Our body can compensate for a short period of oxygen deprivation. However, if it exceeds the time, it results in Hypoxic Ischemic Encephalopathy. Fetal or neonatal asphyxia is the most common cause of infant death. In addition, it affects the child's development by producing cognitive delays and motor impairment. Maternal hypotension, umbilical cord injury, placental and uterine rupture, cardiac complications, etc., are the risk factors involved.
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Query: Hi doctor, I need some help with the prognosis of my friend's father, who is in a coma due to a road accident, while he was on a bike. He is 76 years old, and his heart stopped, which was resuscitated after some time. His coma score is minimal, and he is in this state from the past 13 days, with... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen all the attached reports (attachment removed to protect patient identity). The MRI scan is the most important set of images. It shows changes in the hippocampus and thalamus on both sides. This can be due to a condition called as hypoxic encephalopathy, and it... Read Full »
Query: Hi doctor, My brother is 51 years old. He has got HIE status after MRI reports. He had a sudden heart attack. Can he be cured? When can he return to his normal life? Read Full »
Answer: Hello, Welcome to icliniq.com. HIE (hypoxic ischemic encephalopathy) occur due to compromise of blood or oxygenation to brain tissue and the degree of damage depending on the duration of lack of blood or oxygen. And, the prognosis depends on the extent of brain injury. If more injury, then poor prog... Read Full »
Query: Hi doctor, My 9 months old baby had convulsions. We feel that he has crossed eyes, neck moving issues and feeling partial seizures during sleeping alone. I also have a doubt whether there is any brain development problem. Currently, he is on Keppra 100 mg/mL, 1 mL in 12 hours and so to be given twic... Read Full »
Answer: Hello, Welcome to icliniq.com. I am very sorry to hear about this condition. However, I would like to know some details to help you better. Tell me the birth history of the child. Did the child cry immediately after birth? Has the child required to be kept in NICU for any reason (neonatal inten... Read Full »
Query: Hello doctor,'Sudden cardiac arrest and its effects of blood flow and depleted oxygen to the brain, brain shock, lack of nutrients as well as production of toxic material that can no longer be cleared by circulation since it is no longer functioning.' How does all of this affect overall cognitive br... Read Full »
Answer: Hello, Welcome to icliniq.com. Sudden cardiac arrest and prolonged brain hypoxia can lead to brain ischemic encephalopathy. The severity of the disorder is proportional to the duration of hypoxia and cardiac resuscitation. In case of a short period, only some troubles with concentration may occur... Read Full »
Query: Hi doctor, My father has hypoxic ischemic encephalopathy due to a heart attack. Tracheostomy has been done. He is in a coma. What are the options available now? Read Full »
Answer: Hello, Welcome to icliniq.com. In hypoxic ischemic encephalopathy, there is some permanent brain cell damage due to transient decreased blood flow in the brain. To be frank, there is no specific treatment available for it on a long-term basis. If the episode been few days prior, few neuroprotective ... Read Full »