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Question
Posted by: Prem twin boys | 2005/11/25

Possibility of Cerebral Palsy from ventilator

One twin passed away on Sunday 20 Nov. Mother is concerned about the development of Cerebral Palsy in remaining twin (Connor) due to the ventilator. Is this a possibility? What can be done to prevent other prem diseases?

Concerned Aunt

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Our expert says:
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Dear Concerned Aunt

I am sorry to hear about the baby that passed away. They always live in our hearts and remember to support the parents since the other twin does not take the place of the baby that has been lost.

Cerebral Palsy (CP) can only be diagnosed when the child start with development of skills such as moving, crawling, sitting, etc. – about after a year and the diagnosis need to be made a your pediatrician or a neurologist. Babies born before 28 weeks are at higher risk for cerebral palsy due to the immature organs, especially the brain. The ventilator does not cause CP, but can rather effect breathing in the first 3 years. CP can be caused by a brain injury, such as a baby being deprived of oxygen for a long time and blood pressure that fluctuates a lot. If the healthcare professionals looking after your baby feel that he might be at risk for CP they will do a head sonar before discharging him from the hospital and then you will receive information on the result of this sonar on follow-up’s that might be necessary. You may find it helpful to take the baby for an early intervention screening (done by a multi-professional team) when he is 4 months corrected age to set you mind at ease. Usually the outcomes in premmies are good, but we need to be sensitive and open for possible risks. Please send more e-mails whenever you are concerned.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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Our users say:
Posted by: Greta | 2005/12/07

25 week prem boy very volatile. Up and down on sats on ventilator. Drops to low oxygen levels. Has Bradys - one lasted 3 minutes. Could the brady affect the brain and cause cerebral palsy or any other illnesses?
Is it normal for sats to be so up and down on prem baby born 25 weeks, now 6 weeks older and still volatile?

Reply to Greta
Posted by: Melanie | 2005/11/29

My boy Pierre was a 24w prem, he spend 9 weeks on the ventilator and had no brain bleeding at all. His brain was fine on discharge from NICU. He’s got severe CP now due to pressure on the brain at 10months when his scull fused to quick and the neurosurgeon postponed the operation to open up the scull seems for he was not 4kg yet and they was scared that he would not survive such a long anaesthetic. So in short, brain bleeding or injury causes CP not ventilation

Reply to Melanie

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