It is very important to understand that the newborn's brain is very different to the child or adult brain. Neonatal neurology and neurocritical care is dedicated to the developmental progress of these critically ill newborns including brain injury prevention and management. Neonatal neurologists monitor, examine and treat newborns in the NICU and beyond. Practices within this dedicated field have developed a lot in the past couple decades due to research and technological developments. This section will cover how to identify the infant who needs neuro support as well as intraventricular hemorrage (IVH), hypoxic ischemic encephalopathy (HIE) and brain cooling, seizures and more.
Dr. Taeun Chang, Neonatal and Fetal Neurologist from Children's National, explains what neonatal neurology is and what she does. This serves as the healthcare providers' orientation to neonatal neurology. Her job is to not only take care of these little patients but to make sure the healthcare provider aware of the neurological state of these patients. For a parents' orientation to neonatal neurology go to the parents corner.
Dr. Taeun Chang gives us an overview of the anatomy of the brain. She draws as she explains so we can see where things are and what function different parts have. This is helpful to improve our understanding of brain injury.
Dr. Taeun Chang, Neonatal and Fetal Neurologist from Children's National, explains the different ways a premature infant can get Intraventricular hemorrhage, bleeding into the brain's ventricular system.
Dr. Taeun Chang explains the intraventricular hemorrhage grading system. While she does not like the system, she knows that it is widely used in the NICU therefore important to understand how most physicians define these stages. She explains the complications with this system to help you better understand what each stage might mean.
Dr. Taeun Chang explains that treatment options for IVH are limited so many times physicians are left evaluating. She explains why this is and also talks about her experience and recommendations for evaluating such cases.
Dr. Taeun Chang explains hypoxic ischemic encephalopathy, a type of brain damage that occurs when an infant’s brain doesn’t receive enough oxygen and blood. She explains the terminology and why it is important to understand this condition for the newborn.
Dr. Taeun Chang explains what therapeutic hypothermia, brain cooling, is and how this helps the baby. She talks about the protocols for this therapy from her expert experience.
Unlike any other age group, when it comes to newborns, neonatal neurologists get asked, why are you treating seizures in the newborn? Should you be treating seizures in the newborn? Dr. Chang from Children's National talks about why this is a debate, what a seizure is and what a seizure means for this population.
Dr. Chang explains why the premature baby may be having seizures. She talks about the differences between symptomatic seizures and seizures as a result intrinsic reasons especially when it comes to identifying and treating these seizures.
Dr. Chang talks about recommendations for treating seizures in newborns. Since the newborn population is very different from the adult or pediatric populations it is important to have separate guidelines when it comes to seizure treatment.