Consequences Of Cerebral Edema In A Newborn

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Consequences Of Cerebral Edema In A Newborn
Consequences Of Cerebral Edema In A Newborn
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Cerebral edema is a pathological condition that is accompanied by the accumulation of fluid in the brain tissues. In newborns, this increases the volume of all intracranial structures. Cerebral edema leads to a sudden increase in intracranial pressure, which is a dangerous condition.

Consequences of cerebral edema in a newborn
Consequences of cerebral edema in a newborn

Causes and symptoms of cerebral edema

Cerebral edema in a newborn can be caused by birth trauma, hypernatremia, water poisoning, brain tumors, infectious diseases (meningitis, encephalitis). Predisposing factors can be maternal diseases, toxicosis, hypoxia. Cerebral edema is a secondary symptom of the lesion. It can be local (perifocal, local) or generalized (diffuse). Edema of the brain in a newborn is manifested by the following symptoms: non-stop piercing crying, agitation, vomiting, fever, swelling of the fontanel, convulsions.

Treatment of cerebral edema in a newborn

Therapy of cerebral edema in a newborn is based on the elimination of the cause, dehydration of intracranial structures and a decrease in intracranial pressure to normal. If it is caused by infectious diseases (meningitis, encephalitis), broad-spectrum antibiotics are used. Corticosteroids are also prescribed. With a steady increase in pressure, lumbar drainage is used. With a moderate increase in pressure, the cerebrospinal fluid is evacuated, glucose is injected intravenously. When the pressure of the cerebrospinal fluid rises, osmotic diuretics are included in the dehydration complex: Matsnitol, Lasix, urea. In especially severe cases, they are used up to two to three times a day. Mercury diuretics, hypertonic glucose-based solutions are considered less effective. EKG, diuresis, ionogram, and water balance are monitored daily.

Possible complications of cerebral edema

Edema of the brain of a newborn is a very serious complication that entails no less serious consequences (in some cases, coma, death). The prognosis for the development of a child who has undergone cerebral edema may be as follows: complete recovery, the appearance of slight deterioration in the functioning of the central nervous system, the development of very serious diseases, in which constant therapy and observation by neurologists are necessary.

Most often, the consequences of perinatal damage to the central nervous system are: complete cure, delayed mental, motor or speech development of the child, various neurotic reactions, deterioration of attentiveness, accompanied by hyperactivity, autonomic-visceral dysfunction syndrome, hydrocephalus, cerebral palsy, epilepsy. After treatment in the neurological department, the child should be observed by a neurologist, pediatrician, and in some situations by a psychiatrist.

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