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在缺氧性缺血性脑病症后获得的水头,没有腹腔内出血:一个病例报告
H Chiyoda1, S Kobayashi1, K Yokoi1
1Department of Pediatrics, Nagoya City University West Medical Center, Nagoya, Japan.
Journal of neonatal-perinatal medicine
|September 18, 2023
概括
由于出血,获得的水脑常见于早产婴儿. 这项研究突出了一个罕见的进展性水头发病例,该病例发生在低氧性缺血性脑病变 (HIE) 后的满期婴儿身上,强调需要仔细监测.
科学领域:
- 新生儿神经病学 新生儿神经病学
- 儿科神经外科 儿科神经外科
- 发育神经科学的发展神经科学.
背景情况:
- 婴儿中获得的水头经常是由出血引起的,特别是在早产新生儿中.
- 新生体和诸如细菌性脑膜炎之类的感染是婴儿水脑炎的其他重要病因.
- 孕期婴儿的低毒性缺血性脑病变 (HIE) 通常导致二次小头症,而不是水头症.
研究的目的:
- 报告一种独特的获得性水头发症病例,该病例发生在一个患有严重HIE的孕期婴儿身上,该婴儿接受了治疗性低温治疗.
- 在没有可识别的原因,如在这个特定的患者的出血的情况下,调查逐渐发展的水头.
- 为了强调监测HIE产后婴儿头部周长的重要性,无论初始成像检查结果如何.
主要方法:
- 一个产期婴儿在出生时经历了严重的HIE的案例报告.
- 治疗治疗性低温开始于分娩后.
- 在两个月内进行临床和放射性随访 (超声波和核磁共振),以监测头周长,并调查水头发育.
主要成果:
- 在HIE治疗后的两个月内,婴儿在HIE治疗后的两个月内发展出渐进的获得性水头.
- 尽管进行了彻底的调查,但没有发现水脑的特定原因,例如心室内出血或其他常见病因.
- 这与预产婴儿中与HIE相关的小头症的典型结果形成鲜明对比.
结论:
- 脑水症,包括腹腔内出血,在患有HIE的婴儿中不常见.
- 这一案例说明,获得的水头可以在患有HIE的预产期婴儿中发生,即使在标准成像检测中没有可检测的原因.
- 密切监测头部周长对于早期检测HIE产后婴儿的脑水症至关重要,即使初步评估不显著.
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