Orion #

Boy, Age: 3
Premature, Congenital Heart Defect, strabismus, hydrocephalus, general delays
Listed: May 2022
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Special needs: Prematurity III stage Bronchopulmonary dysplasia; persistent foramen ovale; peripheral pulmonary stenosis; moderate communicating hydrocephalus; retinopathy of a prematurely born child; convergent strabismus.

This is the case of a male child, born prematurely III degree (1180 g), with a complicated perinatal history and pathological neonatal period. Subsequently he developed moderate communicating hydrocephalus and is delayed in his motor and mental development; there are changes in his tone and reflexes.

The child was diagnosed with a congenital heart malformation (persisting foramen ovale and PAC), which required therapy for a certain period of time. His cardiac status has improved. Given the severe prematurity, he has retinopathy of a prematurely born child and strabismus. The ophthalmic status is being monitored. The boy needs to be followed up by a pediatric cardiologist, a neurologist and an ophthalmologist. A systematic motor rehabilitation is conducted.

The child can flip from back to front, he is unable to sit, he is unable to rise on his feet on his own. The boy reaches out and grabs with his hands and can hold toys for a short time. He follows with his eyes and turns his head after moving toys and people; he smiles when they talk to him gently; he winces and listens to a loud sounds and reacts briskly when familiar adults are talking to him. The boy pronounces sounds and random sound combinations. The child is completely dependent on the care of adults. Diapers are used.