FT baby delivered elective CS and develop respiratory distress for 3 days , after that we noticed poor activity and suckling reflex

CBC , CRP -ve

perinatal Hx -ve

do MRI brain revealed basal ganglia calcification only

what is possible diagnosis????

I'd suggest you screen the baby for congenital infections (TORCH).

Consider serological tests (mother/infant) and lumbar puncture incl cultures and PCR for viruses.

Antenatal ischemia may sometimes also present as calcifications of basal ganglia, but TORCH, esp. CMV seems the most likely diagnosis.

IS CMV present with poor activity and calcification of basal ganglia only

thanks

There may not be any connection between BG calcification and present symptoms, sometimes BG calcification may be a incidental finding on imaging studies.

Screen for TORCH infection .