Patient's question:
3-month-old baby girl, head circumference 41.8, unable to hold her head up stably while prone now, can only hold it up for a few secondsDoctor's answer:
1、A stroke in a child of such a young age requires active investigation into the cause. It could be due to congenital vascular developmental abnormalities, or it may be necessary to rule out genetic metabolic diseases. It is recommended to conduct blood and urine metabolic screening, as well as mitochondrial-related gene testing.2、Temporal lobe infarction with associated brain atrophy—pay attention to the child's hearing in one ear. Compensation can be done using the better ear, making it difficult to detect issues. It is recommended to undergo auditory evoked potential testing.
3、Active rehabilitation training is still needed, and clinical conditions should be closely monitored.
It is advised to seek examination at a reputable hospital. The hospitals I am aware of include: The Third People's Hospital of Chengdu, The Fourth People's Hospital of Ziyang, and The Affiliated Hospital of North Sichuan Medical College.