Cry like scream

Introduction If the baby's cry is a high scream, that is, a sudden burst of crying, this is often called "brain scream." Cry straight, high pitch, monotonous and no echo, crying is anxious, disappearing fast, that is, crying suddenly, sudden screaming and crying may be the expression of headache. Be alert to neonatal intracranial hemorrhage and cerebral edema. Neonatal intracranial hemorrhage is a common serious disease in newborns. It is a common brain injury caused by birth injury and hypoxia, and is also one of the main causes of perinatal neonatal death.

Cause

The cause of "brain screaming" of infants is often intracranial hemorrhage and cerebral edema. In addition, neonatal birth injury and asphyxia can also cause "brain screaming", and "brain screaming" is a dangerous performance.

an examination

Related inspection

Brain MRI examination EEG examination cranial nerve examination

Neonates with mild intracranial hemorrhage manifested as irritability, screaming, tremors in the limbs, and slight irritation, which may cause limbs to tremble. Symptoms usually relieve in about 1 week. In addition to the above manifestations, severe intracranial hemorrhage may have convulsions, increased or decreased muscle tone, no crying, no breastfeeding, lethargy, coma, apnea or irregular breathing.

Cerebral edema: When you have a headache, you will not be unworthy of self-reported. It often shows restlessness or knocking your head with a hand. Newborns and babies will show brain screams, close eyes, and swells.

Medical history and clinical presentation can only provide diagnostic clues. Cerebrospinal fluid examination, if it is homogeneous blood and found wrinkled red blood cells, is helpful for diagnosis, but the examination can not rule out the disease, and it is not suitable for this operation when the condition is critical. Imaging examination can help to confirm the diagnosis. CT and B-ultrasound can indicate the location and extent of bleeding, which helps to judge the prognosis.

Differential diagnosis

Differential diagnosis of crying screams:

1, nested crying: mostly for paroxysmal, the child suddenly screams, crying is urgent, the tone is rushing, while the face is pale, sweating, expression pain, irritability, hand and foot dancing. After a while, crying stops, tends to calm, and so on. Children are often accompanied by vomiting, abdominal masses and blood in the stool.

2, crying before diarrhea: children with diarrhea due to increased bowel movements before defecation, feeling unwell, often crying, after defecation, crying stopped.

3, screaming cry: sudden burst of paroxysal crying, high pitch, twisted legs, a cry after a quiet turn, repeated.

4, inflammatory ear crying: When the child is crying, grab the ear with his hand and shake his head. If the child's auricle is pulled, the crying is intensified, and it is necessary to think about whether the child has otitis media.

5, crying when the milk: the child has a cold nose, inflammation, ulcers in the mouth, abscess in the back of the pharynx, crying during breastfeeding or eating, and even refused to eat.

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