Complicação da icterícia neonatal
Autor: Enfermeira Adriana | Publicado: 2013-02-27T07:22:00-08:00

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A bilirrubina indireta quando
aumentada exarcebamente pode provocar Kernicterus que é a
impregnação da bilirrubina no cérebro.



O quadro clínico da encefalopatia
bilirrubínica (Kernicterus) inicia-se por letargia, hipotonia, má sucção e choro agudo nos
primeiros dias, ainda na primeira semana se instala hipertonia, com tendência a
espasticidade e opistótono e febre, ao fim da primeira semana a espasticidade
diminui ou cede¹.

RNs que apresentaram encefalopatia
bilirrubínica, podem ter sequelas tardias durante a infância. A atetose, que é
movimentos involuntários, descoordenados, sendo grave pode impedir o
funcionamento dos membros, perda auditiva tende a ocorrer além de retardo
mental, manifesta-se limitação do olhar dirigido para cima e alguns sofrem de
paralisias no olhar, e por fim alguns pacientes padecem de hipoplasia do
esmalte dentário e descoloração verde dos dentes8.