A 6-Month-Old Girl Is Brought to the Clinic for Routine

A 6-month-old girl is brought to the clinic for routine care.  She has not had any illnesses, although the mother says that the girl has trouble latching when breast feeding.  She can roll over when prone but cannot roll from the supine position or sit unsupported.  The infant was born vaginally after an uncomplicated pregnancy.  Vital signs are within normal limits.  On physical examination, the girl has a head circumference above the 97th percentile for her age and a full anterior fontanelle.  The remainder of her physical examination is unremarkable.  At birth, the girl's head circumference was at the 50th percentile.  CT scan of the head reveals significant dilation of the lateral ventricles.  If this condition is left uncorrected, which of the following is the most likely complication that will be seen in this patient?

A) Infection
B) Lower extremity hyporeflexia
C) Muscle hypertonicity
D) Subarachnoid hemorrhage
E) Tumor

Correct Answer:

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