Neurologic Sequelae of Neonatal Hypoglycemia in Kayseri, Turkey

PER H., KUMANDAŞ S., COŞKUN A., GÜMÜŞ H., OZTOP D.

JOURNAL OF CHILD NEUROLOGY, cilt.23, sa.12, ss.1406-1412, 2008 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 23 Sayı: 12
  • Basım Tarihi: 2008
  • Doi Numarası: 10.1177/0883073808319075
  • Dergi Adı: JOURNAL OF CHILD NEUROLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1406-1412
  • Anahtar Kelimeler: neonatal hypoglycemia, neurologic sequelae, magnetic resonance findings, HYPOXIC-ISCHEMIC ENCEPHALOPATHY, CEREBRAL INJURY, MRI, SEIZURES, OUTCOMES, INFANTS
  • Erciyes Üniversitesi Adresli: Evet

Özet

Contrary to belief, neonatal hypoglycemia is relatively common and can Cause more severe neurological sequelae than is Currently believed. Prevention of hypoglycemic brain damage by hindering prolonged and profound neonatal hypoglycemia might contribute to psychomotor development. At Erciyes University, between December 1996 and 2005, of the patients who applied to Paediatric Neurology Department, 60 cases with a history of neonatal hypoglycemia were included in the study. The magnetic resonance imaging (MRI) scans and clinical records of all Patients were reviewed retrospectively It was noted that the sequelae With glucose levels of 0 0 to 40 were more serious and intense. The same results were also observed in cranial MRI evaluation. In conclusion, intractable epilepsy, mental motor retardation, cerebral palsy, and visual disturbance were found to be the most common and severe conditions affecting sufferers of neonatal hypoglycemia. In the first 3 days of life, the close monitoring of patients Lit risk is critical, and hospitalization of severe cases should be considered.