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Scholars Journal of Applied Medical Sciences | Volume-6 | Issue-08
Neurodevelopmental Outcome at 12 Months in Term Babies with Birth Asphyxia and Correlation with MRI Findings and Neonatal Complications
Dr. D. Manikyamba, Dr. N. Madhavi, Dr. K.T.V. Lakshman Kumar, Dr. M. Srinivasa Reddy, Dr. V. Rajyalakshmi
Published: Aug. 30, 2018 | 147 146
DOI: 10.36347/sjams.2018.v06i08.042
Pages: 3150-3154
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Abstract
Hypoxic Ischemic Encephalopathy (HIE) in term neonates is a leading cause of neurological disability worldwide. Survivors of severe HIE have longterm neurological disabilities like cerebral palsy, mental retardation and epilepsy. Several (complications with birth asphyxia) factors in immediate neonatal period are associated with adverse neurological outcome in future. MRI is one of the most sensitive and specific tool for assessing the severity of HIE and predicting the long term neurological outcome. The present study aimed to identify the immediate neonatal complications and MRI findings which are associated with adverse neurological outcome.180 term intramural babies with birth asphyxia were enrolled in the study. They were admitted in NICU and managed according to the protocol of the unit. Any complications during hospital stay were recorded. MRI brain was done in all babies with HIE after 2 weeks of age. At followup visits anthropometric data, immunization details and any other problems were recorded. Discharged cases were linked to follow up outpatient department (OPD) of NICU and one year follow up dates were mentioned in discharge summary.