Continuity between fetal and neonatal neurobehavior

Stanojević, Milan; Zaputović, Sanja; Bošnjak, Anita Pavičić

doi:10.1016/j.siny.2012.06.006

Cited by 39 publications

(31 citation statements)

References 44 publications

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“…Control of the eyes by neonates is relatively advanced when contrasted with other motor abilities [19]. It is for this reason that visual paradigms are a key aspect of postnatal research.…”

Section: From Prenatal To Postnatal Visual Developmentmentioning

confidence: 99%

The Human Fetus Preferentially Engages with Face-like Visual Stimuli

et al. 2017

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“…Control of the eyes by neonates is relatively advanced when contrasted with other motor abilities [19]. It is for this reason that visual paradigms are a key aspect of postnatal research.…”

Section: From Prenatal To Postnatal Visual Developmentmentioning

confidence: 99%

The Human Fetus Preferentially Engages with Face-like Visual Stimuli

et al. 2017

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“…But the problem with prenatal and postnatal neurodevelopment is that it is taking place in different environments: prenatal with microgravity and postnatal with so called tyranny of gravity. 22 Sometimes intrauterine environment can be experienced by the fetus as hostile and unfriendly, and delivery at that moment could be foreseen as deliberation and even lifesaving event. 22 Even if at that moment of assessment, KANET and postnatal neurological examination are borderline or even abnormal, it is not easy to make the prediction for the future neurodevelopment of that individual fetus and infant.…”

Section: Assessment Of Fetal Behavior By Two-(2d) and Four-dimensionamentioning

confidence: 99%

“…22 Sometimes intrauterine environment can be experienced by the fetus as hostile and unfriendly, and delivery at that moment could be foreseen as deliberation and even lifesaving event. 22 Even if at that moment of assessment, KANET and postnatal neurological examination are borderline or even abnormal, it is not easy to make the prediction for the future neurodevelopment of that individual fetus and infant. This conclusion has been made on the grounds of the postnatal definition of CP as the most severe and long lasting nonprogressive neurological disorder in childhood.…”

Section: Assessment Of Fetal Behavior By Two-(2d) and Four-dimensionamentioning

confidence: 99%

Is Kurjak Antenatal Neurodevelopmental Test Ready for Routine Clinical Application? Bucharest Consensus Statement

Predojević¹,

Vlădăreanu²,

Antsaklis³

et al. 2015

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Background: While two-dimensional ultrasound (2D US) is used only for the assessment of fetal startles and gene ral movements, introduction of Kurjak antenatal neuro developmental test (KANET) by four-dimensional ultrasound (4D US) enabled assessment of not only movements but also some signs used in postnatal neurological assessment like cranial sutures, head circumference and finger movements of the hand for the detection of neurological thumb (adducted thumb in the clenched feast). Overall impression on general movement called by Prechtl 'Gestalt perception' is also a part of KANET assessment. These parameters cannot be assessed by 2D US, and according to our opinion they are making the difference enabling more accurate and functionally more reliable assessment of the young and immature CNS.After Osaka standardization of KANET has been published, many studies on fetal behavior from different centers using this method have been conducted and published. Although there is lack of long-term follow-up of children who were assessed by KANET as fetuses, some conclusions on the usage of KANET test in clinical practice can be made. There are still inconclusive results of prenatal neurological assessment using KANET test in fetuses with borderline scores, although it was revealed that negative predictive value of the test as well as inter-observer reliability were satisfactory and acceptable.

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“…Extremely preterm babies have a 100-fold increased risk of CP compared with term neonates, while the prevalence of CP is higher in term infants born at 37, 38, 39, 41 and 42 weeks compared with those born at 40 weeks. 6,7 Clinical and epidemiologic studies have shown that in almost 90% of CP cases, the causative pathway in contrast to what it was thought in the past is not related to intrapartum events. The assessment of the integrity of the fetal nervous system is a major task in modern perinatal medicine.…”

Section: Introductionmentioning

confidence: 99%

“…The brain of extremely premature neonates is unable to follow the genetically programmed growth pattern, even when postnatal feeding and nurturing of the neonates is conducted. 5,6 Brain injuries can occur prenatally, perinatally and/or even postnatally or neonatally. The neurological compromises that may result from such insults, may present with a wide variety of clinical pictures, ranging from mild behavioral and learning disabilities to severe cerebral palsy (CP).…”

Section: Introductionmentioning

confidence: 99%

The Assessment of Fetal Neurobehavior with Four-dimensional Ultrasound: The Kurjak Antenatal Neurodevelopmental Test

Antsaklis¹

2012

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Fetal neurology is an evolving field in prenatal diagnosis and fetal medicine with great interest. The identification and diagnosis of brain damage prenatally has been a great challenge in obstetrics for many years and early identification of this damage would have implications on the perinatal management and is of great importance in cases of medical litigation. Defining normal and abnormal fetal neurological function in utero in order to better predict antenatally which fetuses are at risk for adverse neurological outcome still is under investigation. Several attempts have been made in the past to form a system that could detect fetuses with compromised central nervous system (CNS) function or brain impairement. Assessment of fetal behavior gave a promising opportunity to understand the hidden function of the developmental pathway of the fetal CNS. The assessment of normal neurobehavioral development by fourdimensional (4D) ultrasound gave the opportunity to investigate functional characteristics of the fetus that could predict neurological developmental dysfunction. These series of studies lead to the formation of Kurjak's antenatal neurodevelopmental test (KANET). KANET combines the assessment of fetal behavior, general movements and three out of four signs that have been postnatally considered as symptoms of possible neurodevelopmental impairment (neurological thumb, overlapping sutures and small head circumference). Assessment of fetal behavior by 4D ultrasound and application of KANET scoring test has been recently published in several journals and summarized results are presented in this review.

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Continuity between fetal and neonatal neurobehavior

Cited by 39 publications

References 44 publications

The Human Fetus Preferentially Engages with Face-like Visual Stimuli

The Human Fetus Preferentially Engages with Face-like Visual Stimuli

Is Kurjak Antenatal Neurodevelopmental Test Ready for Routine Clinical Application? Bucharest Consensus Statement

The Assessment of Fetal Neurobehavior with Four-dimensional Ultrasound: The Kurjak Antenatal Neurodevelopmental Test

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