Cranial sonography in preterm infants with short review of literature

Diwakar, Rajendra Kumar; Khurana, Omesh

doi:10.4103/jpn.jpn_60_17

Cited by 15 publications

(14 citation statements)

References 30 publications

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“…The authors of the current study compared the predictive value of alarm symptoms appearing in the 9th month in respect of the 24th month, and confirmed their clinical significance in evaluating and forecasting the development of preterm baby. A predictive value for GM-S, FM-S and SO-EM was also observed when abnormal results of ultrasound examination at birth occurred, which has also been observed by other researchers [46].…”

Section: Discussionsupporting

confidence: 85%

The predictive value of ‘red flags’ as milestones of psychomotor development of premature babies – preliminary study

Taczała

Latalski

Aftyka

et al. 2020

Ann Agric Environ Med.

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Introduction. Premature babies are a special group at risk of persistent brain damage caused by diseases, the most serious of which are cerebral palsy(CP), autism spectrum disorders (ASD) and mental retardation, among others. These conditions may occur concurrently, but appear more often as separate disease syndromes in the same group of at-risk children. Longterm observation of psychomotor development by an interdisciplinary medical team closely cooperating with parents is necessary. It is important to detect the risk of developing these diseases as soon as possible in all development spheres. Materials and method. The research was conducted to demonstrate the prognostic value of 'red flags' of developmental milestones and the ability to detect early signs of risk of developing CP and ASD in extremely premature babies. In this preliminary study, 42 preterm babies, born after less than 32 weeks pregnancy participated. Results. The occurrence of ‚red flags'in the spheres: gross motor, fine motor and cognitive at 9 months was strongly associated with their presence at 24 months. The sensitivity and specificity were: gross motor -0.91 (95% CI: 0.59, 1.00) and 0.94 (95% CI: 0.79, 0.99); fine motor -0.83 (95% CI 0.36-1.00) and 1.00 (95% CI: 0.90-1.00); cognitive -1.00 (0.40, 1.00) and 0.97 (0.86, 1.00). Other spheres had lower sensitivity but high specificity. Conclusions. The conclusion is that the ‚red flags'at the 9 months milestones already predict the normal or developmental delay of premature babies, and predict the risk of CP and ASD. Due to the availability and lack of the need for specialized and costly training, it is worth considering their use in everyday life medical practice.

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Section: Discussionsupporting

confidence: 85%

The predictive value of ‘red flags’ as milestones of psychomotor development of premature babies – preliminary study

Taczała

Latalski

Aftyka

et al. 2020

Ann Agric Environ Med.

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“…In the group of premature babies, apart from prematurity, other developmental risk factors often co-exist: asphyxia, low body weight, and brain damage confirmed by imaging tests [38,39,40]. The results of the presented studies indicated that the dependence of the frequency of rehabilitation used on the degree of prematurity, asphyxia and low birth weigh, were not statistically significant.…”

Section: Discussionmentioning

confidence: 74%

Neurodevelopmental outcome and early rehabilitation of premature babies – is it needed in the first 2 years of life?

Taczała

Latalski

Dmoszyńska‐Graniczka

et al. 2020

Ann Agric Environ Med.

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Introduction and objective. The aim of the study was to evaluate the neurodevelopmental outcomes of extremely premature babies at the age of 2 years, and to determine whether rehabilitation was carried out during this period. An additional aim was to determine the relationship between the use of rehabilitation and the degree of prematurity, asphyxia, birth weight, and the result of brain ultrasound. Materials and method. The study included 87 premature babies born between 24-31 weeks of pregnancy. A rehabilitation specialist assessed the neurodevelopmental outcomes of the children aged 2 years. Based on the documentation, the frequency of rehabilitation and its dependence on prematurity, asphyxia, birth weight and ultrasound results were analyzed. Results. Correct neurodevelopmental outcome in children aged 2 years was found in 57 (65%) children, of whom 40 (46%) did not undergo rehabilitation. Incorrect development was observed in a group of 30 children -12 patients were diagnosed with CP (14%), and 18 (21%) had 'red flags' of development milestones, they underwent rehabilitation. There was no statistically significant relationship between the degree of prematurity, perinatal asphyxia, birth weight and rehabilitation in the first 2 years of life. Abnormal ultrasound results were more common in rehabilitated children (n = 25; 53%) than in children without rehabilitation (n = 10; 25%), p = 0.008. Conclusions. Correct neurodevelopmental outcome at the age of 2 reached two-thirds of extreme prematurities, most of which did not need rehabilitation during this period. According to the authors' knowledge, this is the first study to show the percentage of premature babies who in the first 2 years of life did not require rehabilitation and achieved normal development.

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“…Otro estudio más reciente (2018), Diwakar y Khurana, analizaron 100 recién nacidos prematuros, en los que detectaron diferentes anomalías en la ecografía craneal que incluyen hidrocefalia 12%, hemorragia intracraneal 6%, edema cerebral 6%, leucomalacia periventricular 2%, quiste del plexo coroideo 1%, septos intraventriculares 1% y colpocefalia 1% (17).…”

Section: Discussionunclassified

“…Desde la concepción hasta los primeros años de vida ocasionan anomalías, transitorias o definitivas, que pueden alterar la adecuada maduración del sistema nervioso central, repercutiendo en su desarrollo motor, sensorial, cognitivo o conductual, pudiendo conllevar a retraso y/o afección de su crecimiento y desarrollo norma Estos factores son también denominados alto riesgo biológico por algunos autores (1). Dentro de los factores de riesgo hay un primer grupo en el que se encuentran los neonatos con riesgo orgánico, aquellos con: trastornos cromosómicos, malformaciones congénitas mayores que precisaron cirugía, prematuridad (edad gestacional menor de 32 semanas), bajo peso al nacer (menor a 1500 gramos), peso inferior a 2 DS para su edad gestacional, asfixia severa, Apgar a los 5 minutos ≤ 3 puntos, ventilación mecánica prolongada, retraso de crecimiento intrauterino, infecciones congénitas y del sistema nervioso Salus.2021; 25(2): [9][10][11][12][13][14][15][16][17][18] Transfontanellar ultrasound findings in neonates and young infants with high biological risk.…”

Section: Introductionunclassified

Hallazgos de ultrasonido transfontanelar en neonatos y lactantes menores con alto riesgo biológico.

Colina¹,

Oramas²,

Rivas

et al. 2021

salus

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Introducción: Los neonatos y lactantes menores de alto riesgo están expuestos a un amplio espectro de lesiones cerebrales que pueden ser detectadas por ultrasonido transfontanelar. Métodos: Se analizaron los hallazgos del ultrasonido transfontanelar y se correlacionaron con las complicaciones perinatales, la edad gestacional y el diagnóstico clínico del paciente. Se realizó un estudio no experimental, prospectivo, transversal, descriptivo y comparativo. La muestra estuvo comprendida por 90 neonatos y lactantes menores con criterio de alto riesgo, que cumplieron con los criterios de inclusión. Resultados: Los hallazgos evidenciados en el estudio de ultrasonido fueron 72,1% resultaron normales, 27,7% de los pacientes tuvo algún hallazgo patológico, encontrando hemorragia de la matriz germinal grado I (6,6%), quistes subependimarios unilaterales (6,6%) y bilateral (1,1%), hidrocefalia (4,4%), agenesia del cuerpo calloso con colpocefalia (2,2%), hemorragia intraparenquimatosa, hidranencefalia, quiste aracnoideo, calcificaciones periventriculares y talámicas, así como vasculopatía lenticuloestriada y ventriculitis (1,1% cada una). Discusión: El ultrasonido transfontanelar es el método de neuroimagen de elección inicial para los recién nacidos y lactantes menores de alto riesgo, ya que es libre de radiación ionizante, permitiendo diagnosticar y realizar seguimiento de patologías cerebrales en esta población de riesgo.

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Cranial sonography in preterm infants with short review of literature

Cited by 15 publications

References 30 publications

The predictive value of ‘red flags’ as milestones of psychomotor development of premature babies – preliminary study

The predictive value of ‘red flags’ as milestones of psychomotor development of premature babies – preliminary study

Neurodevelopmental outcome and early rehabilitation of premature babies – is it needed in the first 2 years of life?

Hallazgos de ultrasonido transfontanelar en neonatos y lactantes menores con alto riesgo biológico.

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