Re: Encephalopathy

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Posted by CCF Neuro Md *!* on December 31, 1997 at 16:25:28:

In Reply to: Encephalopathy posted by Pat on December 31, 1997 at 15:39:44:

: Would anyone know the status and prognosis of an infant with the diagnosis
of "perinatal encephalopathy of mixed genesis, residual period in the form
of intracranial hypertension. Also had perivendricular coronary disease.
Mother had chronicle phitoplacental deficiency. Child treated with glucose,
insulin,vitamintherapy,magnesia intramuscular,nebcin,euphilin,dibasol,etc.
Adopted child.
Thanks

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It is difficult at the best of times to predict the prognosis of perinatal
encephalopathy, in this case since the cause (genesis ) is not only
unspecified but is made of a mixture of unspecified factors the task
becomes practicallt impossible.
I am unsure as to the meaning of the phrases "residual period in the form
of intracranial hypertension " and " periventricular coronary disease "
does this refer to the ventricles of the heart or brain ?
In general the finding of intracranial hypertension in the context
of encephalopathy in newborns is a strong predictor of some problems
with psychomotor delay in later life, but without knowing the background
cause or degree it is not possible to make any further comment or prediction.
The best option I feel in this case would be to have a full evaluation,
with review of all records, scans etc by a pediatric neurologist
if this has not been done already.
If you wish to have a second opinion from a pediatric neurologist
here at the Cleveland Clinic the number for appointments is
(216 )444 5559, if you are in a position to clarify the medical terms
mentioned above we would be glad to try again to explain them.

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