5 doctors weighed in:

What is the chance if my son had hie that he will have problems with mental retardation in the future?

5 doctors weighed in
Dr. Johanna Fricke
Pediatrics - Developmental & Behavioral
1 doctor agrees

In brief: Risk factors

The sarnat neurological score, physical findings and eeg results in a newborn helps predict risk of developmental delays/ intellectual disability/cerebral palsy.
Infants with stage 1 mild symptoms for <24 hours or moderate symptoms stage 2, for < 5 days have low risk. Higher risk is stage 2 > 7 days. Stage 3 severe symptoms + seizures on eeg, 70% risk.A type of MRI (dwi) can show injury early.

In brief: Risk factors

The sarnat neurological score, physical findings and eeg results in a newborn helps predict risk of developmental delays/ intellectual disability/cerebral palsy.
Infants with stage 1 mild symptoms for <24 hours or moderate symptoms stage 2, for < 5 days have low risk. Higher risk is stage 2 > 7 days. Stage 3 severe symptoms + seizures on eeg, 70% risk.A type of MRI (dwi) can show injury early.
Dr. Johanna Fricke
Dr. Johanna Fricke
Thank
Dr. Jason Adler
Pediatrics - Critical Care
1 doctor agrees

In brief: Need close follow up

Certain probabilities can be stated based upon the degree of hie that your son suffered.
More severe hie can be associated with significant neurologic impairment. Mild hie may be associated with minimal or no long term problems. Follow up with early intervention services for physical therapy, occupational therapy, and speech therapy, neurology and a developmental pediatrician are important.

In brief: Need close follow up

Certain probabilities can be stated based upon the degree of hie that your son suffered.
More severe hie can be associated with significant neurologic impairment. Mild hie may be associated with minimal or no long term problems. Follow up with early intervention services for physical therapy, occupational therapy, and speech therapy, neurology and a developmental pediatrician are important.
Dr. Jason Adler
Dr. Jason Adler
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Dr. Andrew Nordine
Pediatrics

In brief: Depends

This depends on the severity of their hie, how they are treated, and how quickly they recover. Elevated body temperature should be avoided and they should probably undergo therapeutic hypothermia.
Most sarnat (a grading scale) "mild" and "moderate" hie patients have normal outcomes while virtually all "severe" hie patients have future problems. Eeg/mri may give additional predictive information.

In brief: Depends

This depends on the severity of their hie, how they are treated, and how quickly they recover. Elevated body temperature should be avoided and they should probably undergo therapeutic hypothermia.
Most sarnat (a grading scale) "mild" and "moderate" hie patients have normal outcomes while virtually all "severe" hie patients have future problems. Eeg/mri may give additional predictive information.
Dr. Andrew Nordine
Dr. Andrew Nordine
Thank
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