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A 28-year-old right-handed man had suffered a traumatic amniocentesis at 17 weeks’ gestation, and subsequently was born with extensive right-sided cerebral, cerebellar and brainstem damage. The initial amniocentesis had been abandoned and was repeated 2 weeks later, with normal results; subsequent prenatal ultrasound scans were normal. The patient had an uncomplicated delivery at term, though was noted to have a complete right-sided ptosis and marks on the right parietal region of the scalp. By 4 months of age, it was evident that he had developed a right-sided third nerve palsy, a left-sided hemiparesis and left visual field defect. He developed infantile spasms that were treated successfully with adrenocorticotrophic hormone (ACTH). No further seizures occurred until habitual seizures began at 7 years of age, consisting of …
Contributors Professor JD suggested the writing up of this case, which describes a long-standing patient of his, as he recognises the rarity of such a case. Professor JD also made many suggestions with the form and focus of the write-up, selected the images when presented to him to be included in the write-up and facilitated the patient completing the consent form. I (Dr Cox) wrote the case study and sourced the images before giving the drafts for review to Professor JD.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned. Externally peer reviewed by Dominic Paviour, London, UK, and Johann Te Water Naudé, Cardiff, UK.