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- Title
Neonatal coning secondary to hypoxic ischaemic encephalopathy: A case study and literature review.
- Authors
Soliman, Yasser; Yusuf, Kamran; Blayney, Marc; Shahed, Amr I El; Belik, Jaques
- Abstract
Introduction Brain herniation is an extremely rare complication of hypoxic ischaemic encephalopathy (HIE) in the neonatal period with only a single report described. We report a 2-day-old term infant with severe HIE, who developed diffuse brain oedema and herniation. Case presentation and description A term female infant delivered by vacuum, required therapeutic hypothermia for severe encephalopathy. At 36 hours of age, a marked change in neurological status was noted with signs of brainstem involvement. A head Computed Tomography Scan showed uncal and tonsillar herniation. Conclusion Vigilance in monitoring neonatal neurological status during therapeutic hypothermia is imperative for early brain herniation detection.
- Subjects
BRAIN diseases; CEREBRAL anoxia-ischemia; COMPUTED tomography; DISEASE complications; CHILDREN
- Publication
Paediatrics & Child Health (1205-7088), 2021, Vol 26, Issue 2, pe67
- ISSN
1205-7088
- Publication type
Article
- DOI
10.1093/pch/pxz138