A 2-Day-Old Girl Develops Seizures and a Bulging Anterior Fontanelle

A 2-day-old girl develops seizures and a bulging anterior fontanelle.  Temperature is 36.8 C (98.2 F) , pulse is 180/min, and capillary refill is >4 seconds.  Cardiac examination reveals tachycardia.  Neurologic examination shows rhythmic contractions of the upper extremities, tongue thrusting, and lip smacking.  Head ultrasound is shown below: Which of the following conditions most likely led to this patient's condition?

A) Arteriovenous malformation
B) Berry aneurysm
C) Congenital infection
D) Placental abruption
E) Prematurity

Correct Answer:

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