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Здравеите
Опитвам се да помогна на това дете, като представя диагнозата му на местните лекари тук в Илиноис. Те бяха някак объркани от прочетеното. Диагнозата е повече от ужасна, но предполагам не по-малко ужасен е и превода.
Има ли някой с познания в медицински английски който иска да помогне?
Майката е lskrica Nadejda
Повече по случая в клуб Бъдещи майки
Благодаря
-MEDICAL HISTORY
of
Kaloyan Asparouhov Lalev,born in 17.05.2003,entered
the Clinic on 23.05.2003,transferred from tne
Neonatology Department-PlevenHospital.
Diagnosis:Multi-cistic
encephalo-malacia,Microcephalism.Neonatal infection.
Full-term baby from third pathological
pregnancy/one-time suffocation fit,treated with
adreno-mimetics,hydramnon confirmrd by echography/.
Gestation age-40weeks;weight-3 200kg;height-49sm.After
the baby,s birth is established
Microcephalism;Abnormal Neurological symptoms-general
hypotonia,lack of primitive reflexes,sucking and
swallowing,clonus of the hands and legs.At the
Neonatology Department-Pleven are performed
serological examinations for transplacental
infections-established highly positive probes for IgG
against HSV-1,2 in bout the mother and child,while the
result for IgM is negative.
Srandart examinations:
1.Transfontanel echography-Multi-cistyc
encephalo-malacia.
2.CAT of the encephalon-presence of hypoplasia of the
temporal lobes with cistyc symmetrical zones,cistic
zones both sides parasagittal on the frontal lobes.On
both sides the thalamusses are with blood-equivalent
density.Hemorrhage in thalamus on both sides.
3.MRT-on both sides cystical changes
supra-tentorialis,the largest of which are
symmetrically supra-ventricular is with
sizes-3,5/2/1,5cm.The high signal changes on both
thalamusses and at the mesencephalon are probably sigh
for delayed myelinization.
The child is accepted to the clinic in a serious
generalcondition,with breathing pauses,superficial
breathing.Breathing in auscultation is vesicular with
trills.Heart frequency:125/per
min,rhythmical.Abdomen-soft.
Neurological status:head measurement-33cm;cranium
sutures straddle;front fontanel-10/10mm;facies-mask
like.Disturbed consciousness-stupor,general muscular
hypotony,clonic spasms of short duration with the
hands.Negative refleks of Moro,does not suck or
swallow.Pupil reactions to the light-present and
symmetrical.Tendon and supraosseus
reflexes-lively,widen reflex zone.
EEG:the main activity is with low-amplitude,with multi
synchronic sharp waves at both hemispheres.One time
registered paroxysm from sharp waves bilateral
parieto-temporalis,finishing with generalize volley of
sharp waves.Conclusion:highly abnormal
recording-changes at the basic activity,focuses and
general paroxysmal abnormality.
Therapy:Started treatment with Phenobarbital 15mg/kg
weight/24h,i.v.Glucose-electrolytic
solutions,plasma,human
albumin,antibiotic-Mandol.Because of the increase og
the inflammatory activity during the following
days,with theincrease of the C-reactive protein up to
8,6mg/dlit and the appearance oh thrombocytopenia
92x10/lit,the therapy is corrected by including
Maxipine,Diflucan.A very good efect is registered by
sharply lower Serum bilirubin.On 28.05.2003 started
treatment with Provit and Sevit according to scheme.
Evolution of the Neurological Status:Somnolent,with
short periods of alertness,slightly improved
reactivity with highly decreased apontaneous and
provoked cinematic activity,lack of primitive
reflexes,sucking and swallowing,expressed muscular
hypotonia.Were observed short-term clonus fits with
the arms but were not observed generalized spasms.No
immunizations.
Dr.Georgieva
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