Eyes

Fundus:

Disc, Macula, Backgrud is normal.
No effect on fundus due to hydrocephalus. (as on 01.09.2009)

CT of Brain May 2010

There are assorted changes in the bones and brains, listed below:

1. Synostosis of metopic suture showing wedge forehead (trigonocephaly) and sagittal suture (scaphocephaly). Coronal sutures are open.
2. There are dysplastic bones in the occipital squama showing loculations and defects thru’ which bubbins of occipital brain-matter herniates.
3. There is dysplastic bone change in the posterior fossa base; posterior fossa structures are asymmetric and crowded.
4. Moderate ventriculomegaly, resulting from posterior fossa changes.

IMPRESSION:

* Sutural synostosis, dysplastic occipital squama and posterior fossa and moderate

hydrocephalus.

Report of Echocardiography

Report of echocardiography of Subehtara

Findings of CT Scan of Head

The posterior fossa is small and irregular in contour.
The third and both lateral ventricles are moderately dilated.
The falx cerebri is fenestrated in its anterior aspect.
Gross bony deformity including gaping of foramen magnum, concave petrous ridge, evidence of lacunar scull, hypoplastic frontal and occipital bones are evident.

Head

Pictures of Head

Cleft Palate

Pictures of cleft Palate
Cleft Palate (Repaired, September,2010)

Problem of Subehtara

Present Complaints:

FTT, H/O IUGR (Birth Weight 1.5 kg), multiple cong anomalies, cleft palate (Repaired, September,2010), anovestibular fistula (corrected), Brachycephaly, upward slant of eyes with hypertelorism.

H/O consanguinity 1st degree.

Consanguinity in the parents & in the grand parents.

O/E:

Dolicocephaly, Frontal area of both sides soft except midline in fore head, Prominent eyes, Beaicked nose, Hypertelorism, Prominent scalp veins, Low set ear, Cleft Palate, Chest moist, Retarded growth.

Investigation:

Chromosomal analysis normal Karyotype 46 xx, ECHO normal, TORCH infection, Maternal CMV, Toxoplasma, HSV IgG type I and II positive, Babys Toxoplasma IgG-positive, Cytomegalo IgG, HSV IgG positive.

USG Brain Hydrocephalus, Chest X ray Spina Bifida, upper and dorsal vertebrae.


Development:

Single word, can walk, and can smile and can understand.

Subehtara in Cox's Bazar

Last week we went in Cox's Bazar.She likes water. That's why she enjoy the tour very much.

Subehtara

Subehtara was born in Bangladesh October 15,2006. At that time it was Ramadan.