Cranial Sonography And Neurological Examination Of Extremely Preterm Infants
dc.contributor.author | Bozynski, Mary Ellen A. | en_US |
dc.contributor.author | DiPietro, Michael A. | en_US |
dc.contributor.author | Meisels, Samuel J. | en_US |
dc.contributor.author | Plunkett, James W. | en_US |
dc.contributor.author | Burpee, Barbara | en_US |
dc.contributor.author | Claflin, Carol J. | en_US |
dc.date.accessioned | 2010-04-01T15:19:16Z | |
dc.date.available | 2010-04-01T15:19:16Z | |
dc.date.issued | 1990-07 | en_US |
dc.identifier.citation | Bozynski, Mary Ellen A.; DiPietro, Michael A.; Meisels, Samuel J.; Plunkett, James W.; Burpee, Barbara; Claflin, Carol J. (1990). "Cranial Sonography And Neurological Examination Of Extremely Preterm Infants." Developmental Medicine & Child Neurology 32(7): 575-581. <http://hdl.handle.net/2027.42/65794> | en_US |
dc.identifier.issn | 0012-1622 | en_US |
dc.identifier.issn | 1469-8749 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/65794 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=2391010&dopt=citation | en_US |
dc.description.abstract | Fifty-one extremely preterm infants were studied to ascertain whether there is an association between sonographic abnormalities and neurological examination at term, controlling for factors such as low birthweight and chronic lung-disease. Their mean birthweight was 956g and mean gestational age was 27·9 weeks. Sonography was performed at least once during the first week, twice within the first month, and once within a month of term-corrected age. Neurological assessment was used to classify the infants as normal, suspect or abnormal at term. Infants were divided into three groups, based on sonographic findings: group 1 (no hemorrhage), group 2 (grade 1 to 3 hemorrhage but normal sonogram or unilateral ventriculomegaly at term) and group 3 (periventricular leukomalacia, grade 4 hemorrhage or ventriculomegaly at term). On neurological examination, 23 infants were found to be normal, 15 suspect and 13 abnormal. On sonography, 27 infants were placed in group 1, 12 in group 2 and 12 in group 3. Sonographic findings and birthweight were the best predictors of the infant's performance on the neurological examination at term. RÉSUMÉ Echographie cranienne et examen neurologique chez les grands prÉmaturÉs Cinquante et un grands prÉmaturÉs ont ÉtÉ examinÉs pour apprÉcier s'il y avait une association entre les anomalies Échographiques et l'examen neurologique È terme contrÔlant des facteurs tels qu'un faible poids de naissance ou une affection pulmonaire chronique. La moyenne des poids de naissance Était de 956g et la moyenne d'Âge gestational de 27,9 semaines. L'Échographie fut rÉalisÉe au moins une fois durant la premiÈre semaine, deux fois durant le premier mois ey une fois a un mois d'Âge corrigÉ. L'apprÉciation neurologique fut utilisÉe pour classer les nourrissons comme normaux, suspects ou anormaux au terme. Les nourrissons furent divisÉs en trois groupes È partir des donnÉes Échographiques: groupe 1 (sans hÉmorragie), groupe 2 (hÉmorragies de niveau 1 È 3 mais Échographie normale ou ventriculomÉgalie unilatÉrale È terme) et groupe 3 (leucomalacie pÉriventriculaire, hÉmorragie de niveau 4 ou ventriculomÉgalie au terme). A l'examen neurologique, 23 nourrissons furent trouvÉs normaux, 15 suspects et 13 anormaux. En Échographie, 27 nourrissons furent placÉs dans le groupe 1, 12 dans le groupe 2 et 12 dans le groupe 3. Les donnÉes Échographiques et le poids de naissance Étaient les meilleurs pronostics des capacitÉs du nourrissons È l'examen neurologique È terme. ZUSAMMENFASSUNG SchÄdelsonographie und neurologische Untersuchungen bei Fruhgeborenen EinundfÜnfzig extrem vorzeitig geborene Kinder wurden untersucht, um festzustellen, ob es eine Beziehung zwischen abnormen Ultraschallbefunden und neurologischen Untersuchungsergebnissen am Termin gibt, wobei Faktoren, wie niedriges Geburtsgewicht und chronische Lungenerkrankung, berÜcksichtigt wurden. Das mittlere Geburtsgewicht betrug 956g und das mittlere Gestationsalter 27-9 Wochen. Die Ultraschalluntersuchungen wurden mindestens einmal in der erster Woche, zweimal im ersten Monat und einmal im korrigierten Alter von einem Monat durchgefÜhrt. Die neurologischen Beurteilungen dienten zur Einteilung der Kinder am Termin in normal, auffÄllig und abnorm. Die Kinder wurden, basierend auf den Ultraschallbefunden, in drei Gruppen eingeteilt: Gruppe 1 (kleine Blutung), Gruppe 2 (Blutung Grad 1 bis 3, aber normales Sonogramm oder unilaterale Ventrikulomegalie am Termin) und Gruppe 3 (periventrikulÄre Leukomalazie, Blutung Grad 4 oder Ventrikulomegalie am Termin). Bei der neurologischen Untersuchung waren 23 Kinder normal, 15 auffÄllig und 13 abnorm. Nach den Ultraschallbefunden wurden 27 Kinder in Gruppe 1, 12 in Gruppe 2 und 12 in Gruppe 3 eingeteilt. Die sonographischen Befunde und das Geburtsgewicht warn die besten Parameter fÜr die neurologischen befunde am Termin. RESUMEN Sonografia craneal y examen neurolÓgico en lactantes extremadamente pretÉrmino Cincuenta y cinco lactantes extremadamente pretÉrmino fueron estudiados para ver si existia una asociaciÓn entre las anomalias sonograficas y el examen neurolÓgico a tÉrmino, controlando factores tales como el bajo peso al nacer y enfermedad pulmonar crÓnica. Su peso promedio al nacer fue de 956g y la edad gestacional media fue de 27·9 semanas. La sonografia se practicÓ por lo menos una vez durante le primere semana, dos veces durante el primer mes, y una vez dentro del mes despuÉs de la termino corregida. La evaluatiÓn neurolÓgica se usÓ para clasificar los lactantes en normales, sospechosos o anormales al tÉrmino. Los niÑos se dividieron en tres grupos segÚn los hallazgos sonograficos:grupo 1 (no hemorragia), grupo 2 (hemorragia de grado 1 a 3 pero con un sonograma normal o una ventriculomegalia unilateral al tÉrmino) y grupo 3 (leucomalacia periventricular, nunca hemorragia de cuarto grado o una ventriculomegalia al tÉrmino). En el examen neurolÓgico se hallÓ que 23 niÑos eran normales y 13 anormales. En la sonografia 27 niÑos fueron colocados en el grupo 1,12 en el grupo 2 y 12 en el grupo 3. Los hallazgos sonogrÁficos y el peso al nacer fueron los mejores predictores de lo hallado en el examen neurolÓgico al tÉrmino. | en_US |
dc.format.extent | 570382 bytes | |
dc.format.extent | 3110 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Ltd | en_US |
dc.rights | 1990 Mac Keith Press | en_US |
dc.title | Cranial Sonography And Neurological Examination Of Extremely Preterm Infants | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Neurosciences | en_US |
dc.subject.hlbsecondlevel | Pediatrics | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Study Coordinator;University of Michigan Medical Center, Ann Arbor, Michigan. | en_US |
dc.contributor.affiliationother | Section of Newborn Services | en_US |
dc.contributor.affiliationother | Center for Human Growth and Development | en_US |
dc.contributor.affiliationother | Center for Research and Development | en_US |
dc.contributor.affiliationother | Physical Therapist, Department of Physical Medicine and Rehabilitation | en_US |
dc.identifier.pmid | 2391010 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/65794/1/j.1469-8749.1990.tb08541.x.pdf | |
dc.identifier.doi | 10.1111/j.1469-8749.1990.tb08541.x | en_US |
dc.identifier.source | Developmental Medicine & Child Neurology | en_US |
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dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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