December 30, 2009

Ultrasound Detects Shoulder Dislocation 3 to 6 Months After Birth Injury

A new study in the January issue of Radiology found that an ultrasound can now be used to detect a posterior shoulder dislocation in infants 3 to 6 months old with a permanent brachial plexus birth injury (BPBI). A doctor from Finland performed ultrasonography to screen for posterior shoulder subluxation in 132 infants with brachial plexus at various times. Their research showed that posterior shoulder subluxation of the humeral head developed in one-third of the 27 patients with permanent BPBI that failed to heal in the first year. It was detected by ultrasound in 55 percent of patients at 3 months of age and in 89 percent of patients at 6 months of age. The ultrasound has proved to be a useful tool for diagnosis of a birth injury. It should be performed on the glenohumeral joint at age 3 and 6 months of age if the symptoms persist. To learn more about the ultrasound therapy, please click the link.

September 2, 2009

The Small Picture: Fighting Cerebral Palsy with Nanotechnology

A research team at Wayne State University is convinced that the big solution to preventing and treating cerebral palsy may come in a small package. The husband-and-wife team consisting of chemical engineering professor, Rangaramanujam Kannan and assistant pediatrics professor Dr. Sujatha Kannan, has received a patent for using tiny polymers to attack what it considers to be the root of the disorder: inflammation in the brain.

Cerebral palsy is a condition made up of a group of motor disorders caused by brain damage that often occurs after suffering from a birth injury or an infection that develops while in the womb. Prevention of the condition has thus far proven to be very difficult because it is generally diagnosed only after the damage has already occurred.

The research team has developed tiny tree-shaped polymers called dendrimers, which range from 5-10 nanometers long (over 700 times smaller than a human red blood cell), that are used to carry medicine directly to inflamed areas in the brain. The team believes that this method, in conjunction with the identification and diagnosis of the neuroinflammation in newborns, could prevent, or at least reduce, the development of cerebral palsy. Dr. Kannan is currently able to detect such inflammation in the brains of newborn rabbits and she believes that doctors might eventually be able to do the same in human newborns. Once detected, the dendrimers could then be used to target the inflammation, which in turn could prevent the condition from developing.

For more information on using this nanotechnology to treat cerebral palsy, click here.

August 13, 2009

New Hormone Shows Promise in Preventing Birth Injuries

A study conducted, which included more than 150 newborns with birth injuries, showed great promise in preventing birth injuries. This method involves injections of a hormone that stimulates red blood cell formation. The procedure can begin as late as two days after the birth injury. To read more about this study on preventing birth injuries, click here.

May 1, 2009

FDA Warns of Potentially Lethal Adverse Affects of Botox in Children with Cerebral Palsy

The FDA announced yesterday that it will require new warnings for Botox and all other Botulinum Toxin products. Botulinum toxin is a neurotoxic protein produced by the bacterium Clostriduam botulinum. It is the most toxic protein known to scientists and one of the most lethal substances to occur in nature. Although not approved for such use, it is often prescribed to children with cerebral palsy, who are injected with the drug in an effort to control limb spasticity that is associated with the disorder. The drug works by paralyzing the muscles, which restricts unwanted movement. After injection, however, the toxin can migrate to other areas of the body, including those muscles used to breathe, causing potentially deadly paralysis. The FDA stated that this adverse affect has occurred most frequently in children with cerebral palsy and that several children with the birth injury have died as a result of the treatment.

The new label requirement includes a black box warning, a type of warning that is reserved for drugs with significant risks of serious or life-threatening adverse affects.

For more information on the FDA’s Botox warning, click here.

April 24, 2009

New Illinois Law Will Allow Children with Cerebral Palsy and other Developmental Disorders to Get Treatment

Illinois birth injury victims may get access to treatment that was previously unavailable to them thanks to new legislation recently signed by Governor Pat Quinn. Children with cerebral palsy and other developmental disorders such as Down syndrome and autism will soon be able to get treatment thanks to a new law that requires insurance companies to pay for speech, physical and occupational therapies. Specifically, the law requires insurers to extend coverage to “habilitative treatments,” which are those intended to teach new skills and maximize functioning. The law takes effect January 1, 2010.

For more information on how this new law will help children with cerebral palsy, click here.

March 6, 2009

Cool New Therapy Reduces Brain Damage in Oxygen-Deprived Infants

Babies who are deprived of oxygen for any significant period of time during birth have a very high risk of suffering permanent brain damage. This risk of birth injury has shown to be reduced, however, by a new therapy that is pretty cool, literally. The therapy, called induced hypothermia, involves placing an infant on a cooling blanket within 6 hours of its birth for a period of 3 days, bringing its temperature down from the normal 98.6 degrees to about 92 degrees. Research shows that, while the therapy may not completely prevent brain damage, babies suffering from hypoxic ischemic encephalopathy (HIE), or birth hypoxia and asphyxia, that receive the treatment have a greater chance of survival and the extent of their brain damage from oxygen deprivation is reduced.

Read more about this new cooling therapy here.

February 25, 2009

Newborn Screening Now Required in All States

Just 4 years ago, only a third of all infants born in the United States were required to undergo screening tests to determine whether they had acquired any of a multitude of conditions. Now, all states and the District of Columbia have enacted rules or regulations requiring newborn screening for at least 21 disorders including genetic, metabolic, hormonal and functional disorders. The screening is important to detect the presence of such birth defects and birth injuries because many have no visible symptoms until after permanent damage has developed. Early detection allows for timely treatment, which can prevent permanent injuries such as brain damage and mental retardation from occurring. If you are interested in learning more about newborn screening and the disorders that it can detect, the March of Dimes is an excellent resource.

Read more about the newborn screening requirements here.

January 16, 2009

Hospital Settles with Chicago Suburb Family

A Chicago suburb hospital is forced to pay $6.5 million dollars for a child who suffered a brain injury under their treatment. The attending obstetrician and labor and delivery nurse “failed to respond to the baby’s low heart rate and reduced oxygen flow caused by the drug Pitocin” which resulted in the birth injury.

For the full story, click here.

December 18, 2008

Tumor found after baby’s birth shocks doctor

A doctor operated on a 3 day-old baby after an MRI showed a tumor after birth on the newborn’s brain. While the doctor removed the growth, he realized it contained a nearly perfect foot, the formation of another foot, a hand, and a thigh. The doctor said that this type of birth injury is extremely unique and unusual.

For the full article.

December 2, 2008

Twin undergoes revolutionary treatment for birth injury

A twin who experienced a brain birth injury is about to undergo an experimental treatment. The surgery uses her own umbilical cord blood. The birth injury victim is now four years old. While her twin sister hit all of her developmental milestones early, the 4 year-old birth injury victim did not learn to crawl until she was three.

For the full article.