Symptoms and Treatments of Hypoxic Ischemic Encephalopathy - Oren Zarif - Hypoxic Ischemic Encephalo
There are several types of hypoxic ischemic encephalopathies, including Stage I, II, and III. In this article, we'll discuss some of the symptoms and treatments for HIE. The best way to prevent this disease is to avoid asphyxia during pregnancy. In the meantime, parents can prepare for the worst case scenario by becoming aware of risk factors. The terminology used for hypoxic ischemic encephalopathy is specific, but similar. For example, brain malformation and lesion refer to the same thing. Understanding these terms will help you prepare for the possibility of a child with cerebral palsy.
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Early MRIs and CTs are usually recommended in neonates with seizures and encephalopathy. The imaging tools can determine the cause of the disease and its prognosis. Head ultrasound can identify ventriculomegaly and hemorrhage, two signs that can develop following a hypoxic ischemic event. CT scans are not commonly performed in infants because of the high radiation dose.
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Infants who are exposed to severe perinatal asphyxia will suffer from perinatal hypoxic ischemic encephalopathic. This condition results in the death of brain cells in minutes. The causes of HIE vary and the condition is life-threatening in many cases. In some cases, treatment is possible, but the outcome depends on the severity of the condition and whether the baby was unconscious for a long period of time.
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Neonatal HIE is one of the most common causes of neonatal encephalopathy, but it can also result from a variety of conditions, including infections, metabolic syndromes, and genetic diseases. Besides the above, alternative diagnoses include perinatal asphyxia and perinatal encephalopathy. The symptoms of HIE in infants vary widely, but the condition is characterized by a few key features that indicate that it is caused by hypoxic ischemia.
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All neonates undergoing hypothermia should undergo an MRI to determine the nature and extent of the encephalopathy. MRIs can help determine the timing of injury and help predict a child's prognosis. MRI images reveal prominent patterns of injury in neonates with HIE, including the basal ganglia/thalamus, and white matter and watershed areas.
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As an adult, hypoxic ischemic encephalopathic brain injury (HIE) can be treated with a combination of medicines. The most effective treatment for HIE is THC, a new type of drug that can effectively treat severe HIE in infants. Although treatment for this disease varies from one individual to another, it is known to be effective for mild to moderate cases of the condition.
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The treatment for neonatal HIE is largely supportive. Neuroprotective therapies are the standard treatments for this condition. Hypothermia and systemic supportive care are used to reduce brain damage. However, complementary therapies are rapidly moving from basic science to clinical care. While these methods remain limited, they may eventually be useful for hypoxic ischemic encephalopathy. If these therapies are successful, the condition could improve the life of infants.
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The optimal treatment for hypoxic ischemic encephalopathic brain damage requires active management of the temperature and blood pressure. This is essential because fluctuation in brain perfusion and passive circulation may exacerbate or de-exacerbate the condition. Such management is especially important during the golden hour after delivery. If HIE is detected in a newborn, treatment should be initiated immediately. If the condition is severe, the child may suffer from a lifetime of disabilities, including cognitive, behavioral, and physical.
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The treatment for HIE depends on the severity of the encephalopathy and the areas affected. For instance, a mild case of HIE is associated with a normal neurocognitive outcome, whereas severe cases lead to early death. Severe HIE may be fatal for a newborn. Even surviving patients with severe HIE often suffer from poor neurocognitive outcomes. In children, ongoing neuropsychological screening and early intervention may increase the chances of a successful outcome.
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Treatment for HIE is varied and should be implemented as soon as a baby is diagnosed. Therapy involving hypothermia and therapeutic hypothermia can reduce neurologic mortality and morbidity. MRI and EEG scans are important indicators of a child's prognosis. Therapeutic hypothermia may be combined with neuroprotective agents. The early onset of treatment is crucial because it can prevent further damage to the brain.
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