STUDY OF CRANIAL ULTRASOUND FINDING IN HYPOXIC ISCHEMIC ENCEPHALOPATHY IN TERM INFANTS AND ITS CLINICAL CORELATION

Bijay Laxmi Malick; Mangal Charan Murmu; Anil Kumar Mohanty

doi:10.29121/granthaalayah.v6.i4.2018.1638

Authors

Bijay Laxmi Malick Assistant Professor, S C B Medical College, Cuttack, Odisha, India
Mangal Charan Murmu Associate Professor of Pediatrics, S C B Medical College, Cuttack, Odisha, India
Anil Kumar Mohanty Professor, S C B Medical College, Cuttack, Odisha, India

DOI:

https://doi.org/10.29121/granthaalayah.v6.i4.2018.1638

Keywords:

Hypoxic Ischemic Encephalopathy, APGAR Score, Cranial Ultrasound

Abstract [English]

Introduction: Incidence of Hypoxic Ischemic Encephalopathy (HIE) is 2-4 per 1000 live birth in USA, 1.8 per 1000 live births in Sweden, 3.8 per 1000 term live births in Australia. In India the incidence of HIE is 10-15 per 1000 live birth. The survivors from severe HIE develop cerebral palsy and mental handicaps as high as 50%. Concurrent use of cranial ultra sound and clinical staging systems are evolving to predict the prognosis. Objective: To study the cranial ultrasonogrphic finding in HIE Infants and its clinical correlation and prediction of outcome. Method: it is a prospective clinical study of 120 baby suffering from hypoxic ischemic encephalopathy. Result: Co-relation of initial cranial ultra sonography grading with mortality and sequel showed an increasing trend as the ultrasonography grading increases, with 51.4% mortality in grade –III, 18.5% in grade-II and 15.4% in grade –I. Seqele 48.6% was observed only in grade-III sonographic abnormality. Conclusion: Sonographic grading is more accurate than the clinical staging in predicting recovery, mortality and sequel.

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