Down Syndrome - Pediatric Oncall

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ISSN 0973 - 0958

Childhood Ailments

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Question
My great nephew, who is now 5 months has trouble at times focusing with his eyes. His eyes quiver at times. Prior to birth, an early blood test indicated a possibility of down syndrome or spinal bifida. His birth was premature (about 5-6 weeks)because of detoriation of placenta he was delivered early by c-section. The doctor indicated that the problems suspected in pre birth blood tests weren't correct. He now weighs about 17 lbs. His head is shaped a little unusual, but it's his eyes that don't seem right to me. What could be the problem? His parents don't want to acknowledge that anything is wrong, but my sister and I know something isn't normal. ?
Answer
What are the milestones of the child? If they are delayed, he would need a complete neurological examination to evaluate the cause especially if he was suspected to have Down syndrome prenatally. In case the milestones are normal, he would need evaluation for the eyes. The quivering that you have described could be a condition called as nystagmus. It could be due to a variety of causes such as vision problems, brain abnormalities etc. He would need evaluation by an ophthalmologist for the same. Back to All Questions

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