Colpocephaly
Colpocephaly is a congenital birth defect that belongs to a group of structural brain disorders called cephalic disorders. The origin is still unknown until now and management leads to supportive care only. The development of this problem is believed to have started between the second to sixth month of pregnancy.
Signs and Symptoms:
- Small head (microcephaly)
- Abnormalities on the range of motion
- Muscle spasms
- Seizures
Three characteristic features are important in diagnosing colpocephaly: mental retardation, microcephaly and events of seizures. Later on, the child with colpocephaly might suffer from mental retardation due to the limited growth of the brain.
Up to this point, research has something to do with the advancement of this disease pattern as well as management of cases. Prognosis recently depends on the severity of the damage on the brain it brings. Children when diagnosed early can be referred to special education professionals so that they can utilize their limited abilities to its fullness.
Medical Management:
- Since seizures are common, anticonvulsants are the mainstay drug of choice.
- Seizure precaution must always be observed at the bed side.
- Proper referral of parents to special education institutions as well as support groups.
Ongoing Research:
The National Institute of Neurological Disorder and Stroke (NINDS) is one of the leading research institutions that gathers data about this disorder as well as has in depth analysis about how to manage the cases affected by this congenital disorder. Much has been done with seeking ways to prevent occurrence of colpocephaly as well advanced diagnostic examination.
Nursing Managment:
- Assist in administration of anticonvulsants.
- Empathize with the parents about the disorder as well as listen to their anxieties.
- Listen to the parents as to how they would cope with the child’s case. Refer them to community services that would assist them in raring the child.
- Teach the parents that their child also has emotional needs such love and acceptance with a family. Aside from assisting with the everyday needs, the child must be in a safe and loving environment.
- Help the parents to be attentive with the therapies prescribed as well as follow-ups with the specialists.
Daisy Jane Antipuesto RN MN
Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing. Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse. Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer.
