Belgian Journal of Paediatrics
An atypical neonatal hypoxic ischemic encephalopathy treated by hypothermia may hide a spinal cord lesion
Vol. 23 No. 2 (2021), Case reports
Vol. 23 No. 2 (2021)

An atypical neonatal hypoxic ischemic encephalopathy treated by hypothermia may hide a spinal cord lesion

Case reports
Published 2021-07-11 — Updated on 2023-01-18
Hortense Hubinont
Department of neonatology, Hôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium
Daniela Avino
Department of neonatology, Hôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium
Grammatina Boitsios
Department of pediatric radiology, Hôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium
Aline Vuckovic
Department of neonatology, Hôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium
Anne-Britt Johansson
Department of neonatology, Hôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium

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Keywords

spinal cord injury
therapeutic hypthermia
cooling
hypoxic ischemic encephalopathy
magnetic resonance imaging

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How to Cite

Hubinont, H., Avino, D., Boitsios, G., Vuckovic, A., & Johansson, A.-B. (2023). An atypical neonatal hypoxic ischemic encephalopathy treated by hypothermia may hide a spinal cord lesion. Belgian Journal of Paediatrics, 23(2), 155–156. Retrieved from https://belgjpaediatrics.com/index.php/bjp/article/view/155 (Original work published July 11, 2021)
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Abstract

Neonatal spinal cord injury is rare. Its diagnostic might be delayed by concurrent hypoxic ischemic encephalopathy. Herein we describe a new-born presenting with hypotonia and respiratory failure after a traumatic delivery. After being treated for hypoxic ischemic encephalopathy by therapeutic hypothermia, her neurological evolution led to perform an magnetic resonance imaging which revealed an ischemic spinal cord injury at the level of C1-C2. Therapeutic hypothermia use is anecdotal in neonatal spinal cord injury but could be promising. Therapeutic hypothermia did not prevent the fatal outcome in this case. Recognizing risk factors and clinical features of spinal cord injury is crucial. 

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