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Shaky hands and legs due to foetal distress - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Birth
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   My 8 month old son has shaky hands and feet while awake; they shake simultaneously. This started around the time he learned to sit. He is already learning to stand while holding onto something and appears to be developing normally aside from the shaking feet and hands (not the arms or legs).
He was born by emergency c-section due to going into fetal distress after my wife developed a fever during childbirth. Post-birth neural exams did not reveal anything abnormal.
What could this be and what should I be doing?
Doctor :   hello
Doctor :   give me a min please, let me read your query
User :   ok
Doctor :   is the shaking constant ?
Doctor :   or it comes and goes ?
User :   from what i understand, mostly. admittedly, he is in the philippines right now and i haven't personally seen it
User :   the wife just told me about it
User :   they will be back in the US in a few weeks
Doctor :   ok well also i know its difficult for you to answer but if you can tell me that is the shaking like a fine tremor or is it more agressive
User :   when i asked her whether it was fast, she said sometimes
Doctor :   and all his development miles stones are normal ?
User :   i asked if the arms or legs were involved and she said no
User :   apparently, yes
Doctor :   are they shaking during his sleep too ?
User :   she says that when he is sitting, they move like a jellyfish
User :   not during sleep
User :   interesting analogy
Doctor :   ok now the next step should be a neurological examination, by a neurologist
User :   ok
User :   any ideas?
Doctor :   usually it can be some vitamin loss

Doctor :   or some neurological problem
User :   ok
User :   i imagine any neuro problem would have been evident with a brain scan after birth, but admittedly, i'm an engineer, not a doctor
Doctor :   yes thats correct
User :   lol, which part is correct? me not being a doctor or the brain scan?
Doctor :   and since his milestones are normal
Doctor :   so i am sure its will be nothing serious
Doctor :   but as a protocol a physical examination is must
User :   i agree about the exam
Doctor :   usually vitamin B deficiency can cause this
User :   the medical record says he had sepsis neonatorum, whatever that is
Doctor :   its a infection of the body
Doctor :   seen in new borns
User :   ok
Doctor :   Sepsis in a newborn is treated with antibiotics given intravenously
User :   the cranial ultrasound says"cerebral cotical sulci of both hemispheres show normal homogeneous echogenicity. no mass lesion is noted. no extra-axial fluid collection is seen. ventricles are normal in size and configuration. cerebellum is unremarkable"
Doctor :   in your words ... its all NORMAL
User :   ok
User :   i'll ask her to take him to the doctor and to also get him some infant vitamins
Doctor :   thats right
User :   i'm not sure what formula she is feeding him so i don't know his diet
Doctor :   well the next step is a examination and i am sure it will be fine
User :   ok
User :   from pictures i've seen and the reports she has given me there isn't anything abnormal about his development; sitting, standing with help, vocal, already saying mama, dada, etc
Doctor :   thats a good
User :   thanks for your help and patience
Doctor :   well just a examination will help us to pinpoint the cause
Doctor :   your most welcome
User :   ok
Doctor :   take care
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