Early prediction of neurological outcome by term neurological examination and cranial ultrasound in very preterm infants

Abstract

Neurological examination of preterm babies at term may be unreliable in the prediction of neurological outcome at 12 months corrected age. For early prediction of neurological outcome cranial ultrasound examination was found to be more reliable.

Ultrasound detection of white matter injury in very preterm neonates: practical implications

“…This is partly in agreement with another study, finding a higher incidence of neurological abnormality during the first year of life in very preterm infants with prolonged PVEs, P/IVH grade 2 or 3, and ventricular dilatation than in infants without these CUS abnormalities 20 . Amess et al 21 . assessed the predictive value of CUS for neurological outcome at 12 months corrected age and found high risk CUS findings to be predictive of abnormal neurological outcome (sensitivity 83%), but their high‐risk CUS findings included more serious abnormalities than the individual CUS findings we assessed.…”

Predicción temprana del resultado neurológico a los 12 meses en neonatos de riesgo en Bariloche

“…Sin embargo, de los recién nacidos con examen neurológico normal, un 93% presentó resultado neurológico y un 86% desarrollo cognitivo normal a los 12 meses. Resultados similares fueron obtenidos por otros autores en diversas poblaciones de neonatos de riesgo 16,17,26 . El examen de Amiel-Tison a término fue mejor predictor del resultado neurológico que del desarrollo a los 12 meses 17 .…”

“…Las lesiones cerebrales detectadas mediante ecografía cerebral en la etapa neonatal pueden predecir diferentes disfunciones en el desarrollo neuromotor y cognitivo 12---15 . Los exámenes neurológicos como Amiel-Tison y DubowitzDubowitz durante el período neonatal se relacionan con la evolución neurológica en recién nacidos de riesgo 16,17 .…”

Motor Development Evaluation of Low Risk Preterm Infants through the First Six Months of Life

“…The mean values ± SD were 19.13±2.1 and 23.6±1.9 for both groups respectively. The results preterm and full term newborns may be attributed to the fact that body system development and maturation delay in preterm infants may be owing to many factors that include poor immunity and feeding problems as stated by Amess et al, [8].…”