Question

The child was hospitalized due to hypoglycemia three days after birth, and subsequent magnetic resonance imaging revealed subarachnoid hemorrhage. Now, at 1 year and 2 months old, the child has poor response to the outside world, cannot crawl, has weak hand support, and overall development is delayed. Asking for hospital recommendations in Shaanxi for treating pediatric cerebral palsy.

Answer

  1. The child had subarachnoid hemorrhage and showed white matter degeneration during the follow-up brain MRI, indicating a high risk of brain damage.
  2. At 1 year and 2 months old, the child has poor response to the outside world, cannot crawl, has weak hand support, and overall development is delayed. However, whether it is cerebral palsy requires a doctor’s physical examination to determine (such as muscle tone, pathological signs, and abnormal posture).
  3. There have been seizures, which were controlled with oral medication for 20 days. Regular medication is needed, and regular follow-up of EEG, blood routine tests, liver and kidney function tests, and blood drug concentrations are required. Uncontrolled seizures can affect the child’s intelligence and motor development.
  4. Currently, the child’s condition requires appropriate comprehensive rehabilitation training, including gross motor skills, fine motor skills, intelligence, and language. However, the training volume should be moderate to avoid overexertion that may trigger seizures.
  5. If the child has poor eye contact, ignores sounds while hearing is normal, and exhibits stereotypical movements, it is necessary to rule out autism spectrum disorders and other behavioral issues.
  6. If only developmental delay and epilepsy are present, it is necessary to exclude genetic metabolic diseases and it is recommended to complete relevant examinations.
  7. The above suggestions are general; a specific diagnosis can only be made after a face-to-face consultation with the child, relevant medical records, and imaging studies. Recommended high-quality hospitals in Shaanxi: Yan’an University Affiliated Hospital, Baoji Central Hospital, Yulin First Hospital.