Top 20 Doctor insights on: Kernicterus in children
Term definitions: Kernicterus is a term uses to describe the effect that occurs when bilirubin rises to toxic levels in a baby and injures brain cells. It goes through several phases leading to a variety of permanent defects. These can include a movement disorder, deafness, visual problems and others. Recognition and treatment of high bilirubin levels can prevent this if done quickly. ...Read more
Kernicterus tests: Kernicterus is a devastating chronic disabling condition characterized by the clinical tetrad of choreoathetoid cerebral palsy, central neural hearing loss, palsy of the vertical gaze, and tooth enamel hypoplasia as the result of bilirubin-induced cell toxicity. ...Read moreSee 1 more doctor answer
Prevention: Kernicterus occurs as a result of newborn jaundice of a severely high level that is untreated. I have not seen nor heard of a case in my entire career. Newborn jaundice is common and is easily treated with sun, phototherapy, or in severe cases exchange transfusion. (have not seen that in 20+ years). The best treatment is prevention. ...Read more
NOT ABSOLUTELY: Necessary, but to monitor severity and response to treatment it is. ...Read more
Mostly not: Most of chidren who survived kernicterus-severe bilirubin toxicity-develop sensorineural hearing loss and athetoid type cerebral palsy which adversely affects coordination of fine movements. Neuronal damage in cerebral cortex often associated in kernicterus results in hampering of higher cognitive function. ...Read moreSee 1 more doctor answer
Kernicterus causes spasticity? Why is it sis basal ganglia considered in pyramidal tract? Why not causing rigidity instead like parkinsons?
Spasticity: Basal ganglia and substantia nigra are different structures. Injuring the basal ganglia, such as by stroke, may cause spasticity. Injuring the substantia nigra may cause parkinsons symptoms, such as tremor and rigidity. Rigidity and spasticity are not the same, as you recognize. These two different structures of the brain modulate movement differently, that is why the symptoms are different. ...Read more
I am married in 1 year no children en problem in my health would you eat that type of food can be eat him in my husband and me?
Chocolate: This is not scientific but neither is having babies! Try anything chocolate. Eat romantic foods. Avoid alcohol and stimulants. Relax. Enjoy being married without children. The more you relax and enjoy your spouse the better your marriage will be and the more prepared you we be to be a parent. You are learning patience and you will need it! OB doctors have solutions for you when wanted ...Read more
Hopefully: If you want to have children but are not trying presently, there are some tests that can help tell you more. But the only way to absolutely prove one way or another is to attempt pregnancy with your partner. See your gynecologist: they can help you with the available tests. ...Read moreSee 2 more doctor answers
Vertigo?: Many children get very dizzy at times without definite cause. Some are due to ear infections or ear fluid pressure. Other times it may happen because of spinning around. Episodic vertigo is a very dramatic event in some children when they look terrified and have to hold on for a few moments, then return to normal. This is usually benign but needs a good evaluation. ...Read moreSee 1 more doctor answer
Maybe, maybe not: Many women are quite successful in their pregnancies at 40.There is some reduced fertility & increased risk of complications, but if your basic health is good & you understand the increased risk of down syndrome, I don't see any reason to say it's too late. ...Read moreSee 1 more doctor answer
Vomiting: For a simple gastroenteritis, gut rest (nothing to eat or drink for 2-3 hrs) followed by small sips of clear fluids, frequently (goal depending on age of child 1-4 oz/hr). The presence of pain is more worrisome and I would recommend taking the child to their doctor for a hands-on examination to rule out anything more serious. ...Read more
Safe/locks: A good gun safe can double as a home for some family valuables. There are a number of trigger locks and quick entry safes on the market that provide quick access but eliminate child entry. As mentioned, kids taught gun handling and safety as early as age 4 are less likely to play with any gun they find anywhere. ...Read moreSee 1 more doctor answer