[Neonatal ultrasonographic cerebral findings: association with risk factor for cerebral palsy]. / Stellenwert der postnatalen Neurosonographie für die frühzeitige Erfassung und ursächliche Klärung der Zerebralparese.
Z Geburtshilfe Neonatol
; 206(4): 142-50, 2002.
Article
em De
| MEDLINE
| ID: mdl-12198591
ABSTRACT
BACKGROUND:
Is it possible to identify patients with cerebral palsy (CP) with postnatal ultrasound scan? Which risk factors are associated with an increased risk of CP?. PATIENTS ANDMETHODS:
The data of 37 children with CP, who were sonographically investigated during the first 24 hours of life were analyzed retrospectively. The data of 21 preterm infants with gestational age = 32 wk were compared with the data of 59 without CP.RESULTS:
A tetraparesis was found in 15/21 of preterm babies = 32 wk, a hemiparesis in 4/8 of premature infants >/= 33 wk and in 5/8 of the mature babies. The mature babies had prenatal brain atrophy or hypoxic-ischaemic cerebral lesions. Cytomegaly and encephalitis were detected in two babies. Immature babies >/= 33 wk showed prenatal porencephaly or encephalomalacia after asphyxia. Premature babies = 32 wk had cystic periventricular leucomalacia (n=12) or cerebral haemorrhage (n=3); 3 babies had meningitis. Only two prematures = 32 wk with mild CP had inconspicuous ultrasound scans. Factors associated with cerebral palsy were cystic periventricular leucomalacia (OR 24,89; 95 % CI 5,85 - 105,87), cerebral atrophy (OR 4,84; 95 % CI 1,61 - 14,51), fetal hypoxia (CTG) - (OR 4,78; 95 % CI 1,31 - 17,45), abruptio placentae (OR 4,32; 95 % CI 1,16 - 16,13), anemia after birth (OR 18,13; 95 % CI 1,97 - 166,43), abnormal neurological behavior at term (OR 14,00; 95 % CI 3,29 - 59,55).CONCLUSION:
Cerebral ultrasound scan after birth is a useful method detect for cerebral lesions in patients with CP-risks.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dano Encefálico Crônico
/
Ecoencefalografia
/
Paralisia Cerebral
/
Doenças do Prematuro
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
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Humans
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Male
/
Newborn
/
Pregnancy
Idioma:
De
Revista:
Z Geburtshilfe Neonatol
Assunto da revista:
PERINATOLOGIA
Ano de publicação:
2002
Tipo de documento:
Article
País de afiliação:
Alemanha