PhD Scientific Days 2017

Poster Presentation: Neurosciences

P57: Neonatal encephalopathy – role of birth trauma

Előadó neve

Dr. Lakatos, Andrea

Előadó munkahelye

MR Research Center, Semmelweis University, Budapest, Hungary

Előadó telefonszáma

+36304297916

Előadó e-mail címe

drea820317@gmail.com

Az előadás címe

Neonatal encephalopathy – role of birth trauma

Szerző(k) neve és munkahelye

A. Lakatos1, M. Kolossvary1,3, M. Szabo2, Z. Bagyura3, G. Rudas1, L.R. Kozak1
1 MR Research Center, Semmelweis University, Budapest
2 First Dept. of Paediatrics, Semmelweis University, Budapest
3 MTA-SE „Lendület” Cardiovascular Imaging Research Group, Budapest

Szekció

Poster Presentation: Neurosciences

Data of the presenter

Doctoral School: Semmelweis University, János Szentágothai Doctoral School of Neurosciences, Clinical Medical Sciences.
Program: Changes of functional and structural networks of the brain in disorders affecting the central nervous system.
Supervisor: Lajos R. Kozák
E-mail address: drea820317@gmail.com

Text of the abstract

Aims: The aim of our study was to assess the rate of those neonates who were considered asphyxiated clinically but the MRI examination showed no sign of neonatal hypoxic-ischemic encephalopathy (HIE), rather traumatic complications as axial or extra-axial bleeding.
Method: We conducted a retrospective analysis between the period of 2007-2015, including 195 infants treated with therapeutic hypothermia for suspected asphyxia. The evaluation was done using the data collected with our novel structured reporting tool.
Results: About 35% of the examined patient population had an axial or extra-axial intracranial bleeding, mainly subdural haemorrhage, which was present in almost 40% of the cases. Mild, moderate or severe HIE was present in only 55% of patients with intracranial bleeding episodes. In 44% of the examined infants, the only abnormal imaging finding was intracranial haemorrhage, and the signs of asphyxia were completely absent.
Conclusion: Traumatic lesions without the imaging characteristics of asphyxia take a remarkable share of infants treated with hypothermia. Despite the benefits of cooling, it may also have negative physiological effects especially in intracranial haemorrhages, so rethinking of the clinical scoring of asphyxia and installation of an early MRI in the diagnostic algorithm need to be considered.

Azonosító

P57

Kind

Szabad

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

149

Authors (legacy)

A. Lakatos1, M. Kolossvary1,3, M. Szabo2, Z. Bagyura3, G. Rudas1, L.R. Kozak1
1 MR Research Center, Semmelweis University, Budapest
2 First Dept. of Paediatrics, Semmelweis University, Budapest
3 MTA-SE „Lendület” Cardiovascular Imaging Research Group, Budapest