The Shepherd's Crook Ministries

Mary June was referred to the center after her birthmother was brought to the hospital due to a stab wound inflicted by the birthfather. The birthmother was also confined in the psychiatric ward of the hospital due to schizophrenia disorganized type.

Mary June was referred for an ophthalmologic examination because of her observed squinting of the eyes. Results showed that Mary June has anterior squinting. She had visual reactions when moving objects was placed near her eyes. After five months, re-evaluation was conducted and Mary June was able to spontaneously fixate and her eyes were normal. It was also noticed by the pediatrician that Mary June had poor head control, presence of nystagmus and delayed motor development at seven months old. Mary June was examined by a child neurologist and findings revealed that she has Global Developmental Delay secondary to Microcephaly and be considered also having cortical blindness. EEG was also performed and the result showed that EEG is abnormal due to the presence of intermittent slowing of background activity over the left temporo-parietal region, which may indicate a focal cerebral dysfunction of non-specific etiology. She also underwent hearing examination and was diagnosed to have mild hearing loss on both ears and the status of the middle ear may have affected recording of evoked potentials. Her Visual Evoked Response (VER) result showed bilaterally prolonged visual evoke potential more on the left eye compatible with impairment in conduction along the visual pathway.

At present, Mary June’s developmental age is 5 months old. She can elevate her chest and supports weight with her arms and hands for a longer time. She falls easily when placed in sitting position. She can make crawling movements with her arms and legs but cannot move forward. She turns over from supine to prone position and vice versa. She vocalizes her displeasure and head control has improved and trunk is toned. She laughs aloud in response to tricks played by caregivers and can utter one syllable words.