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Kernicterus - Symptom

Nombres alternativos

Encefalopatía bilirrubínica

Síntomas:

Los síntomas dependen de la fase del kernicterus.

Fase temprana:

  • Ictericia extrema
  • Ausencia del reflejo de sobresalto
  • Alimentación o succión deficiente
  • Somnolencia extrema (letargo)

Fase media:

  • Llanto chillón
  • Espalda arqueada con cuello muy extendido hacia atrás
  • Fontanela (punto blando) que protruye
  • Convulsiones

Fase tardía (el síndrome neurológico lleno):

  • Hipoacusia de alta frecuencia
  • Retardo mental
  • Rigidez muscular
  • Dificultades del lenguaje
  • Convulsiones
  • Trastorno de movimiento

Pruebas y exámenes:

Un examen de sangre mostrará un nivel de bilirrubina alto (mayor a 20 - 25 mg/dL).

Nota: los rangos de los valores normales pueden variar ligeramente entre diferentes laboratorios. Hable con el médico acerca del significado de los resultados específicos de su examen.

  • Reviewed last on: 5/9/2011
  • Kimberly G Lee, MD, MSc, IBCLC, Associate Professor of Pediatrics, Division of Neonatology, Medical University of South Carolina, Charleston, SC. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

American Academy of Pediatrics. Committee on Fetus and Newborn. Hospital stay for healthy term newborns. Pedatrics. 2010; 125: 405.

American Academy of Pediatrics, Subcommittee on Hyperbilirubinemia Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2004;114: 297-316.

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