A Rare Case of Hypoxic Ischemic Encephalopathy presenting as Acrocyanosis

Abstract

Hypoxic-ischemic encephalopathy (HIE)   is one of the major causes of perinatally acquired neurological disability in term and near term neonates. We report a case presenting as Acrocyanosis in a full term, male neonate, born via LSCS, cried immediately at birth with normal apgar scores who was shifted to mothers side, At 7 hours of life was noticed to have bluish discoloration of palms and soles ,all vital signs were monitored ,septic screening and  2 d echo was organized which all were within normal limits but acrocyanosis persisted for 2 days and required oxygen support for the same . and at day 5 of life MRI brain was done  which showed bilateral  hyper intensities in periventricular white matter, with prominent CSF spaces in parieto -occipital region, mild thinning of corpus callosum, features  suggestive of perinatal hypoxic insult. The baby was gradually taken on room air ,started on wsf  followed by Breast feeding and discharged ,the baby is currently 4 months old neurologically and developmentally well and is enrolled in our developmental OPD.