Esquizencefalia en un recién nacido, y atención de enfermería basado en los patrones funcionales de marjory gordon. Hospital Teófilo Dávila

Abstract

Schizencephaly is a rare congenital cerebral malformation of the Central Nervous System, this pathology is characterized by the presence of a cleft in the brain, which extends from the pia mater to the cerebral ventricles; It develops between 2 and 5 months of gestation and manifests itself with motor alterations and seizures. Some postulants deduce that certain factors influence the occurrence of this malformation because the exact causes are not verified, within them we have the effect of infection caused by cytomegalovirus, which directly affects the middle cerebral artery that is why the Slits that are observed are in the region of the lateral groove. Other factors that are considered are maternal age those women under 20 years, also have not received any medical control during the first trimester of pregnancy or if there is the administration of any medication during the gestation period such as warfarin, but in the part of genetics is not scientifically proven. The treatment that is usually used in patients with this type of pathology is based on the symptoms that present which are usually frequent seizures that are treated with conventional anticonvulsants, and even physical and occupational therapy is adhered to, when seizures cannot Being controlled with medications, neurosurgical procedures are usually used, such as temporary lobectomy or resection of the pachygyria that is around the clefts. The diagnosis is made by magnetic resonance imaging of Schizencephaly, CT is also useful, but to a lesser extent since it provides poorer images of gray matter; It can also be diagnosed on prenatal or postnatal ultrasound, only for type II (open lip).