A neuropatologia no período neonatal: análise de 1616 casos de necropsia

Noronha, Lúcia de; Medeiros, Fabíola; Martins, Vanessa Dello Mônaco; Nones, Rodrigo Bremer; Sepulcri, Rodrigo P.; Prevedello, Luciano M.; Sampaio, Gilberto Antunes; Serapião, Maria José; Torres, Luíz Fernando Bleggi

doi:10.1590/s0004-282x2001000300019

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…As a consequence of these complications, PN can be submitted to several clinical interventions such as oxygen therapy, orotracheal intubation, phototherapy, surfactant resposition, use of orogastric feeding tubes, body heating, among others 4,5,6 .…”

Section: Introductionmentioning

confidence: 99%

Avaliação das variáveis clínicas e neurocomportamentais de recém-nascidos pré-termo

Barbosa¹,

Formiga²,

Linhares³

2007

Rev. bras. fisioter.

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Objective: To assess the clinical and neurobehavioral variables for the development of preterm newborns. Method: This was a cross-sectional study with a sample of twenty-one preterm newborns of both genders and mean gestational and chronological ages of 32 weeks (± 1.7) and 27 days (± 15.2), respectively, who were assessed while still in hospital. The medical files were used to collect data on the gestation, delivery, complications developed and on the Neonatal Medical Index (NMI). The newborns were evaluated using the Neurobehavioral Assessment of the Preterm Infant (NAPI) in seven categories: scarf sign, motor development and vigor, popliteal angle, alertness and orientation, irritability, cry quality and percent asleep. The data were analyzed using SPSS ® statistical software based on descriptive statistics (frequencies, means and standard deviations), Student's t test for comparison of groups (study sample versus normative NAPI sample) and Spearman's correlation test (clinical variables and NAPI categories). Results: The preterm newborns' performance was statistically significantly different from the normative NAPI group in relation to the variables of scarf sign, motor development and vigor and cry quality. The NMI correlated negatively with scarf sign (r= -0.60). Alert behavioral state during inactivity correlated positively with motor development and vigor (r= 0.59) and with cry quality (r= 0.71). The most frequent maternal complications were genitourinary tract infection (47%) and gestational arterial hypertension (24%), and the neonatal complications were hyaline membrane syndrome (86%), neonatal infection (57%) and hyperbilirubinemia (47%). Conclusion: Neurobehavioral assessment and clinical data are variables that must be considered when working with newborns at risk of delayed development.

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Section: Introductionmentioning

confidence: 99%

Avaliação das variáveis clínicas e neurocomportamentais de recém-nascidos pré-termo

Barbosa¹,

Formiga²,

Linhares³

2007

Rev. bras. fisioter.

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Cerebral Malformations

et al. 2010

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Aplasia segmentar múltipla da medula espinhal em gato

et al. 2009

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ResumoMalformações congênitas da medula espinhal ocorrem em humanos e animais. Relata-se o caso de um gato sem raça definida de um mês de idade com histórico desde seu nascimento de malformação em membros posteriores. No exame neurológico constatou-se paraplegia, ausência de movimentação da cauda, analgesia e alteração do neurônio motor inferior. Radiografia simples da coluna vertebral lombosacra evidenciou aumento do canal vertebral em L3, L4, L5, L6 e distensão da vesícula urinária. Na necropsia e no exame histopatológico dessa região observou-se apenas resquícios do parênquima medular, raízes nervosas e leptomeninges, o que concluiu o diagnóstico de aplasia segmentar da medula espinhal. Palavras-chave: Malformação congênita, aplasia segmentar, medula espinhal, gato AbstractCongenital malformations of spinal cord occur in humans and animals. A cat, one month old, mixed breed, presented since birth pelvic limbs malformation. The neurological examination showed paraplegia, absence tail movement, analgesia and lower motor neuron damage. Simple radiography of the lumbarsacral vertebral column showed increased vertebral canal in L3, L4, L5, L6 and distended urinary bladder. Necropsy and histological findings revealed segments of spinal cord parenchyma, nervous roots and leptomeninges. These findings concluded the diagnosis of spinal cord segmental aplasia.

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A neuropatologia no período neonatal: análise de 1616 casos de necropsia

Cited by 3 publications

References 18 publications

Avaliação das variáveis clínicas e neurocomportamentais de recém-nascidos pré-termo

Avaliação das variáveis clínicas e neurocomportamentais de recém-nascidos pré-termo

Cerebral Malformations

Aplasia segmentar múltipla da medula espinhal em gato

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