Symptoms and treatment of intracranial pressure in newborns

Category Other Disorders Of The Nervous System | August 06, 2016 23:08

Contents:

  • What elevated ICP
  • External symptoms of ICP
  • Neurosonography (diagnosis)
  • Regimen

Increased intracranial pressure or intracranial hypertension - one of the most common diagnoses, which can be heard by a neurologist duringgrudnichka first inspection.The main question is how to determine whether or not the baby has this problem or the doctor was reinsured and began overdiagnosis.

Drug List, which recently appointed neurologists children, is huge.Almost every child in the age up to a year at least once prescribed nootropics which improve brain function.Every time parents have to wrestle with whether their baby is really in need of such treatment of a serious or not.For this we have to understand what is elevated intracranial pressure, as it is time to see and what to treat.

What elevated ICP

For a complete brain work constantly produced cerebrospinal fluid (cerebrospinal fluid), which circulates in its ventricles and spinal canal.Normally, it is formed, passes through the channels, a

nd then carried out its functions, it is absorbed into the bloodstream.If the liquid is formed too much, it is wrong or broken circulates its outflow, the liquor inevitably accumulates in the brain cavities and begins to put pressure on its fabric.This leads to an increase in intracranial pressure.

Increased intracranial pressure is always a symptom of a serious brain disease.The real reason for such a state can be:

  • hydrocephalus,
  • meningitis,
  • different kinds of tumors,
  • brain injury,
  • perinatal encephalopathy, etc.

Hydrocephalus can occur not only in children but also in adults..Read also about the inner and outer replaceable brain hydrocephalus.

reasons for increase are different, but the consequences in any case is very serious.If the time does not take action, you can cause serious malfunction of the brain, chronic headaches, sleep disorders, and further delay physical and mental development.

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External symptoms of ICP

child suffering from a disease with increased intracranial pressure, rarely calm as much more likely to suffer from headaches.However, frequent anxiety baby still is not talking about any illness.There are more indicative outward signs that allow to suspect the disease.

One of these features is a pulsating, strongly bulging fontanelle.On it during the examination is required to pay attention to local pediatrician and neurologist.

Also, you should definitely tell a technician if the baby:

  • rolls his eyeballs,
  • one eye does not look right, and in the side (there is a squint),
  • bulge eyes,
  • often long hours vomits,
  • from time to timehe is vomiting.

most striking symptom is severe and disproportionate sharp increase in the volume of the head relative to the rest of the body.Therefore, at each reception pediatrician necessarily measures the size of the head and chest, to immediately see any sharp dynamics.Such symptoms often indicates that grudnichka increased intracranial pressure due to hydrocephalus - accumulation in marrow cavity of excess amounts of liquor.

Keep in mind that all of these signs are indirect and without additional testing only on the basis of visual inspection and observation of the child is impossible to make an accurate diagnosis.In order to confirm or deny it, it is necessary to pass ultrasound examination of the brain (cranial ultrasonography).
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Neurosonography (diagnosis)

The study of the brain by means of ultrasonic waves through the large fontanelle.The procedure is painless and harmless, apart from the fact that the kid for a few minutes will have to keep your head still.

The only prerequisite for its passage is the opening of a large fontanelle at least 1 cm., So it is only administered to children under the age of 1 year.Now, this study try at least once to make all the babies at once to avoid possible disturbances in development.He must pass all premature babies, and toddlers who have received any damage during delivery.

very fact of increased intracranial pressure on the monitor consider impossible, the device can only show the presence of changes in brain structure - ventricular enlargement or interhemispheric fissure, neoplastic processes, changes in the blood flow, intracranial hemorrhage, etc. For small deviations from the norm is required to be appointed.control study within a month or two.

results NSG assesses a neurologist and then, already on the basis of all the data, appoint necessary treatment, after which, as a rule, is made re-examination again.

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Regimen

There is no single method of treatment of intracranial hypertension.Tactics of treatment primarily depends on the nature of the violation.

If fluid continues to accumulate in the hemisphere, the patient is required to be appointed by diuretics, among them most - diakarb.If liquor is not produced in excess, but for some reason its surplus still continue to put pressure on the tissue, the diuretics are not prescribed.

The complex prescribers, designed to improve the performance of cerebral vessels (aktovegin intramuscularly, etc..), Activate the metabolic processes in the central nervous system and sedatives (such as medicine with citral) as frequent crying and sharp cries every time provoke an increase in pressure.

From neuroprotective drugs most often prescribed piracetam, glycine, Pantogamum .Good improves brain metabolism korteksin, it not only has neuroprotective, anticonvulsant and action.It is prescribed with increasing intracranial pressure, prompted by ischemia, encephalopathy and brain injuries.

All of these drugs are taken courses, and then track the status of the speaker.In addition to the control and inspection of NSG neurologist, the parents can observe the presence or absence of positive dynamics of the overall condition of the child - whether muscle tone changes as development proceeds grudnichka if he becomes calmer.With the right selection of products in a short time it is possible to achieve improvements.When

severe brain damage drugs may not provide the desired effect, and surgical treatment is given in some cases.

On the one hand, intracranial hypertension - a dangerous and serious symptom that needs treatment as soon as possible, and on the other - a diagnosis that is too often put the baby's health.Only the parents to decide their kid needs serious treatment or not.

To find the right solution, you should remember two important rules.Increased intracranial pressure always produces a whole range of symptoms and it can not be diagnosed only on the basis of initial inspection of a neurologist.If your child still put such diagnosis before starting treatment should definitely show the baby to another specialist.And if there will be no doubt, the sooner treatment is started, the more likely the baby rid of this disease.