Pablo Tietzsch-Escalante, Servicio de Neonatología, Hospital Ángeles Lomas, Huixquilucan, Edo. de México, México
Sergio Ramírez-Nova, Servicio de Neonatología, Hospital Ángeles Lomas, Huixquilucan, Edo. de México, México
Elías Duck-Hernández, Servicio de Neonatología, Hospital Ángeles Lomas, Huixquilucan, Edo. de México, México
Lucía Escobedo-Berumen, Unidad de Cuidados Intensivos, Hospital Ángeles Lomas, Ciudad de México., México
Umbilical cord prolapse is an obstetric emergency that can lead to brain damage and perinatal death. Perinatal asphyxia is an interruption of blood flow and gas exchange to the fetus associated with a perinatal event such as umbilical cord prolapse. The direct consequence is hypoxic-ischemic encephalopathy. Case presentation: This is a full-term newborn, who during labor was diagnosed with umbilical cord prolapse, presenting at birth an absence of muscle tone and respiratory effort, he was given advanced resuscitation maneuvers. The baby presented epileptiform activity treated with anticonvulsants and timely management with therapeutic cooling as well as neuroprotective measures resulting in a torpid evolution. Timely diagnosis and multisystemic treatment in patients with hypoxic-ischemic encephalopathy are the main objective to improve the survival prognosis of moderate to severe stage.
Keywords: Encephalopathy. Umbilical cord. Hypothermia.