Basal ganglia stroke is known following trivial head trauma. Recently a distinct clinic-radiological entity termed ‘mineralizing angiopathy’ was described. We report an infant who developed basal ganglia stroke following trivial fall. His clinic-radiological features are described.

A 3-month-old boy presented with a rapidly growing abdominal mass noticed by his mother since 1-week, with no other significant history. On examination, the child had a large, firm, nontender mass extending from the left hypochondrium to the right. Lymphadenopathy or ascites was absent. Alpha-fetoprotein (AFP) was markedly elevated at 18,055 ng/mL (normal 0.2-9.0 ng/mL) with normal beta human chorionic gonadotropin level.Contrast enhanced tomography of the abdomen and chest revealed a large retroperitoneal heterogeneous mass pushing the left kidney inferiorly and displacing the gut to the right [Figure 1].

Guillain-Barré syndrome (GBS) is a rare entity in infants. We report a case of GBS in a 5-month-old girl. The child presented with cough, loose stools, breathing difficulty, and listlessness. The child was treated as pneumonia with respiratory failure. Due to difficulty in weaning from ventilation with areflexia, marked hypotonia, and reduced power in all four limbs; possibilities of spinal muscular atrophy, poliomyelitis, and myopathies were kept. Nerve conduction velocity study was suggestive of mixed sensory-motor, severe axonal, and demyelinating polyradiculoneuropathy. Cerebrospinal fluid study revealed albuminocytological dissociation. Child was diagnosed as GBS and treated with intravenous immunoglobulin. Child recovered completely on follow-up. GBS should be considered as a differential diagnosis in acute onset respiratory failure with neuromuscular weakness in infants.