birth weight. Conclusion: The current study found a high prevalence of low birth weight associated with many factors including (The preterm, complications during pregnancy, Mother's age, previous of LBW, and smoking during pregnancy). The current study could be used as a preventative strategy to reduce the risk of low birth weight by prediction of risk factors.
Background: Transient tachypnea of the newborn (TTNB) is a common cause of respiratory distress in late preterm and full-term infants. It is caused by a delay in the clearance of fetal lung fluids. Although TTNB is a self-limited condition, prophylactic antibiotics usually administered for 48-72 hours until negative blood culture is reported. Objective: In this study, we aim to identify the relationship between using prophylactic antibiotics and the duration of tachypnea and hospitalization in neonates with TTNB. Materials and Methods: this was a cohort study design included 102 infants with TTNB. The infants were divided into two groups, one received supportive care, and the other received supportive care with intravenous antibiotics. The clinical signs and laboratory results were examined in the two groups. Results: Of total 102 infants who were included in this study, 41 (40.2%) were received supportive care with prophylactic intravenous antibiotics. There were no significant differences between two groups in terms of gender, gestational age, birth weight, mode of delivery, and white blood cell. A significant relation was found between receiving prophylactic antibiotics with the duration of tachypnea and hospitalization. Conclusions: In the recent study, we found an increase in the hospitalization and tachypnea period in the group received antibiotics.
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