Home
Search in�� ��for��
 
Resources
Career Center
New Hospital Update
Learn More About MCI
Bill Payment
Upcoming Events
Find a Physician
Press Releases
Maps and Directions
Visiting Hours
Medical Services
Specialty Programs and Services
Volunteer Services
H2U
Birthing Center Tours
Clinics
Family Care of Eastern Jackson County
Jackson County Medical Group
Family & Friends
Virtual Body
Virtual Cheercards
Web Babies
Decision Tools
Self-Assessment Tools
Natural and Alternative Treatments Main Index
Health Sources
Cancer InDepth
Heart Care Center
HealthDay News
Wellness Centers
Aging and Health
Alternative Health
Sports and Fitness
Food and Nutrition
Men's Health
Mental Health
Kids' and Teens' Health
Healthy Pregnancy
Medications
Travel and Health
Women's Health
Genus MD
Genus MD
Physician Websites
Legal Disclaimers
Nondiscrimination
Privacy Notice



Send This Page To A Friend
Print This Page

Hypoxic Ischemic Encephalopathy

(Cerebral Hypoxia; HIE)

Pronounced: hye-POK-sik is-KEM-ik en-sef-a-lo-path-ee

 

Definition

Hypoxic ischemic encephalopathy (HIE) is a brain injury. It happens when the brain does not get enough oxygen.

HIE can cause death. Brain cells start to die after 4 minutes without oxygen.

Blood Supply to the Brain

Copyright © Nucleus Medical Media, Inc.

 

Causes    TOP

Many health problems can a lack of oxygen to the brain. Some common causes are:

  • Cardiac arrest
  • Blocked or ruptured blood vessel
  • A blocked airway due to:
    • Swelling, such as from an allergic reaction
    • Trauma
    • Drug use and drug overdose
    • Drowning
    • Choking
  • Carbon monoxide or cyanide poisoning
 

Risk Factors    TOP

Any injury or health problem that causes the brain to have a drop in blood flow and oxygen is a risk factor for HIE.

 

Symptoms    TOP

You may have:

  • Mild symptoms:
    • Focus problems
    • Problems making decisions
    • Clumsiness
    • Strong feelings
    • Excess drowsiness
  • Severe symptoms:
    • Seizures
    • Loss of consciousness
    • Blue-colored skin or lips
    • Problems breathing
 

Diagnosis    TOP

A physical exam will be done. A health history is the biggest factor in making the diagnosis.

Blood tests may be done.

Pictures may need to be taken of your body. This can be done with:

Your heart and brain may be tested. This can be done with:

 

Treatment    TOP

Treatment depends on the cause of HIE. It also depends on how severe the damage is to the brain.

You may have:

  • Life-sustaining treatment—If brain function stops, but damage is not great, then life saving treatment is given. This may include CPR.
  • Cooling—Cooling blankets or other means of cooling may be used to lower the body's temperature.
  • Temperature control—Cooling and rewarming the body.
 

Prevention    TOP

HIE can’t be prevented.

RESOURCES:

Brain Injury Association of America
http://www.biausa.org

National Institute of Neurological Disorders and Stroke
https://www.ninds.nih.gov

CANADIAN RESOURCES:

Health Canada
https://www.canada.ca

Ontario Brain Injury Association
http://www.obia.on.ca

REFERENCES:

Hypoxic ischemic encephalopathy (HIE). Neurographics website. Available at:
...(Click grey area to select URL)
Accessed June 22, 2018.

Itoo BA, Al-Hawsawi ZM, Khan AH. Hypoxic ischemic encephalopathy. Incidence and risk factors in North Western Saudi Arabia. Saudi Med J. 2003;24(2):147-153.

MacDonald S. Brain injury secondary to carotid intervention. J Endovasc Ther. 2007;14(2):219-231.



Last reviewed May 2018 by EBSCO Medical Review Board Rimas Lukas, MD
Last Updated: 6/22/2018

Health References
Health Conditions
Therapeutic Centers


Copyright � 1999-2007
ehc.com; All rights reserved.
Terms & Conditions of Use
Privacy Statement
Medical Center of Independence
17203 E. 23rd St.
Independence,� MO� 64057
Telephone: (816) 478-5000