Auditory brainstem response detects early bilirubin neurotoxicity at low indirect bilirubin values.
When sedation, prematurity or other disease processes mask symptoms in the clinically ill newborn, serum bilirubin concentration is monitored as the sole indicator of kernicterus risk. This case emphasizes the value of auditory brainstem responses for the management of indirect hyperbilirubinemia complicated by prematurity, hemolytic anemia, asphyxia, and direct hyperbilirubinemia.
Smith
Camille M
CM
Department of Pediatrics, Children's Hospital of The King's Daughters, Norfolk, VA 23507, USA.
Barnes
Galen P
GP
Jacobson
Claire A
CA
Oelberg
David G
DG
D001663:Bilirubin / Q000097:blood; D016057:Evoked Potentials, Auditory, Brain Stem; D006801:Humans; D006932:Hyperbilirubinemia / Q000150:complications*; D007231:Infant, Newborn; D007647:Kernicterus / Q000175:diagnosis*; D008297:Male
D001663:Bilirubin