PERINATAL HYPOXIC-ISCHEMIC ENCEPHALOPATHY - RETROSPECTIVE ASSESSMENT FROM A NEUROPEDIATRIC STANDPOINT

This paper analyzes the feasibility of determining retrospectively, fr om a neuropediatric standpoint, whether an existing neurological disor der can be traced back to a perinatal hypoxic-ischemic encephalopathy, In principal, we can assume that there is a correlation between this time and pathogenesis of the brain injury on the one hand and the neur ological symptoms on the other if these conditions are fulfilled: 1. I n the first days of live term infants revealed cerebral symptoms (like abnormality of muscle tone and consciousness and seizures) which mani fest themselves in a typical sequence and are combined with involvemen t of other organ systems. In pre-term infants the clinical signs are o ften not clearly defineable.2. The subsequent neurological disorder af ter the primary symptoms must be a spastic-less commonly in term infan ts a dyskinetic one. 3. Lesions typical for the child's gestational ag e are visible on magnetic resonance imaging.