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Lesson of the month
Preterm infants with athetoid cerebral palsy: kernicterus?
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Patient 1 was a 2078 g boy delivered in a regional hospital at 33 weeks gestation. His postnatal course was uncomplicated. His total bilirubin level was 13.1 mg/dl on the third day of life. Thereafter, measurement of total bilirubin was discontinued. Phototherapy was not performed. He was admitted to hospital at 48 days of age because of icterus. His total bilirubin level was 19.7 mg/dl. The hyperbilirubinaemia was rapidly improved with phototherapy.
Patient 2 was a 994 g boy delivered by caesarean section at 26 weeks gestation. Although artificial ventilation was necessary because of respiratory distress syndrome followed …