JOURNAL COVER PAGE
 
 
 
 
VOLUME 7, ISSUE 1
January-March 2018
 
Abstract

A Study of Early Abnormal Neurological Findings in Birth Asphyxia and Low Birth Weight Infants

NikitaGohil1, Omprakash Shukla2

1Senior Resident, Department of Paediatrics, Medical College SSG Hospital M.S. University,Baroda 390001 2Professor,Department of Paediatrics, Medical College SSG Hospital M.S. University,Baroda 390001

ABSTRACT

BACKGROUND AND OBJECTIVES: Aim of the study was to assess the early abnormal neurological findings in high risk low birth weight infants at 1 month, 3 months and 6 months of age- A Prospective Study. METHODS: 55 infants were assessed on basis of abnormal neurological findings in form of inconsolable crying, clenched fist, persistent asymmetric tonic neck reflex, head circumference, adductor angle, dorsiflexion angle of foot, popliteal angle and Scarf sign at 1 month, 3 months and 6 months of age from February to December 2016. RESULTS: Incidence of inconsolable crying in birth asphyxia and low birth weight infants was 7.2%, Persistent asymmetric tonic neck reflex was 45.4% and for clenched fist, it was 21.8% at 6 months of age. Incidence of abnormal adductor angle was 10.9%, abnormal popliteal angle was 23.6%, Dorsiflexion angle of foot was 5.4% and scarf sign was 30.9% in birth asphyxia with low birth weight infants. High risk low birth weight infants who had head circumference less than 3 SD were 27.2%. CONCLUSION: Transient tone abnormalities were found at 1 and 3 months of age which decreased at 6 months of age probably due to early intervention in form of physiotherapy in lower limbs. But in upper limbs, there had been increase in number of infants who had presence of ATNR and clenched fist from 1 and 3 months of age to 6 months of age. This was probably due to failure to provide active intervention. Although predictive power of isolated neurological signs is not great, certain abnormal findings were associated with greater frequency with abnormal outcome. Aim of stimulation was detection of transient abnormalities and minimization of persistent abnormalities and prevention of developmental delay.

Keywords: High risk low birth weight infants, early abnormal neurological findings, Study at 1, 3 and 6 months of age, early stimulation.


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