The value of brainstem evoked potential in clinical decision of a patient with hypoxic-ischemic encephalopathy.
Establishing a prognosis for hypoxic-ischemic encephalopathy during the neonatal period is extremely difficult, as the neuroplasticity of the developing brain makes it almost impossible to measure the affected area. This case report describes a newborn with severe perinatal asphyxia and neonatal neurological syndrome including absent suck reflex. Normal brainstem auditory evoked potential led the diagnosis towards a transitory dysfunction of deglutition, and the subject received daily stimulation in the hospital environment. Suck developed satisfactorily by day of life 30 and the patient was released without having to be tube fed. Neurophysiologic tests can be of value in the clinical decisions and analysis of functional prognosis of patients with hypoxic-ischemic encephalopathy.
Pinto
Anna Lecticia R
AL
Clínica Neurológica e Neurocirúrgica de Joinville, 89202-451 Joinville, SC, Brazil. anna.pinto@uol.com.br
Costa
Franciele C S
FC
D001238:Asphyxia Neonatorum / Q000473:pathology / Q000503:physiopathology; D004569:Electroencephalography; D016057:Evoked Potentials, Auditory, Brain Stem / Q000502:physiology*; D005260:Female; D006801:Humans; D020925:Hypoxia-Ischemia, Brain / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology*; D007231:Infant, Newborn; D009460:Neurologic Examination; D009473:Neuronal Plasticity / Q000502:physiology; D011379:Prognosis; D014463:Ultrasonography