Clinical practice

Basal ganglia and thalamus (BGT) hypoxic-ischaemic brain injury is currently the most contentious issue in cerebral palsy (CP) litigation South Africa (SA), merits a consensus response based on current available international literature. BGT pattern strongly associated with preceding perinatal sentinel event (PSE), which has sudden onset typically unforeseen unpreventable. Antepartum pathologies may result fetal priming, leading to vulnerability by relatively mild hypoxic insults. uncommonly follow gradual-onset heart rate deterioration pattern, of duration ≥1 hour. To prevent clinical setting, interval from PSE delivery must be short, as little 10 - 20 minutes. This difficult achieve any circumstances SA. Each case needs holistic, multidisciplinary, unbiased review all antepartum, intrapartum postpartum childhood information, aiming at fair resolution without waste time resources.