Perinatal/Neonatal Case Presentation

Journal of Perinatology (2004) 24, 730–732. doi:10.1038/sj.jp.7211164

Auditory Brainstem Response Detects Early Bilirubin Neurotoxicity at Low Indirect Bilirubin Values

Camille M Smith MD1,3,4, Galen P Barnes BS4, Claire A Jacobson AuD3 and David G Oelberg MD1,2,3,4

  1. 1Department of Pediatrics, VA, USA
  2. 2Center for Pediatric Research, VA, USA
  3. 3Children's Hospital of The King's Daughters, VA, USA
  4. 4Eastern Virginia Medical School, Norfolk, VA, USA

Correspondence: David G. Oelberg, MD, Children's Hospital of The King's Daughters, Department of Pediatrics, 601 Children's Lane, Norfolk, VA 23507, USA.

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Abstract

When sedation, prematurity or other disease processes mask symptoms in the clinically ill newborn, serum bilirubin concentration is monitored as the sole indicator of kernicterus risk. This case emphasizes the value of auditory brainstem responses for the management of indirect hyperbilirubinemia complicated by prematurity, hemolytic anemia, asphyxia, and direct hyperbilirubinemia.

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