ANTENATAL ASSESSMENT OF NEUROLOGICAL IMPAIRMENT

An unreactive cardiotocograph late in the mid-trimester led to a seque nce of investigations that revealed an appropriately grown fetus, with hepatic calcification, and evidence of intrauterine infection. Ultras ound observation and stimulation of the fetus with vibration and gluco se revealed altered neurophysiological responses. The profound neurolo gical impairment was confirmed by detailed neonatal investigations.