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Neonatal Encephalopathy, Pediatric

Reviewed 10/2018
 


BASICS

DESCRIPTION

Neurologic dysfunction in infants >35 weeks of gestation notable for depressed level of consciousness, altered muscle tone and reflexes (with or without seizures) along with diffi...

DIAGNOSIS

HISTORY

  • Sentinel event (uterine rupture, placental abruption, cord accident, cardiorespiratory arrest in delivery room)

  • Apgar scores <5 at 5 and 10 minutes

  • Advanced resuscitation required in...

TREATMENT

GENERAL MEASURES

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Developmental pediatrician

  • Pediatric neurologist

  • Geneticist (if applicable)

PROGNOSIS

  • Widely variable depending on etiology, severity (if HIE), and treatment

  • Of patien...

ADDITIONAL READING

  • Executive summary: neonatal encephalopathy and neurologic outcome, second edition. Report of the American College of Obstetricians and Gynecologists’ Task Force on Neonatal Encephal...

CODES

ICD9

  • 768.70 Hypoxic-ischemic encephalopathy, unspecified

  • 768.71 Mild hypoxic-ischemic encephalopathy

  • 768.72 Moderate hypoxic-ischemic encephalopathy

  • 768.73 Severe hypoxic-ischemic encephalopathy

ICD10

FAQ

  • Q: Is neonatal encephalopathy secondary to HIE always associated with an acute perinatal event?

  • A: No. Neonatal encephalopathy may be secondary to an ongoing process in utero and not associated wit...

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