Encefalopatia hipóxico-isquêmica em recém-nascidos a termo: aspectos da fase aguda e evolução

Noventa e quatro recém-nascidos com encefalopatia hipóxico-isquêmica (EHI), atendidos no Hospital das Clínicas de Ribeirão Preto desde 1982, foram avaliados evolutivamente na fase aguda e por período médio de 47 meses. De 43 casos com EHI 1,40 se recuperaram em 96 horas e 3 faleceram. Dos 40 com EHI...

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Published inArquivos de neuro-psiquiatria Vol. 55; no. 4; pp. 771 - 779
Main Authors Funayama, Carolina A. R., Moura-Ribeiro, Maria Valeriana L. de, Gonçalves, Arthur Lopes
Format Journal Article
LanguagePortuguese
Published Academia Brasileira de Neurologia - ABNEURO 1997
Subjects
NEUROSCIENCES
PSYCHIATRY
paralisia cerebral
follow-up
neonatal asphyxia
risk factors
seguimento
cerebral palsy
asfixia neonatal
fatores de risco
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Abstract Noventa e quatro recém-nascidos com encefalopatia hipóxico-isquêmica (EHI), atendidos no Hospital das Clínicas de Ribeirão Preto desde 1982, foram avaliados evolutivamente na fase aguda e por período médio de 47 meses. De 43 casos com EHI 1,40 se recuperaram em 96 horas e 3 faleceram. Dos 40 com EHI II, 37,5% se recuperaram até o sétimo dia e demais permaneceram com alterações. Os 11 casos com grau III faleceram até o segundo mês de vida. As crianças com EHI grau I não apresentaram seqüelas motoras. Do grupo com EHI grau II 34,5% apresentaram paralisia cerebral e 17,7% atraso neuromotor. 80% dos casos com sequela apresentaram exame neurológico anormal além do sétimo dia, na fase aguda da EHI. Epilepsia ocorreu em 17,5% dos casos com EHI grau II e somente no grupo com seqüelas motoras. Teste de QI não evidenciou diferença significativa entre os grupos com grau I, II sem seqüelas motoras e o grupo controle. Com esses dados os autores reafirmaram a importância prognostica da evolução da EHI na fase aguda.
AbstractList Noventa e quatro recém-nascidos com encefalopatia hipóxico-isquêmica (EHI), atendidos no Hospital das Clínicas de Ribeirão Preto desde 1982, foram avaliados evolutivamente na fase aguda e por período médio de 47 meses. De 43 casos com EHI 1,40 se recuperaram em 96 horas e 3 faleceram. Dos 40 com EHI II, 37,5% se recuperaram até o sétimo dia e demais permaneceram com alterações. Os 11 casos com grau III faleceram até o segundo mês de vida. As crianças com EHI grau I não apresentaram seqüelas motoras. Do grupo com EHI grau II 34,5% apresentaram paralisia cerebral e 17,7% atraso neuromotor. 80% dos casos com sequela apresentaram exame neurológico anormal além do sétimo dia, na fase aguda da EHI. Epilepsia ocorreu em 17,5% dos casos com EHI grau II e somente no grupo com seqüelas motoras. Teste de QI não evidenciou diferença significativa entre os grupos com grau I, II sem seqüelas motoras e o grupo controle. Com esses dados os autores reafirmaram a importância prognostica da evolução da EHI na fase aguda.
Author Moura-Ribeiro, Maria Valeriana L. de
Funayama, Carolina A. R.
Gonçalves, Arthur Lopes
AuthorAffiliation Universidade de São Paulo
Universidade Estadual de Campinas
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  givenname: Arthur Lopes
  surname: Gonçalves
  fullname: Gonçalves, Arthur Lopes
  organization: Universidade de São Paulo
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Keywords paralisia cerebral
follow-up
neonatal asphyxia
risk factors
seguimento
cerebral palsy
asfixia neonatal
fatores de risco
Language Portuguese
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Snippet Noventa e quatro recém-nascidos com encefalopatia hipóxico-isquêmica (EHI), atendidos no Hospital das Clínicas de Ribeirão Preto desde 1982, foram avaliados...
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PSYCHIATRY
Title Encefalopatia hipóxico-isquêmica em recém-nascidos a termo: aspectos da fase aguda e evolução
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