Question

What kind of sequelae can subependymal hemorrhage in newborns cause?

Answer

Subependymal hemorrhage in newborns may not cause significant issues and will gradually absorb. The main complaint for admission was weak crying and pale complexion for 2 hours. The baby was G1P1 at 40+6 weeks of gestation, delivered by cesarean section due to cloudy amniotic fluid indicating intrauterine distress, weighing 4kg at birth, with all Apgar scores at 10. Two hours after birth, there was weak crying and poor response, with a pale complexion. The cranial ultrasound report indicated a hemorrhagic small infarct (intrauterine occurrence) near the anterior horn on the left side, with vascular damage trace in the basal ganglia area of the left thalamus. Treatment with Schering was added for 2 weeks. At one month follow-up, there was still a small amount of hemorrhage near the anterior horn on the left side without absorption. The subependymal hemorrhage on the left side was not in the brain substance, causing no significant issues and could be observed; it would gradually absorb. The ultrasound showed no widening of both lateral ventricles; the normal lateral ventricle width was less than 10mm, and the baby’s effort to stretch was normal. Observe the influence on the head, the movement of the limbs, the complexion, eye movement, and mental state; there was no significant impact. Vomiting is common in newborns and is not jet-like vomiting; it is generally physiological vomiting. The upper part of the stomach is underdeveloped; it will improve as they grow older. Lay the baby on their side to avoid choking from vomiting. Phenylalanine levels of 1.67 can be reviewed; there may be errors in the test results.