Neurological Disorders

Have a case: Stat CS for maternal abruption and decels Term baby. Poor tone and resp effort. Suspected blood aspiration. Needed PPV and 100% FiO2 for hypoxia. Intubated in DR. Cord gases pH 7.22 BE -8 Baby H/H: 18/50 Baby gas 7.18 / -8 at ~50 min of life Started having clinical seizures at 12 HOL. Electrical seizures on EEG. Normal HUS. Would you start late therapeutic hypothermia? Did not meet mod/severe sarnat encephalopathy on exam but was hypotonic, was intubated, and required prolonged resuscitation. TH is often fairly well tolerated and there's not much else to do. 2017 Laptook paper suggests potential benefit with late cooli…

A collective of the world’s leading newborn brain care providers have come together and launched the https://newbornbrainsociety.org/ (NBS). This new organization is focused on advancing newborn brain care through international multidisciplinary collaboration, education, and innovation. With founding leadership representation from prestigious programs such as Yale, Duke, Harvard, and UCSF, international representation from Canada, Brazil, and Ireland, and parent collaboration through the Hope for HIE Foundation, the goal is to bring together the resources of many programs to move the field forward in previously unattainable ways. “We started this idea originally…

Please, I would like to know what experiences you have with the use of erythropoietin to treat perinatal ischemic hypoxic encephalopathy. Sincerely, Fernando Agama C. Unidad de Neonatología Hospital Enrique Garcés, Quito-Ecuador

Why do we call it NAS not drug withdrawal syndrome in neonatal age group ?

I just want to share the link to the e-book "MRI of the neonatal brain", freely available on the web site www.mrineonatalbrain.com The content was printed as a book in 2001, but is out of print. Professor Mary Rutherford who edited the book wrote to me: My thanks to Sutirtha Roy who shared this link in a comment to the Leading article about how cranial ultrasound correlate with MRI findings.

Which neurological exam is currently folllowed by forum members for babies examination before disharge and why ? Have seen dubowitz examination and feel that will be most acurate.Kindly share your thoughts.

HI!!! My group is putting together guidelines to use with the ELBW and one of the questions that has come up is the use of MRI at discharge for the former ELBW. We do not have pediatric neuroradiologists at our institution so have not had very useful reports obtained when we have ordered these studies. That being said I was still wondering what folks are doing out there regarding this topic. The literature is quite conflicting. Thanks for any insight! Char Crichton

How fast is the response you have observed for early intervention for babies who have had some neuological assault like seizure, hypoglycemia? Any articles which prognosticate?

One of our fellows showed me these two videos on Youtube, on how to learn brain ultrasound. Both videos are very good! Enjoy Part 1 - anatomy and protocol Part 2 - IVH and PVL

Do anyone practice to start cooling in babies not fulfill all criteria for Therapeutic hypothermia?? What's the benefits and what is the harm?? There is any new recommendations to start cooling in mild HIE?? Sent from my MHA-L29 using Tapatalk