How to determine the prognosis of brain injury syndrome

  Brain injury syndrome is defined as an abnormal posture within one and a half years of age with a clear etiology such as prematurity, low birth weight, and asphyxia, and with early clinical manifestations of brain injury such as dorsal head curvature, inward thumbing, and pointed feet. The main concern of parents is whether the brain injury will be well? What is the prognosis? The prognosis is determined by the specific situation, such as sitting will walk, hand can pinch small things can live on their own or semi-self-care, etc.. Specific prognosis from the following aspects of the judgment: 1, the baby will generally in a month will chase after the vision, 2 months when the chase is more sensitive, chase after the vision is more critical to determine the vision, a month later still will not chase after the vision, need to go to the hospital for examination.  2, the baby in 42 days if the thumb inward, will affect the baby’s grasp and fine motor, head back will affect the head control.  3.In 3.5 months will control the head, if the head control is not stable will affect the baby sitting balance.  4, in 5 months will take the initiative to grasp objects, if not grasp objects will affect the baby’s ability to take care of themselves. 5 know to look for sound, if you can not follow the need to check the hearing.  5, in 6 months will sit, if not do will affect the baby’s walking ability, in general the baby will walk roughly: will sit months of age × 2 + 2 (months), up and down three months. That is, if the baby 7 months will do, may be in 16 will walk, will not necessarily walk a good-looking, specific also depends on the leg strength.  6, 9-11 months hands will pinch small things, that is, fine motor development is relatively mature, hands active grasping things that is fast and accurate, fine motor relevance to life self-care ability is relatively strong, such as tying buttons. The ability to understand simple instructions such as “welcome and goodbye” is relevant to future comprehension.  The prognosis of language: the baby can laugh out loud at 4 months, unconsciously shout “Dad, Mom” in 8-9 months, etc. The prognosis of language development is relatively good, the most critical is to shout “Mom and Dad” meaningfully at the age of 1 year and 2 months.  9, no matter at any age muscle tone can not be abnormal, that is, stiffness and postural abnormalities, if there are obvious abnormalities in muscle tone and postural abnormalities such as pointed feet, need to go to the hospital.  10, the development of the affected child can not be more than two months behind such as the baby in six months will sit, 8 months still can not sit that is abnormal, if more than two months, the possibility of brain injury is more likely to more to.  Brain injury syndrome after rehabilitation, according to the different symptoms may have four kinds of prognosis: First, after rehabilitation completely back to normal clinical healing; Second, motor disorders, postural abnormalities based on cerebral palsy such as pointed feet, will not walk alone; Third, intelligence-based mental retardation such as slow reaction, poor understanding; Fourth, both motor and intellectual backward and backward considerable mental retardation such as reflective retardation, limb movement obviously lagging behind.