Patient's question:
Patient: Female, 83 days old, currently undergoing rehabilitation treatment. Born via difficult labor, which led to neonatal hypoxic-ischemic encephalopathy. The baby often appears to be stretching lazily, with a flushed face and a whining sound, as if in discomfort. During half-awake and half-asleep states, there are episodes of rolling back the eyes.Doctor's answer:
Neonatal hypoxic-ischemic encephalopathy refers to brain damage caused by hypoxia and ischemia during the perinatal period due to asphyxia and hypoxia, leading to a series of encephalopathy manifestations after birth. Hypoxic-ischemic brain manifestations appear within 12 hours after birth. Symptoms may include excessive excitement, drowsiness, sluggishness, changes in muscle tone, hyperactivity of primitive reflexes, or their weakening or disappearance. In severe cases, the anterior fontanelle may be tense, with convulsions or frequent episodes. Brainstem symptoms may also appear. Did your child have a history of asphyxia at birth (what was the Apgar score)? If there is no history of asphyxia and no clinical symptoms such as limb convulsions or screaming.