Hemorragia de tálamo en el recién nacido a término. Presentación de un caso. Hemorrhage of the thalamus in a term newborn: A case report
Abstract
Las hemorragias cerebrales en el recién nacido son importantes en la determinación de la morbimortalidad neonatal. Se presentó un caso de recién nacido a término que debutó con un cuadro de disfunción hemodinámica y neurológica, con agravamiento de su estado general y del ictero siendo tributario de la realización de una exanguíneo transfusión, mejorando el ictero y logrando una estabilidad hemodinámica, no así del todo su estado neurológico, por lo que se decide realizar un ultrasonido de cráneo donde se observó una imagen compatible con una hemorragia del tálamo derecho, la cual se corrobora con la TAC, al mes de edad se realizó una RMN comprobándose lo anteriormente planteado y que el paciente no presenta dilatación ventricular, leucomalacia periventricular, ni alteraciones cráneo faciales. Este paciente actualmente es seguido por la consulta de neurodesarrollo por presentar alteraciones motoras.
Palabras clave: HEMORRAGIA INTRACRANEAL, TALAMO, RECIÉN NACIDO A TERMINO.
ABSTRACT
Cerebral hemorrhages in infants are significant in determining neonatal morbidity. A case of a term infant is presented who showed a clinical picture of hemodynamic and neurological dysfunction, with exacerbation of his general status and icterus, and achieving an hemodynamic stability, but not completely his neurological status, therefore doctors determine to perform a skull ultrasound where an image compatible with right thalamus was observed, which was confirmed by CAT. At 1 month a nuclear magnetic resonance was performed, which confirmed that above said and the patient presents no other ventricular dilation, periventricular leucomalacia, or craniofacial damage. Currently this patient is followed up by neurodevelopment office for presenting motor disorders.
Key words: INTRACRANIAL HEMORRHAGE, THALAMUS, INFANT NEWBORN, UNTRASONICS.
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