Hypoxic-Ischemic Encephalopathy-Induced Seizure in an 11-Year-Old Female.

Autor: Pandav K; Division of Research & Academic Affairs, Larkin Community Hospital, South Miami, USA., Ishak A; Division of Research & Academic Affairs, Larkin Community Hospital, South Miami, USA., Chohan F; Division of Research & Academic Affairs, Larkin Health System, South Miami, USA., Edaki O; Division of Research & Academic Affairs, Larkin Community Hospital, South Miami, USA., Quinonez J; Osteopathic Neuromusculoskeletal Medicine, Larkin Community Hospital, South Miami, USA., Ruxmohan S; Neurology, Larkin Community Hospital, South Miami, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2021 Jul 24; Vol. 13 (7), pp. e16606. Date of Electronic Publication: 2021 Jul 24 (Print Publication: 2021).
DOI: 10.7759/cureus.16606
Abstrakt: Hypoxic-ischemic encephalopathy (HIE) typically manifests in the neonatal period. The degree of hypoxia following intrapartum asphyxia determines the structural changes in the brain, which can cause functional deficits in the affected child leading to developmental deficits and recurrent seizures. Management requires physical therapy, occupational therapy, and anti-seizure medications. We present a rare case of an 11-year-old female with a past medical history of epilepsy and cerebral atrophy secondary to hypoxic injury at birth. The patient presented to the hospital following a witnessed seizure and loss of consciousness for one hour. Given the past medical history and clinical findings, it was determined that a mild-to-moderate encephalopathic process resulted in a lower seizure threshold. HIE can manifest beyond the neonate years mainly due to the structural changes within the brain. Therefore, it is essential to understand aspects of HIE beyond the neonate years to manage this condition for a better patient outcome.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2021, Pandav et al.)
Databáze: MEDLINE