Case records of the Massachusetts General Hospital. Case 14-2014. An 11-month-old girl with developmental delay.

An 11-month-old girl was seen in the neurology clinic because of developmental delay. Development to 6 months was normal; by 11 months, she had difficulty sitting and had stopped reaching for objects and feeding herself. An examination and diagnostic tests were performed. Presentation of CaseDr. Jenny Linnoila (Neurology): An 11-month-old girl was seen in the outpatient neurology clinic because of developmental delay. The patient was born at another hospital by vaginal delivery after induction of labor at 38 weeks' gestation because of oligohydramnios. The mother had received prenatal care, including obstetrical ultrasonographic testing, the results of which were reportedly normal. Serologic screening tests during pregnancy were reportedly negative. The prenatal course was uncomplicated. The mother took ondansetron for nausea and levothyroxine for hypothyroidism and reported that there had been less fetal movement in utero as compared with her previous pregnancy. No ...