Hypoglycaemic / seizure related neonatal encephalopathy

Case contributed by A.Prof Frank Gaillard

Presentation

Hypoglycaemic, prolonged (2 hours) seizures.

Patient Data

Age: Term baby

Marked diffusion restriction is seen throughout the cortex, sparing the basal ganglia and posterior fossa. 

Case Discussion

The pattern of brain injury in paediatric patients is complicated and varies considerably depending on duration, severity and underlying cause of insult. In the setting of pure hypoglycaemic neonatal encephalopathy, the occipital cortex and thalami are particularly involved. In this case however, the hypoglycaemia is combined with the changes from prolonged seizure which predominantly affects the supratentorial cortex. 

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Case information

rID: 48612
Case created: 17th Oct 2016
Last edited: 17th Oct 2016
Inclusion in quiz mode: Included

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