Patient's question:
Neonatal jaundice, MRI was performed at one month, showing: patchy T1 low and T2 low signal shadows in the left paraventricular area, with a surrounding ring-like high signal. Is it jaundice invading the brain?Doctor's answer:
Hello! According to the head MRI results, there are patchy T1 low and T2 low signal shadows in the left paraventricular area, with a surrounding ring-like high signal. This may be related to kernicterus. Kernicterus is a group of serious neonatal diseases characterized by jaundice and a large number of nucleated red blood cells in the blood due to congenital and/or neonatal constitutional factors. It also produces neurological symptoms due to the harmful effects of bilirubin on central nervous tissue. In the early stages of kernicterus, the main goal is to reduce serum unconjugated bilirubin. Intravenous fluids can be administered to provide energy, and albumin or plasma, dexamethasone, phenobarbital, nikethamide, 10% activated charcoal solution, and agar can be given orally. Phototherapy and blood transfusion are also used.